What question did this study set out to answer?

This study aims to evaluate the reliability and validity of the Arabic version of the DRIVE4COPD questionnaire for assessing COPD risk.

March 14, 2026

Reliability and Validated Arabic Version of DRIVE4COPD

Key Result

The Arabic version of the DRIVE4COPD questionnaire demonstrated excellent reliability (ICC = 0.979) and moderate validity in assessing COPD risk among Arabic speakers.

Key Points

This study aims to evaluate the reliability and validity of the Arabic version of the DRIVE4COPD questionnaire for assessing COPD risk.
Translated the English version of DRIVE4COPD into Arabic and reviewed it by an expert panel.
Administered the Arabic version to 30 participants who completed spirometry and other assessments.
Re-administered the DRIVE4COPD questionnaire two weeks later to the same participants to test reliability.
The Arabic version showed excellent reliability with an intraclass correlation coefficient of 0.979.
Cronbach's alpha for internal consistency was α = 0.979, indicating high reliability.
Moderate agreement was found between the DRIVE4COPD results and spirometry, with Cohen's κ = 0.50.
Sensitivity was 50% and specificity was 95% for the tool in assessing COPD risk.
Strong associations emerged between DRIVE4COPD total scores and FACIT-F (r = 0.61) and CAT (r = 0.71) scores.

Structured PICO

Is the Arabic version of the DRIVE4COPD questionnaire a reliable and valid instrument to assess the risk of COPD?

Population

30 Arabic participants, average age 40 years, 63% male.

Intervention

Arabic version of the DRIVE4COPD questionnaire

Comparator

Spirometry (for validity) and test-retest at 2 weeks (for reliability)

Outcome

Reliability (intraclass correlation coefficient, Cronbach's alpha) and validity (agreement with spirometry)patient reported

The Arabic translation of the DRIVE4COPD questionnaire is a reliable and valid tool for assessing COPD risk, showing moderate agreement with spirometry.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

Background: COPD is a debilitating condition and projected to be the third leading cause of death worldwide by 2030. DRIVE4COPD is one of instrument used to assess COPD risk in population and original version of DRIVE4COPD (English) is valid and reliable. In this study we aimed to assess reliability and validated Arabic version of DRIVE4COPD questionnaire. The study was approved by the institutional ethical committee at Batterjee Medical College (BMC) (RES 2022-42.) Methods: The DERIVE4COPD questionnaire contains 5 items of total score 10 which indicted to high risk of COPD and 0 low risk. This questionnaire was translated into Arabic version and reviewed by an expert panel before being back-translated into English. The Arabic version was administered to 6 Arabic participants to test whether it was easily understood after which a final Arabic version was produced. Thereafter, 30 participants with average age of 40 years (63% male) conducted spirometry and completed the Arabic version of DRIVE4COPD, COPD Assessment Test (CAT) and The Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F). The DRIVE4COPD was re-administered two week later to same participants. Results: The Arabic version of the DRIVE4COPD questionnaire demonstrated excellent reliability over the two-period administration (intraclass correlation coefficient = 0.979, P = .004. The DRIVE4COPD consisted of 5 items and the value for Cronbach’s alpha for the survey was α = 0.979. the test-retest correlation between each question over the two times were (Q1, r = 0.90. Q2, r = 0.49. Q3, r = 0.76. Q4, r = 1.0. Q5 r = 0.90), respectively. Additionally, to assess the validity of the Arabic version of the DRIVE4COPD questionnaire, Cohen's κ was run to determine if there was agreement between DRIVE4COPD result and spirometry for the 30 participants. The results indicated moderate agreement between the translated tool and the spirometry result, κ = .50 (95% CI 0.331 to 0.669), P = .004. Moreover, the DRIVE4COPD indicated a sensitivity 50% and specificity 95%. Finally, strong associations were demonstrated between the total score of DRIVE4COPD, and FACIT-F score (r = 0.61; P ≤ .001) and with CAT score (roh = 0.71; P ≤ .001). Conclusions: The Arabic version of the DRIVE4COPD is a reliable and valid instrument to assess risk of COPD among Arab society.

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