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Article

Validation of the Arabic Version of the Long-Term Conditions Questionnaire (LTCQ): A Study of Factor and Rasch Analyses

1
Department of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman 11733, Jordan
2
College of Pharmacy, Al Ain University, Abu Dhabi P.O. Box 112612, United Arab Emirates
3
Department of Psychology, School of Social Sciences, Humanities and Law, Teesside University, Middlesbrough TS1 3BX, UK
4
Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, Riyadh 12372, Saudi Arabia
*
Author to whom correspondence should be addressed.
Healthcare 2025, 13(13), 1485; https://doi.org/10.3390/healthcare13131485
Submission received: 27 May 2025 / Revised: 16 June 2025 / Accepted: 19 June 2025 / Published: 20 June 2025

Abstract

Background: Patient-reported outcome measures (PROMs) are essential for capturing the lived experiences of individuals managing chronic diseases. However, few PROMs have been culturally adapted and validated for Arabic-speaking populations. Aim: This study aimed to translate, culturally adapt, and validate the Long-Term Conditions Questionnaire (LTCQ) for use among Arabic-speaking adults living with chronic diseases in Jordan. Methods: Following forward–backward translation and an expert review, a cross-sectional survey of 1057 adults with chronic illnesses was conducted. The psychometric evaluation involved exploratory and confirmatory factor analyses (EFA and CFA) and Rasch modelling. While the original LTCQ assumed a unidimensional structure, EFA and CFA supported a two-factor solution: Empowerment and Functional Wellbeing, and Health-Related Psychosocial Distress. Results: The Rasch analysis confirmed that the item response thresholds were ordered, with good item targeting, and no differential item functioning (DIF) by gender. The removal of one poorly performing item resulted in a refined 19-item scale with strong reliability and validity. Conclusions: The Arabic LTCQ demonstrated robust psychometric properties and cultural relevance, supporting its use in clinical care, research, and policy initiatives. Future work should examine longitudinal responsiveness and further validate the tool across diverse Arabic-speaking populations.
Keywords: LTCQ; chronic conditions; EQ-5D; quality of life; PROMs LTCQ; chronic conditions; EQ-5D; quality of life; PROMs

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MDPI and ACS Style

Al-Qerem, W.; Abdo, S.; Jarab, A.; Hammad, A.; Eberhardt, J.; Al-Asmari, F.; Al-Sa’di, L.; Al-Shehadeh, R.; Khasim, D.; Zumot, R.; et al. Validation of the Arabic Version of the Long-Term Conditions Questionnaire (LTCQ): A Study of Factor and Rasch Analyses. Healthcare 2025, 13, 1485. https://doi.org/10.3390/healthcare13131485

AMA Style

Al-Qerem W, Abdo S, Jarab A, Hammad A, Eberhardt J, Al-Asmari F, Al-Sa’di L, Al-Shehadeh R, Khasim D, Zumot R, et al. Validation of the Arabic Version of the Long-Term Conditions Questionnaire (LTCQ): A Study of Factor and Rasch Analyses. Healthcare. 2025; 13(13):1485. https://doi.org/10.3390/healthcare13131485

Chicago/Turabian Style

Al-Qerem, Walid, Salwa Abdo, Anan Jarab, Alaa Hammad, Judith Eberhardt, Fawaz Al-Asmari, Lujain Al-Sa’di, Razan Al-Shehadeh, Dana Khasim, Ruba Zumot, and et al. 2025. "Validation of the Arabic Version of the Long-Term Conditions Questionnaire (LTCQ): A Study of Factor and Rasch Analyses" Healthcare 13, no. 13: 1485. https://doi.org/10.3390/healthcare13131485

APA Style

Al-Qerem, W., Abdo, S., Jarab, A., Hammad, A., Eberhardt, J., Al-Asmari, F., Al-Sa’di, L., Al-Shehadeh, R., Khasim, D., Zumot, R., Khalil, S., Aloshebe, G., & Aljazazi, J. (2025). Validation of the Arabic Version of the Long-Term Conditions Questionnaire (LTCQ): A Study of Factor and Rasch Analyses. Healthcare, 13(13), 1485. https://doi.org/10.3390/healthcare13131485

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