Validity and Reliability of the Arabic Cough Severity Index

ABSTRACT Objectives This study aimed to translate and validate the Cough Severity Index (CSI) into Arabic (A‐CSI) and to evaluate its validity and reliability among patients with chronic cough. Methods This cross‐sectional descriptive questionnaire‐based validation study was conducted at two tertiar...

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Main Authors: Hamad F. Alrabiah, Nawaf Alqarni, Nuha Alrajhi, Aban Basfar, Tamer A. Mesallam, Mohamed Farahat, Khalid H. Malki
Format: Article
Language:English
Published: Wiley 2025-02-01
Series:Laryngoscope Investigative Otolaryngology
Subjects:
Online Access:https://doi.org/10.1002/lio2.70074
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author Hamad F. Alrabiah
Nawaf Alqarni
Nuha Alrajhi
Aban Basfar
Tamer A. Mesallam
Mohamed Farahat
Khalid H. Malki
author_facet Hamad F. Alrabiah
Nawaf Alqarni
Nuha Alrajhi
Aban Basfar
Tamer A. Mesallam
Mohamed Farahat
Khalid H. Malki
author_sort Hamad F. Alrabiah
collection DOAJ
description ABSTRACT Objectives This study aimed to translate and validate the Cough Severity Index (CSI) into Arabic (A‐CSI) and to evaluate its validity and reliability among patients with chronic cough. Methods This cross‐sectional descriptive questionnaire‐based validation study was conducted at two tertiary hospitals in Riyadh, Saudi Arabia, between December 2023 and August 2024. The CSI was translated from English into Arabic using the forward‐backward method. Its reliability was assessed using Cronbach's alpha and test–retest reliability. Its construct validity was assessed using exploratory factor analysis (EFA), and its internal consistency was assessed using Cronbach's alpha. Its discriminant validity was determined using the Mann–Whitney U test, and its reproducibility was evaluated using the intraclass correlation coefficient (ICC). Results Data were collected from 100 participants, 50 with chronic cough and 50 healthy controls. The mean age was 41.56 ± 14.28 years in the chronic cough group and 35.48 ± 10.02 years in the healthy control group. The A‐CSI exhibited high reproducibility (ICC = 0.896) and excellent internal consistency (Cronbach's alpha = 0.966). EFA identified three factors explaining 66.41% of the variance, with all items having communalities > 0.3. The A‐CSI exhibited significant discriminant validity between the chronic cough and healthy control groups (p < 0.001). Conclusion The A‐CSI is a reliable and valid tool for assessing chronic cough in Arabic‐speaking patients, making it suitable for both clinical practice and research. Level of Evidence Level 3.
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spelling doaj-art-5c1d57d2dae34ae9b653085184bc49f02025-08-20T03:04:53ZengWileyLaryngoscope Investigative Otolaryngology2378-80382025-02-01101n/an/a10.1002/lio2.70074Validity and Reliability of the Arabic Cough Severity IndexHamad F. Alrabiah0Nawaf Alqarni1Nuha Alrajhi2Aban Basfar3Tamer A. Mesallam4Mohamed Farahat5Khalid H. Malki6College of Medicine King Saud University Riyadh Saudi ArabiaCollege of Medicine King Saud University Riyadh Saudi ArabiaDepartment of Medicine, Pulmonary Unit, King Saud University Medical City King Saud University Riyadh Saudi ArabiaCollege of Medicine King Saud University Riyadh Saudi ArabiaResearch Chair of Voice, Swallowing, and Communication Disorders, Department of Otolaryngology‐Head and Neck Surgery, College of Medicine King Saud University Riyadh Saudi ArabiaResearch Chair of Voice, Swallowing, and Communication Disorders, Department of Otolaryngology‐Head and Neck Surgery, College of Medicine King Saud University Riyadh Saudi ArabiaResearch Chair of Voice, Swallowing, and Communication Disorders, Department of Otolaryngology‐Head and Neck Surgery, College of Medicine King Saud University Riyadh Saudi ArabiaABSTRACT Objectives This study aimed to translate and validate the Cough Severity Index (CSI) into Arabic (A‐CSI) and to evaluate its validity and reliability among patients with chronic cough. Methods This cross‐sectional descriptive questionnaire‐based validation study was conducted at two tertiary hospitals in Riyadh, Saudi Arabia, between December 2023 and August 2024. The CSI was translated from English into Arabic using the forward‐backward method. Its reliability was assessed using Cronbach's alpha and test–retest reliability. Its construct validity was assessed using exploratory factor analysis (EFA), and its internal consistency was assessed using Cronbach's alpha. Its discriminant validity was determined using the Mann–Whitney U test, and its reproducibility was evaluated using the intraclass correlation coefficient (ICC). Results Data were collected from 100 participants, 50 with chronic cough and 50 healthy controls. The mean age was 41.56 ± 14.28 years in the chronic cough group and 35.48 ± 10.02 years in the healthy control group. The A‐CSI exhibited high reproducibility (ICC = 0.896) and excellent internal consistency (Cronbach's alpha = 0.966). EFA identified three factors explaining 66.41% of the variance, with all items having communalities > 0.3. The A‐CSI exhibited significant discriminant validity between the chronic cough and healthy control groups (p < 0.001). Conclusion The A‐CSI is a reliable and valid tool for assessing chronic cough in Arabic‐speaking patients, making it suitable for both clinical practice and research. Level of Evidence Level 3.https://doi.org/10.1002/lio2.70074chronic coughcough severity indextranslationsvalidation study
spellingShingle Hamad F. Alrabiah
Nawaf Alqarni
Nuha Alrajhi
Aban Basfar
Tamer A. Mesallam
Mohamed Farahat
Khalid H. Malki
Validity and Reliability of the Arabic Cough Severity Index
Laryngoscope Investigative Otolaryngology
chronic cough
cough severity index
translations
validation study
title Validity and Reliability of the Arabic Cough Severity Index
title_full Validity and Reliability of the Arabic Cough Severity Index
title_fullStr Validity and Reliability of the Arabic Cough Severity Index
title_full_unstemmed Validity and Reliability of the Arabic Cough Severity Index
title_short Validity and Reliability of the Arabic Cough Severity Index
title_sort validity and reliability of the arabic cough severity index
topic chronic cough
cough severity index
translations
validation study
url https://doi.org/10.1002/lio2.70074
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