Translation, cross-cultural adaptation, and psychometric properties of the Arabic version of the assessment life habits (LIFE-H 3.1) scale for patients with stroke.

Purpose: This study aimed to translate, cross-culturally adapt, and validate the Arabic version of the Assessment Life Habits (LIFE-H 3.1) scale for patients with stroke, providing a comprehensive tool for assessing life habits and social participation in Arabic-speaking populations.

Methods: The translation process followed established guidelines, including forward and backward translation, expert committee review, and pilot testing with 31 stroke patients to ensure semantic and cultural equivalence. Psychometric testing was conducted with 102 patients with stroke to evaluate the scale's reliability and validity.

Results: The Arabic LIFE-H 3.1 demonstrated excellent internal consistency (Cronbach's alpha ≥ 0.97), strong test-retest reliability (ICC ≥ 0.87), and minimal measurement error. It also exhibited strong face, content, and construct validity, with significant correlations observed with established measures such as the Barthel Index, Stroke-Specific Quality of Life Scale, and Short-Form Health Survey. No significant floor or ceiling effects were observed, confirming the scale's ability to differentiate between participation levels.

Conclusion: The Arabic LIFE-H 3.1 is a valid and reliable tool for evaluating daily activities and social roles in stroke rehabilitation, making it suitable for clinical and research applications in Arabic-speaking communities.