Translation, cross-cultural adaptation, and psychometric properties of the Arabic version of the Rivermead Mobility Index (RMI) scale for patients with multiple sclerosis.

IF 2.2 4区 医学 Q1 REHABILITATION
Disability and Rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-03-19 DOI:10.1080/09638288.2026.2636399
Alaa M Albishi, Sarah S Almhawas, Zainab S Alshammari
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引用次数: 0

Abstract

Purpose: The Rivermead mobility index (RMI) is a patient self-reported outcome (PRO) that measures patients' mobility. This study aimed to translate and cross-culturally adapt the (RMI) into Arabic and to assess its validity and psychometric properties.

Method: RMI was translated into Arabic in accordance with international consensus guidelines. Using a cross-sectional design, one hundred patients with Multiple Sclerosis completed the Arabic version of the Rivermead Mobility Index (RMI-Ar), the Barthel Index (BI), and the Multiple Sclerosis Impact Scale-29 (MSIS-29), which includes two subscales for the physical (PHYS) and psychological (PSYCH). To assess test-retest reliability, fifty participants were asked to retake the RMI-Ar after a two-week interval.

Results: The RMI-Ar was simple and understandable to patients with MS in Saudi Arabia. The internal consistency of the RMI-Ar was excellent (Cronbach's alpha = 0.908), and test-retest reliability was strong (ICC = 0.908). The minimal detectable change between the test and retest was 26.8% for RMI. Additionally, the RMI-Ar demonstrated good face and content validity, confirming that all items were relevant, clear, and concise, as well as construct validity, shown by strong positive correlations with the Barthel Index (rho = 0.73) and weak negative correlations with the MSIS-29 psychological domain (rho = -0.23). No floor or ceiling effect was observed, affirming the scale's capacity to differentiate between participation levels.

Conclusion: The RMI-Ar questionnaire is a valid and reliable outcome measure to use in clinical and research settings.

多发性硬化症患者Rivermead流动性指数(RMI)量表阿拉伯语版的翻译、跨文化适应和心理测量特性
目的:Rivermead活动能力指数(RMI)是一种衡量患者活动能力的患者自我报告结果(PRO)。本研究的目的是翻译和跨文化适应(RMI)到阿拉伯语,并评估其有效性和心理测量特性。方法:按照国际共识指南将RMI翻译成阿拉伯文。采用横断设计,100名多发性硬化症患者完成了阿拉伯语版的Rivermead活动指数(RMI-Ar)、Barthel指数(BI)和多发性硬化症影响量表-29 (MSIS-29),其中包括生理(PHYS)和心理(PSYCH)两个子量表。为了评估重测信度,50名参与者被要求在间隔两周后重测RMI-Ar。结果:RMI-Ar对沙特阿拉伯MS患者简单易懂。RMI-Ar的内部一致性极好(Cronbach’s alpha = 0.908),重测信度强(ICC = 0.908)。RMI测试和重新测试之间的最小可检测变化为26.8%。此外,RMI-Ar显示出良好的面孔效度和内容效度,证实了所有项目都是相关的,清晰的,简洁的,以及结构效度,与Barthel指数呈强正相关(rho = 0.73),与MSIS-29心理域呈弱负相关(rho = -0.23)。没有观察到最低或最高效应,肯定了量表区分参与水平的能力。结论:RMI-Ar问卷在临床和研究中是一种有效可靠的结果测量方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Disability and Rehabilitation
Disability and Rehabilitation 医学-康复医学
CiteScore
5.00
自引率
9.10%
发文量
415
审稿时长
3-6 weeks
期刊介绍: Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.
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