Usability, reliability, and validity of the Arabic version of the ASK-20 questionnaire in Arab adults
BackgroundMedication adherence is crucial for optimal therapeutic outcomes, yet it remains a significant challenge globally, including in Arabic-speaking populations. Existing tools like the “Adherence Starts with Knowledge 20” (ASK-20) questionnaire assess adherence barriers but lack a validated Ar...
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1595308/full |
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| author | Mohammed S. Alharthi |
| author_facet | Mohammed S. Alharthi |
| author_sort | Mohammed S. Alharthi |
| collection | DOAJ |
| description | BackgroundMedication adherence is crucial for optimal therapeutic outcomes, yet it remains a significant challenge globally, including in Arabic-speaking populations. Existing tools like the “Adherence Starts with Knowledge 20” (ASK-20) questionnaire assess adherence barriers but lack a validated Arabic version. To address this gap, this study evaluated the usability, reliability, and validity of the Arabic ASK-20 questionnaire among Arab adults.MethodsA cross-sectional study was conducted with 130 Arabic-speaking adults aged 18 years or older. The ASK-20 questionnaire was translated and culturally adapted using a rigorous linguistic validation process, including forward translation, expert review, and back-translation. Data were collected from November to December 2024. Internal consistency was assessed using Cronbach’s alpha, while floor and ceiling effects evaluated response biases. Statistical analyses included descriptive and inferential statistics, with significance set at p < 0.05.ResultsThe study sample comprised 69.2% males and 30.8% females, with a mean age of 36.6 years. The Arabic ASK-20 demonstrated acceptable internal consistency (Cronbach’s alpha = 0.751). Key adherence barriers identified included cost-related issues (76.9% ceiling effect) and medication availability (74.6% ceiling effect). The ASK-20 and Total Barrier Count (TBC) scores effectively differentiated between adherence levels, with lower scores observed in the “Good-1” adherence group compared to the “Poor-1” group.ConclusionThe Arabic ASK-20 is a reliable and valid tool for identifying medication adherence barriers in Arab adults. By systematically assessing barriers such as cost, availability, and knowledge gaps, the tool equips healthcare providers to design targeted, patient-centered interventions. These findings highlight the potential of the Arabic ASK-20 to improve chronic disease management, enhance patient outcomes, and inform public health strategies within Arabic-speaking communities. |
| format | Article |
| id | doaj-art-b8d5b3c73ed1490ba0ef8c9064255bd7 |
| institution | OA Journals |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Medicine |
| spelling | doaj-art-b8d5b3c73ed1490ba0ef8c9064255bd72025-08-20T02:29:20ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-05-011210.3389/fmed.2025.15953081595308Usability, reliability, and validity of the Arabic version of the ASK-20 questionnaire in Arab adultsMohammed S. AlharthiBackgroundMedication adherence is crucial for optimal therapeutic outcomes, yet it remains a significant challenge globally, including in Arabic-speaking populations. Existing tools like the “Adherence Starts with Knowledge 20” (ASK-20) questionnaire assess adherence barriers but lack a validated Arabic version. To address this gap, this study evaluated the usability, reliability, and validity of the Arabic ASK-20 questionnaire among Arab adults.MethodsA cross-sectional study was conducted with 130 Arabic-speaking adults aged 18 years or older. The ASK-20 questionnaire was translated and culturally adapted using a rigorous linguistic validation process, including forward translation, expert review, and back-translation. Data were collected from November to December 2024. Internal consistency was assessed using Cronbach’s alpha, while floor and ceiling effects evaluated response biases. Statistical analyses included descriptive and inferential statistics, with significance set at p < 0.05.ResultsThe study sample comprised 69.2% males and 30.8% females, with a mean age of 36.6 years. The Arabic ASK-20 demonstrated acceptable internal consistency (Cronbach’s alpha = 0.751). Key adherence barriers identified included cost-related issues (76.9% ceiling effect) and medication availability (74.6% ceiling effect). The ASK-20 and Total Barrier Count (TBC) scores effectively differentiated between adherence levels, with lower scores observed in the “Good-1” adherence group compared to the “Poor-1” group.ConclusionThe Arabic ASK-20 is a reliable and valid tool for identifying medication adherence barriers in Arab adults. By systematically assessing barriers such as cost, availability, and knowledge gaps, the tool equips healthcare providers to design targeted, patient-centered interventions. These findings highlight the potential of the Arabic ASK-20 to improve chronic disease management, enhance patient outcomes, and inform public health strategies within Arabic-speaking communities.https://www.frontiersin.org/articles/10.3389/fmed.2025.1595308/fullmedication adherenceASK-20 questionnaireArabic validationadherence barriersreliabilitycultural adaptation |
| spellingShingle | Mohammed S. Alharthi Usability, reliability, and validity of the Arabic version of the ASK-20 questionnaire in Arab adults Frontiers in Medicine medication adherence ASK-20 questionnaire Arabic validation adherence barriers reliability cultural adaptation |
| title | Usability, reliability, and validity of the Arabic version of the ASK-20 questionnaire in Arab adults |
| title_full | Usability, reliability, and validity of the Arabic version of the ASK-20 questionnaire in Arab adults |
| title_fullStr | Usability, reliability, and validity of the Arabic version of the ASK-20 questionnaire in Arab adults |
| title_full_unstemmed | Usability, reliability, and validity of the Arabic version of the ASK-20 questionnaire in Arab adults |
| title_short | Usability, reliability, and validity of the Arabic version of the ASK-20 questionnaire in Arab adults |
| title_sort | usability reliability and validity of the arabic version of the ask 20 questionnaire in arab adults |
| topic | medication adherence ASK-20 questionnaire Arabic validation adherence barriers reliability cultural adaptation |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1595308/full |
| work_keys_str_mv | AT mohammedsalharthi usabilityreliabilityandvalidityofthearabicversionoftheask20questionnaireinarabadults |