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Arabic validation and cross-cultural adaptation of the 5C scale for assessment of COVID-19 vaccines psychological antecedents

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  • Samar Abd ElHafeez
  • Iffat Elbarazi
  • Ramy Shaaban
  • Rony ElMakhzangy
  • Maged Ossama Aly
  • Amr Alnagar
  • Mohamed Yacoub
  • Haider M El Saeh
  • Nashwa Eltaweel
  • Sulafa T Alqutub
  • Ramy Mohamed Ghazy

Abstract

Background: In the Arab countries, there has not been yet a specific validated Arabic questionnaire that can assess the psychological antecedents of COVID-19 vaccine among the general population. This study, therefore, aimed to translate, culturally adapt, and validate the 5C scale into the Arabic language. Methods: The 5C scale was translated into Arabic by two independent bilingual co-authors, and then translated back into English. After reconciling translation disparities, the final Arabic questionnaire was disseminated into four randomly selected Arabic countries (Egypt, Libya, United Arab Emirates (UAE), and Saudi Arabia). Data from 350 Arabic speaking adults (aged ≥18 years) were included in the final analysis. Internal consistency was assessed by Cronbach’s alpha. Construct validity was determined by concurrent, convergent, discriminant, exploratory and confirmatory factor analyses. Results: Age of participants ranged between 18 to 73 years; 57.14% were females, 37.43% from Egypt, 36.86%, from UAE, 30% were healthcare workers, and 42.8% had the intention to get COVID-19 vaccines. The 5 sub-scales of the questionnaire met the criterion of internal consistency (Cronbach’s alpha ≥0.7). The predictors of intention to get COVID-19 vaccines (concurrent validity) were young age and the 5C sub-scales. Convergent validity was identified by the significant inter-item and item-mean score of the sub-scale correlation (P

Suggested Citation

  • Samar Abd ElHafeez & Iffat Elbarazi & Ramy Shaaban & Rony ElMakhzangy & Maged Ossama Aly & Amr Alnagar & Mohamed Yacoub & Haider M El Saeh & Nashwa Eltaweel & Sulafa T Alqutub & Ramy Mohamed Ghazy, 2021. "Arabic validation and cross-cultural adaptation of the 5C scale for assessment of COVID-19 vaccines psychological antecedents," PLOS ONE, Public Library of Science, vol. 16(8), pages 1-18, August.
    • Handle: RePEc:plo:pone00:0254595
    DOI: 10.1371/journal.pone.0254595
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    1. Yulan Lin & Zhijian Hu & Qinjian Zhao & Haridah Alias & Mahmoud Danaee & Li Ping Wong, 2020. "Understanding COVID-19 vaccine demand and hesitancy: A nationwide online survey in China," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 14(12), pages 1-22, December.
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