Translation and Validation of the Child Vulnerability Scale: Arabic Version in Children With and Without Congenital Heart Disease.

Background and Purpose: Congenital heart disease (CHD) increases parental caregiving burden and perceived child vulnerability. We aimed to translate the Child Vulnerability Scale (CVS) into Arabic and assess its validity and cultural relevance.

Methods

Two hundred and thirty-six caregivers completed the CVS (118 CHD and 118 without CHD). Language validity, content validity index (CVI), confirmatory factor analysis, and Cronbach's alpha were used to assess psychometric properties.

Results

The CVS showed strong content validity (item-CVIs ≥ .70 and scale-CVI = .95). A two-factor model showed good construct validity (loadings = .40-.78, p < .01) and excellent fit (χ²/degree of freedom = 1.86; Tucker-Lewis index = .94, comparative fit index = .96, goodness-of-fit index = .96, adjusted goodness-of-fit index = .92, root-mean-square error of approximation = .06, and standardized root-mean-square residual = .04). Reliability was acceptable (α = .80).

Conclusions

The CVS-Arabic version showed strong content validity, reliability, and cultural suitability for assessing parental perceptions of child vulnerability in CHD.