Validation of the Arabic Version of the Edmonton Symptom Assessment System

Omar Shamieh (), Ghadeer Alarjeh, Mohammad Al Qadire, Zaid Amin, Abdelrahman AlHawamdeh, Mohammad Al-Omari, Omar Mohtadi, Abdullah Illeyyan, Omar Ayaad, Sawsan Al-Ajarmeh, Amal Al-Tabba, Khawlah Ammar, Dalia Al-Rimawi, Mahmoud Abu-Nasser, Fadi Abu Farsakh and David Hui
Additional contact information
Omar Shamieh: Department of Palliative Care, King Hussein Cancer Center, Amman 11941, Jordan
Ghadeer Alarjeh: Center for Palliative & Cancer Care in Conflict, King Hussein Cancer Center, Amman 11941, Jordan
Mohammad Al Qadire: Adult Health Department, Faculty of Nursing, Al Al-Bayt University, Mafraq 25113, Jordan
Zaid Amin: Department of Medicine, King Hussein Cancer Center, Amman 11941, Jordan
Abdelrahman AlHawamdeh: Department of Palliative Care, King Hussein Cancer Center, Amman 11941, Jordan
Mohammad Al-Omari: Department of Palliative Care, King Hussein Cancer Center, Amman 11941, Jordan
Omar Mohtadi: Department of Medicine, King Hussein Cancer Center, Amman 11941, Jordan
Abdullah Illeyyan: Department of Palliative Care, King Hussein Cancer Center, Amman 11941, Jordan
Omar Ayaad: Sultan Qaboos Comprehensive Cancer Center Care and Research Center, Muscat P.O. Box 566 PC 123, Oman
Sawsan Al-Ajarmeh: Center for Palliative & Cancer Care in Conflict, King Hussein Cancer Center, Amman 11941, Jordan
Amal Al-Tabba: Department of Palliative Care, King Hussein Cancer Center, Amman 11941, Jordan
Khawlah Ammar: Center of Research Shared Resources, King Hussein Cancer Center, Amman 11941, Jordan
Dalia Al-Rimawi: Center of Research Shared Resources, King Hussein Cancer Center, Amman 11941, Jordan
Mahmoud Abu-Nasser: Department of Palliative Care, King Hussein Cancer Center, Amman 11941, Jordan
Fadi Abu Farsakh: Department of Palliative Care, King Hussein Cancer Center, Amman 11941, Jordan
David Hui: MD Anderson Cancer Center, Houston, TX 77030, USA

IJERPH, 2023, vol. 20, issue 3, 1-11

Abstract: Quality cancer care is a team effort. In addition, patients’ symptoms change over the course of treatment. As such, the Edmonton Symptom Assessment System (ESAS) is a simple tool designed to quickly monitor symptom change. Here, we present the results from a two-phase study aimed at validating the Arabic version of the ESAS (ESAS-A). Phase one involved the creation of two versions of the ESAS with both reverse and forward translations by bilingual, native Arabic speakers as well as evaluation by an expert panel. The reconciled version was then administered to 20 patients as a pilot from which to create the final version, which was then used with 244 patients. Phase two for the ESAS—involved an ESAS-based validation of 244 adults aged 18 years and older who were diagnosed with advanced cancer; then, further validation was completed in conjunction with two other symptom survey tools, the EORTC-Pal 15 and the HADS. The ESAS-A items possessed good internal consistency with an average Cronbach’s alpha of 0.84, ranging from 0.82 to 0.85. Moreover, the results of ESAS-A showed good agreement with those of EORTC QLQ- 15 PAL (r = 0.36 to 0.69) and HADS (r = 0.60 and 0.57) regarding anxiety and depression. We found the ESAS-A to be responsive to symptom change and a median time to completion of 3.73 min. The results of our study demonstrate that the ESAS-A is a reliable, valid, and feasible tool for the purposes of monitoring symptom change over the course of cancer treatment.

Keywords: symptoms; ESAS; Arabic; psychometrics; palliative; cancer (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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