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April 19, 2026Healthcare0 citationsOpen Access

Validation of the Arabic Version of the Chronic Heart Failure Health-Related Quality of Life Questionnaire in Jordan

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WAWalid Al‐QeremSKSawsan KhdairAJAnan Jarab

Key Result

The Arabic version of the CHFQOLQ-20 is a valid and reliable four-domain instrument for measuring health-related quality of life in patients with heart failure.

Key Points

  • To evaluate the reliability and validity of the Arabic CHF health-related quality of life questionnaire among heart failure patients in Jordan.
  • Conducted a cross-sectional study with 399 heart failure patients
  • Used forward-backward translation methods for questionnaire
  • Assessed construct validity through confirmatory factor analysis
  • Evaluated internal consistency and differential item functioning by sex
  • The four-domain structure of the questionnaire was confirmed via factor analysis
  • Item-level analyses showed good model fit and minimal bias based on sex
  • Physical health scores were significantly lower than scores in other domains

Structured PICO

Is the Arabic version of the CHFQOLQ-20 a valid and reliable tool for assessing health-related quality of life in patients with heart failure?

P
Population
399 adults with heart failure recruited from a tertiary hospital in Jordan (median age 68 years; 55.9% male)
I
Intervention
Arabic version of the Chronic Heart Failure Health-Related Quality of Life Questionnaire (CHFQOLQ-20)
O
Outcome
Reliability and validity (construct validity, differential item functioning, internal consistency)patient reported

The Arabic version of the CHFQOLQ-20 is a valid and reliable multidimensional measure of health-related quality of life for Arabic-speaking patients with heart failure.

Abstract

Objectives: We aimed to evaluate the reliability and validity of the Arabic version of the Chronic Heart Failure Health-Related Quality of Life Questionnaire (CHFQOLQ-20) among patients with heart failure in Jordan. Methods: A cross-sectional study was conducted among 399 adults with heart failure recruited from a tertiary hospital in Jordan (median age 68 years; 55.9% male). The CHFQOLQ-20 was translated using forward–backward procedures. Construct validity was examined using confirmatory factor analysis (CFA) and a multidimensional Partial Credit Model. Differential item functioning by sex and internal consistency were assessed. Results: CFA supported the original four-domain structure (physical, cognitive, mental, and general health), with all items showing significant factor loadings. Item-level analyses demonstrated acceptable model fit, ordered response thresholds, and minimal sex-related bias. Physical health scores were lower than other domains. Conclusions: The Arabic CHFQOLQ-20 is a valid, reliable, and multidimensional measure of HRQoL in patients with heart failure, supporting its use in clinical practice and research.

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Cite This Study

Al‐Qerem et al. (2026) studied this question. The Arabic version of the CHFQOLQ-20 is a valid and reliable four-domain instrument for measuring health-related quality of life in patients with heart failure.

synapsesocial.com/papers/69e47440010ef96374d9003ahttps://doi.org/10.3390/healthcare14081076
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