Adaptation, Cross-Cultural Validation and Assessment of Measurement Properties of the French-Canadian Version of the Knowledge, Comfort, Approach and Attitude Towards Sexuality Scale (KCAASS) for Use in Stroke Rehabilitation

This study aimed to adapt and translate the Knowledge, Comfort, Approach and Attitude towards Sexuality Scale (KCAASS) for stroke rehabilitation clinicians who are Canadian French speakers and to determine its measurement properties. The KCAASS was adapted for stroke rehabilitation by three occupational therapists and translated into Canadian French using a back-translation process. After being pretested, the resulting KCAASS-Stroke-FrCan was disseminated to seven rehabilitation centers in Quebec, Canada. Exploratory factor analysis, Cronbach alphas, intraclass correlation coefficients (ICCs), standard error of measurement (SEM), and minimal detectable change (MDC) were computed. 199 clinicians participated. Factor analysis revealed a four-factor solution. Internal consistency for the total score (α = 0.942) and subscales “Knowledge” (α = 0.834), “Comfort” (α = 0.966), and “Approach” (α = 0.836) were very good, and critical for “Attitude” (α = 0.628). Test–retest reliability was very good (0.81; p < 0.001) for the total score, good for “Knowledge” (0.69; p < 0.001) and “Comfort” (0.74; p < 0.001), very good for “Approach” (0.82; p < 0.001), and poor for “Attitude” (0.37; p = 0.003). SEM and MDC were presented. The KCAASS-Stroke-FrCan showed good measurement properties to assess stroke rehabilitation clinicians’ training needs and educational interventions.