Cultural Adaptation and Content Validation of an Urdu-Language Knowledge and Self-Care Practice Tool for Adult Ostomates: A Methodological Report
DOI:
https://doi.org/10.71146/kjmr465Keywords:
Ostomy, instrument validation, content validity index, Cronbach's alpha, cultural adaptation, Urdu, PakistanAbstract
Background: Assessing ostomates' knowledge and self-care practice in Pakistan requires a culturally and linguistically appropriate instrument, yet no validated Urdu-language tool for this purpose has previously been reported.
Objective: To describe the cultural adaptation of the Knowledge and Self-Care Practice Tool for Ostomates into Urdu and to evaluate its content validity and internal consistency reliability for use among adult ostomates in a tertiary care hospital in Faisalabad, Pakistan.
Methods: The original Knowledge and Self-Care Practice Tool for Ostomates (Kang & Choudhary, 2024) was translated into Urdu using a forward–backward translation procedure to preserve conceptual meaning. The adapted tool, comprising socio-demographic items, a 20-item knowledge questionnaire, and an 11-item self-care practice checklist, was reviewed by a panel of subject-matter experts in stoma care and nursing education for content validity. It was subsequently pilot tested on four participants (10% of the target sample) who were not included in the main study, and internal consistency was assessed using Cronbach's alpha.
Results: The expert panel rated both sections favorably, with an item-level content validity index (I-CVI) of 1.00 for both the knowledge and self-care practice sections, and scale-level CVI (S-CVI) values in the 0.89–1.00 range. Pilot testing led to minor refinements in wording and formatting to improve clarity and cultural appropriateness. The final tool demonstrated acceptable internal consistency, with a Cronbach's alpha of 0.847.
Conclusion: The Urdu-adapted Knowledge and Self-Care Practice Tool for Ostomates demonstrated strong content validity and acceptable reliability, supporting its use in assessing ostomy-related knowledge and self-care practice among Urdu-speaking adult ostomates. Wider psychometric testing, including construct validity and test–retest reliability, is recommended before broader adoption.
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References
Kang HK, Choudhary M. Stoma self-care: Knowledge and practices among ostomates with intestinal stoma. South Asian Journal of Cancer. 2025;14(2):164–169. doi:10.1055/s-0044-1779252.
Aquichán IP, Diniz IV, Sena JF, et al. Self-care requisites for people with intestinal ostomies: a scoping review. Aquichán. 2023;23(2):e2325. doi:10.5294/aqui.2023.23.2.5.
Alenezi A. Culturally sensitive educational interventions in ostomy care. Journal of Nursing Education and Practice. 2022;12(3):45–53.
Villa G, Mannarini M, Della Giovanna G, Marzo E, Manara DF, Vellone E. A literature review about self-care on ostomy patients and their caregivers. International Journal of Urological Nursing. 2019;13(2):75–80. doi:10.1111/ijun.12182.
Giordano V, Nicolotti M, Corvese F, Vellone E, Alvaro R, Villa G. Describing self-care and its associated variables in ostomy patients. Journal of Advanced Nursing. 2020;76(11):2982–2992. doi:10.1111/jan.14499.
Din SK, Yaqoob A, Perveen K, Khan S. Knowledge of patients regarding self-care practice with permanent colostomy in a tertiary care hospital in Lahore, Pakistan. Pakistan Journal of Medical & Health Sciences. 2022;16(2):299–301. doi:10.53350/pjmhs22162299.
Ko HF, Wu MF, Lu JZ. A randomized control study: The effectiveness of multimedia education on self-care and quality of life in patients with enterostomy. International Wound Journal. 2023;20(10):4244–4252. doi:10.1111/iwj.14326.
Yum J, Park I. Effectiveness of online-based education for self-care in ostomates: systematic review. Industrial Convergence Research. 2024;22(10):111–123. doi:10.22678/JIC.2024.22.10.111.
Siddiqui MT, Shaukat F, Khan MR, Zahid N, Arbani S. Quality of life and self-care deficits among ostomates in Pakistan. 2024.
Sarfraz S, Khan MA, Ali S, Shah S, Ahmed S. Stoma care challenges and educational needs among ostomates in Pakistan. 2022.
Orem DE. Nursing: Concepts of Practice. 6th ed. St. Louis: Mosby; 2001.
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Copyright (c) 2025 Natasha Hussain, Iram Khadim, Muhammad Umar, Rizwan Khalid (Author)
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