Cultural Adaption and Validation of the Arabic Version of the CANHELP Lite Bereavement Questionnaire

Bereavement, the experience of losing a loved one, significantly affects emotional, psychological, and physical wellbeing. Assessing the quality of end-of-life care and the bereavement experiences of family members is crucial for improving healthcare services. The CANHELP Lite Bereavement Questionnaire, a validated tool for evaluating end-of-life care from bereaved family members' perspectives, needs cultural adaptation for non-English-speaking contexts. This study aimed to adapt and validate the Arabic version of the CANHELP Lite Bereavement Questionnaire for Arabic-speaking populations, considering their unique cultural, social, and religious contexts. The adaptation process involved systematic translation, back-translation, and expert evaluation to ensure cultural sensitivity and linguistic appropriateness. The psychometric properties of the adapted questionnaire were tested among 269 bereaved Saudi family members, revealing a Cronbach's alpha of 0.950 for internal consistency reliability. Face and content validity assessments confirmed item relevance, and concurrent validity was established with a Pearson correlation coefficient of 0.886. The study concluded that the Arabic version is a valid and reliable instrument for assessing satisfaction with end-of-life care, aiding in identifying areas for improvement in bereavement support within Arabic-speaking populations and enhancing healthcare services in culturally diverse settings.