Translation, cross-cultural adaptation and validation of the Finnish Diabetes Risk Score (FINDRISC) for use in Brazilian Portuguese: questionnaire validity study

Spanish language version of the "Medical Quality Video Evaluation Tool" (MQ-VET): Cross-cultural AI-supported adaptation and validation study

BACKGROUND

The Medical Quality Video Evaluation Tool (MQ-VET) is a standardized instrument for assessing health-related video quality, yet it is only available in English. This study addresses the growing demand for a Spanish version to better support the increasing Spanish-speaking population seeking reliable digital health content.

OBJECTIVE

To adapt and validate the MQ-VET into Spanish, ensuring robust psychometric reliability and validity through rigorous cross-cultural adaptation methods, augmented by the integration of artificial intelligence (AI) tools.

MATERIALS AND METHODS

Following international guidelines, the MQ-VET was translated, back-translated, and reviewed by experts. AI-based tools were employed to refine linguistic and cultural accuracy. Psychometric properties were evaluated by 60 participants (30 healthcare and 30 nonhealthcare professionals), focusing on reliability, agreement, and concurrent validity with the DISCERN instrument.

RESULTS

The Spanish MQ-VET showed excellent reliability (Cronbach's alpha>0.90, ICC=0.81) and strong concurrent validity (Pearson r = 0.9435, Spearman r = 0.9482, p < 0.0001), alongside with a robust linear regression result (R²=0.8902). Bland-Altman analysis confirmed a robust agreement, and AI-driven tools performed the factorial analysis that revealed a clear three-factor structure explaining 81.1% of the variance.

CONCLUSIONS

The Spanish MQ-VET is a reliable and valid instrument for assessing the quality of health-related videos, applicable to both healthcare professionals and individuals outside the healthcare field. Leveraging AI-driven methodologies, it serves as a robust resource for enhancing digital health literacy and promoting critical appraisal of video content among Spanish-speaking populations.

Assessing Type 2 Diabetes Risk in the Post-Pandemic Era: A Pharmacy-Led FINDRISC Screening Study

Diabetes mellitus (DM) is a major global health issue, with type 2 diabetes (T2D) accounting for over 90% of cases. Community pharmacies, given their accessibility, are well positioned to assist in early detection and management of T2D. This study evaluated post-pandemic T2D risk in a Portuguese population using the Finnish Diabetes Risk Score (FINDRISC) across five community pharmacies. A total of 494 participants aged 40 or older without a prior diagnosis of diabetes were assessed. The mean FINDRISC score was 12.3, and 29.8% were identified as high or very high-risk, with 8.7% referred to general practitioners for follow-up based on elevated glycated hemoglobin (HbA1c). Key risk factors include age, body mass index, waist circumference, lack of physical activity, and family history of diabetes. Lower educational levels were also associated with higher diabetes risk. Community pharmacies are shown to play an essential role in screening and educating at-risk populations, emphasizing the importance of physical activity, healthy diets, and regular monitoring. These findings reinforce the value of community pharmacists in mitigating T2D risk and enhancing public health outcomes through cost-effective, validated screening tools like FINDRISC. Finally, pre-pandemic FINDRISC studies discussed show similar results suggesting that the COVID-19 pandemic did not significantly impact the overall risk profile for T2D.

Arabic version of the Australian type 2 diabetes risk assessment tool (AUSDRISK): translation and validation

Objective

The current study aimed to translate the Australian Type 2 Diabetes Risk Assessment tool (AUSDRISK) into the Arabic language and evaluate the reliability and validity of the resultant Arabic version among Egyptians. The AUSDRISK was translated into Arabic language using the World Health Organization (WHO) forward and backward translation protocol. Using the WHO cluster sampling, a sample of 18+ years 719 Egyptians was randomly selected through a population-based household survey. Each participant was interviewed to fill the AUSDRISK Arabic version risk score and undergo confirmatory testing for fasting plasma glucose (FPG) and oral glucose tolerance test (OGTT). Test-retest reliability and convergent validity were computed.

Results

Most of the study participants were physically active (60.5%) and females (69.3%). The Arabic version of the AUSDRISK reflected statistically significant perfect positive correlation (r = 1 and p < 0.01) for test re-test reliability as well as a significant moderate positive correlation with each of FPG (r = 0.48, p < 0.01) and OGTT (r = 0.52, p < 0.01) for the criterion-related (convergent) validity. The recalibrated noninvasive AUSDRISK Arabic version proved to be a simple, reliable, and valid predictive tool, and thereof, its employment for opportunistic mass public screening is strongly recommended. This can reduce diabetes mellitus Type 2disease burden and health expenditure.

Translation, cross-cultural adaptation, and validation of the Canadian Diabetes Risk Questionnaire for the Brazilian population

OBJECTIVE

The aim of this study was to translate, cross-culturally adapt, and validate the Canadian Diabetes Risk Questionnaire for use in Brazilian Portuguese.

METHODS

This is a Questionnaire validity study conducted at a private university. The Brazilian version of the Canadian Diabetes Risk Questionnaire was developed by means of the processes of translation, back-translation, committee review, and pretesting. Test-retest reliability was measured using the intraclass correlation coefficient and kappa coefficient. Internal consistency was measured using Cronbach's alpha. For construct validity, the total score of the Canadian Diabetes Risk Questionnaire was correlated with the Diabetes Knowledge Scale and the Diabetes Mellitus Risk Questionnaire. Ceiling and floor effects were also evaluated in the present study.

RESULTS

For construct validity and floor and ceiling effect measurements, a total sample of 100 participants was used. For reliability, a subsample of 34 participants out of the total sample was used. We identified adequate values for reliability (kappa between 0.46-1.00 and ICC 0.96) and internal consistency (Cronbach's alpha 0.80). There were significant correlations between the Canadian Diabetes Risk Questionnaire and the Diabetes Mellitus Risk Questionnaire (rs=0.370, p<0.001), but not the Diabetes Knowledge Scale (rs= -0.162). No ceiling or floor effects were found.

CONCLUSION

We concluded that in accordance with the best international recommendations, the Brazilian version of the Canadian Diabetes Risk Questionnaire has adequate psychometric properties.