Pain management nursing : official journal of the American Society of Pain Management Nurses · 2026
Cultural Adaptation and Psychometric Validation of the Arabic Current Opioid Misuse Measure for Sickle Cell Disease Patients.
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Abdelrahman Hanan, Qadire Mohammad Al, Raqaishi Huda Al, Amri Hisham Al, Barwani Suhaib Al, Zehry Hamada
Аннотация
PURPOSE: To translate, culturally adapt, and evaluate the psychometric properties of the Arabic version of the Current Opioid Misuse Measure (COMM-A) among Arabic-speaking patients with sickle cell disease (SCD).
DESIGN: Cross-sectional psychometric validation study.
METHODS: The COMM was translated and culturally adapted according to established guidelines, including forward translation, synthesis, back translation, expert review, and pre-testing. A convenience sample of 169 Arabic-speaking adults with SCD was recruited from two hospitals in Oman. Structural validity was examined using exploratory factor analysis. Internal consistency was assessed using Cronbach's alpha, and test-retest reliability was evaluated using the intraclass correlation coefficient (ICC).
RESULTS: Exploratory factor analysis identified a four-factor structure accounting for 59.15% of the total variance. The Kaiser-Meyer-Olkin value was 0.862, and Bartlett's test of sphericity was significant (p < .001), supporting factorability. The COMM-A demonstrated excellent internal consistency (Cronbach's α = 0.89), with subscale alpha coefficients ranging from 0.70 to 0.83. Test-retest reliability was excellent (ICC = 0.93, 95% CI = 0.90-0.96).
CONCLUSIONS: The COMM-A is a valid and reliable instrument for assessing opioid misuse among Arabic-speaking patients with SCD. The identified four-factor structure supports the multidimensional nature of opioid misuse behaviors in this population.
CLINICAL IMPLICATIONS: The COMM-A provides pain management nurses with a culturally appropriate tool for screening and monitoring opioid misuse, facilitating early identification of at-risk patients and supporting safer opioid management in Arabic-speaking populations.
DESIGN: Cross-sectional psychometric validation study.
METHODS: The COMM was translated and culturally adapted according to established guidelines, including forward translation, synthesis, back translation, expert review, and pre-testing. A convenience sample of 169 Arabic-speaking adults with SCD was recruited from two hospitals in Oman. Structural validity was examined using exploratory factor analysis. Internal consistency was assessed using Cronbach's alpha, and test-retest reliability was evaluated using the intraclass correlation coefficient (ICC).
RESULTS: Exploratory factor analysis identified a four-factor structure accounting for 59.15% of the total variance. The Kaiser-Meyer-Olkin value was 0.862, and Bartlett's test of sphericity was significant (p < .001), supporting factorability. The COMM-A demonstrated excellent internal consistency (Cronbach's α = 0.89), with subscale alpha coefficients ranging from 0.70 to 0.83. Test-retest reliability was excellent (ICC = 0.93, 95% CI = 0.90-0.96).
CONCLUSIONS: The COMM-A is a valid and reliable instrument for assessing opioid misuse among Arabic-speaking patients with SCD. The identified four-factor structure supports the multidimensional nature of opioid misuse behaviors in this population.
CLINICAL IMPLICATIONS: The COMM-A provides pain management nurses with a culturally appropriate tool for screening and monitoring opioid misuse, facilitating early identification of at-risk patients and supporting safer opioid management in Arabic-speaking populations.