Arabic translation and psychometric testing of the self-screening malnutrition universal screening tool in inflammatory bowel disease patients

Mahmoud H. Mosli, Marwan A. Albeshri, Anas A. Alsolami, Firass A. Addas, Abdulrahman M. Qazli, Majid Alsahafi, Hani Jawa, Areej Alkhaldy, Yousif Qari

Abstract


Objectives: To translate and validate the malnutrition universal screening tool (MUST) for use in Arabic-speaking outpatients with inflammatory bowel disease (IBD).

Methods: We translated the MUST into Arabic by using the Brislin back-translation method. This methodological study was performed between August 2016 and November 2017 on 143 outpatients with IBD at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. The patients must completed the self-administered (PSA) Arabic version of the MUST. Then, the health-care practitioners (HCPs) administered the Arabic MUST and performed standard patient clinical assessment. The nutrition risk was defined as low (MUST score=0), medium (MUST score=1), or high (MUST score greater than 1). The chance-corrected proportional agreement between the scores from the PSA and HCP-administered Arabic MUST was evaluated using Cohen’s kappa coefficient. Internal consistency was evaluated using Cronbach’s alpha statistic.

Results: The overall agreement between the PSA and HCP-administered Arabic MUST was almost perfect (agreement=95.9%, expected agreement=72.4%, kappa=0.85, p less than 0.0001). The calculated Cronbach’s alpha statistic for MUST scores in 15/143 (10%) patients was 0.79. The calculated Pearson’s correlation coefficient between PSA and HCP-administered MUST scores was 0.93 (p less than 0.0001).


Conclusions: The PSA and HCP-administered Arabic MUST showed perfect agreement in outpatients with IBD. 


Keywords


Malnutrition; inflammatory bowel disease; MUST tool; nutritional assessment

Full Text:

PDF

References


El Mouzan MI, Saadah O, Al-Saleem K, Al Edreesi M, Hasosah M, Alanazi A, et al. Incidence of pediatric inflammatory bowel disease in Saudi Arabia: a multicenter national study. Inflamm Bowel Dis 2014; 20: 1085-1090.

Al-Bawardy B. Inflammatory bowel disease: clinical screening and transition of care. Saudi J Gastroenterol 2017; 23: 213.

Ye Y, Pang Z, Chen W, Ju S, Zhou C. The epidemiology and risk factors of inflammatory bowel disease. Int J Clin Exp Med 2015; 8: 22529.

Valentini L, Schulzke JD. Mundane, yet challenging: the assessment of malnutrition in inflammatory bowel disease. Eur J Intern Med 2011; 22: 13-15.

Mijac DD, Janković GL, Jorga J, Krstić MN. Nutritional status in patients with active inflammatory bowel disease: prevalence of malnutrition and methods for routine nutritional assessment. Eur J Intern Med 2010; 21: 315-319.

Elia M. Screening for malnutrition: a multidisciplinary responsibility. Development and use of the Malnutrition Universal Screening Tool (‘MUST’) for adults. Redditch: BAPEN; 2003.

Cawood AL, Walters ER, Sharp SKE, Elia M, Stratton RJ. ‘Self-screening’ for malnutrition with an electronic version of the Malnutrition Universal Screening Tool (‘MUST’) in hospital outpatients: concurrent validity, preference and ease of use. Br J Nutr 2018; 120: 528-536.

Stratton RJ, Hackston A, Longmore D, Dixon R, Price S, Stroud M, et al. Malnutrition in hospital outpatients and inpatients: prevalence, concurrent validity and ease of use of the ‘malnutrition universal screening tool’ (‘MUST’) for adults. Br J Nutr 2004; 92: 799-808.

Keetarut K, Zacharopoulou-Otapasidou S, Bloom S, Majumdar A, Patel PS. An evaluation of the feasibility and validity of a patient-administered malnutrition universal screening tool (‘MUST’) compared to healthcare professional screening in an inflammatory bowel disease (IBD) outpatient clinic. J Hum Nutr Diet 2017; 30: 737-745.

Sandhu A, Mosli M, Yan B, Wu T, Gregor J, Chande N, et al. Self-screening for malnutrition risk in outpatient inflammatory bowel disease patients using the Malnutrition Universal Screening Tool (MUST). JPEN J Parenter Enteral Nutr 2016; 40: 507-510.

Brislin RW. Back-translation for cross-cultural research. J Cross-cult Psychol 1970; 1: 185-216.

Cha ES, Kim KH, Erlen JA. Translation of scales in cross-cultural research: issues and techniques. J Adv Nurs 2007; 58: 386-395.

Landis J, Koch G. The measurement of observer agreement for categorical data. Biometrics 1977; 33: 159-174.

Cawood A, Elia M, Sharp S, Stratton R. Malnutrition self-screening by using MUST in hospital outpatients: validity, reliability, and ease of use. Am J Clin Nutr 2012; 96: 1000-1007.

Donner A. Approaches to sample size estimation in the design of clinical trials-a review. Stat Med 1984; 3: 199-214.

Krul AJ, Daanen HA, Choi H. Self-reported and measured weight, height and body mass index (BMI) in Italy, the Netherlands and North America. Eur J Public Health 2011; 21: 414-419.

Farrukh A, Mayberry JF. Epidemiology of inflammatory bowel disease in the Middle East-an opportune time. Arab J Gastroenterol 2014; 15: 163-165.

Ng SC, Shi HY, Hamidi N, Underwood FE, Tang W, Benchimol EI, et al. Worldwide incidence and prevalence of inflammatory bowel disease in the 21st century: a systematic review of population-based studies. Lancet 2018; 390: 2769-2778.

Almutary H, Bonner A, Douglas C. Arabic translation, adaptation and modification of the dialysis symptom index for chronic kidney disease stages four and five. BMC Nephrol 2015; 16: 36.

Nguyen GC, Munsell M, Harris ML. Nationwide prevalence and prognostic significance of clinically diagnosable protein-calorie malnutrition in hospitalized inflammatory bowel disease patients. Inflamm Bowel Dis 2008; 14: 1105-1111.

Csontos Á, Molnár A, Piri Z, Pálfi E, Miheller P. Malnutrition risk questionnaire combined with body composition measurement in malnutrition screening in inflammatory bowel disease. Rev Esp Enferm Dig 2017; 109: 26-32.

Casanova MJ, Chaparro M, Molina B, Merino O, Batanero R, Dueñas-Sadornil C, et al. Prevalence of malnutrition and nutritional characteristics of patients with inflammatory bowel disease. J Crohns Colitis 2017; 11: 1430-1439.


Refbacks

  • There are currently no refbacks.




Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.