Arabic translation and adaptation of Critical Care Family Satisfaction Survey

This is the authors' abstract. We don't add key points for this paper.

OBJECTIVE: To translate and adapt the Critical Care Family Satisfaction Survey (CCFSS), and test its validity and reliability for use in Saudi Arabia. SETTING: Seven hundred-bed tertiary care hospital in Saudi Arabia. PARTICIPANTS: Seventy-six adult relatives of patients who had been cared for in an intensive care unit for 24 hrs or more. INTERVENTIONS: The CCFSS, a battery of 20 items divided into five subscales, was translated into Arabic. After transfer of patients to regular inpatient units, interviewers administered the survey to their next-of-kin. Respondents ranked their satisfaction with each item on a 5-point Likert scale. MAIN OUTCOME MEASURES: Subscale scores were calculated as the average of the individual item scores. The total scale score was the sum of the subscale scores. RESULTS: The total scale and 'Information', 'Support', 'Comfort' and 'Assurance' subscales showed acceptable internal consistency (Spearman's correlation coefficient of the total score with each of the subscale scores = 0.52-0.81, P<0.01; Cronbach's alpha = 0.67-0.88). But the 'Proximity' subscale performed poorly (r=0.48, P<0.01; Cronbach's alpha = 0.36). Discriminant validity was tested with a Spearman's rank correlation matrix of the subscales, and ranged from weak between 'Support' and both 'Assurance' and 'Information' (r=0.80) to substantial between 'Information' and 'Proximity' (r=0.54) (P<0.01). CONCLUSION: This Arabic translation and adaptation of the CCFSS is a valid, reliable and feasible tool to evaluate family satisfaction in Saudi Arabian intensive care units.