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Development and Validation of the Sun Exposure and Behavior Inventory in the Arabic Language
Abdullah Aleisa1, Alhanoof Alajlan2, Yazeed A Alrodiman3
1Department of Dermatology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Background:
Skin cancer prevalence has been increasing worldwide, particularly among Caucasian populations. Sun exposure is a significant risk factor, and some tools, such as the sun exposure and behavior inventory (SEBI), have been developed to assess sun-related behaviors.
Objective:
To translate, culturally adapt, and validate the Arabic version of SEBI to assess its reliability and validity in measuring sun exposure behaviors.
Methods:
A quantitative cross-sectional study was conducted at King Saud University Medical City in Riyadh between May and June 2024, focusing on dermatology patients fluent in Arabic. The instrument was translated forward and backward. Construct validity was assessed through exploratory factor analysis. Reliability was established by internal consistency and the intraclass correlation coefficient.
Results:
Arabic SEBI showed good Cronbach alpha values (0.61-0.71) across various domains. The test-retest reliability of intraclass correlation coefficients ranged from 0.67 to 0.72. Furthermore, factor analysis revealed 3 main factors representing 51.2% of the variance. Discriminant validity was also significant; clear differentiation is seen between the highest and lowest quartile scores in the SEBI domains ( p < .001).
Conclusion:
The Arabic-translated SEBI is a reliable and valid tool for assessing sun exposure and protective behaviors in Arabic-speaking populations.
