title: The reliability of the Arabic version of osteoporosis knowledge assessment tool (OKAT) and the osteoporosis health belief scale (OHBS).
abstract: BACKGROUND
  Knowledge and awareness about osteoporosis and its related risk factors are important contributors to osteoporosis preventive behavior. There is a need to assess the reliability of international osteoporosis-related knowledge and belief measurement tools in Arabic community. This study aimed to assess the reliability of the Arabic version of Osteoporosis Knowledge Assessment Tool (OKAT) and the Osteoporosis Health Belief Scale (OHBS) among Syrian women.
  
  
  METHODS
  The study included two phases. The first phase included a forward and backward translation of the osteoporosis-related tools (OKAT and OHBS) followed by a pilot testing. The second phase was an assessment of the test-retest reliability of the tools among a convenience sample of one hundred working women at Damascus Faculty of Medicine and its teaching hospitals. For this purpose each instrument was administered twice to all women at an interval of two weeks. Data collection took place in the fall of 2011, and was facilitated by a trained interviewer whose task was to administer the tools and collect some background data from the women who consented to participate in the study.
  
  
  RESULTS
  A total of one hundred women were recruited in this study for the reliability test-retest of the Arabic version of the tools. The mean age of studied women was 37.1 (SD = 8.4) years. Most of the women were married and nearly one-half of them had a university education. The internal consistency values for OHBS (Cronbach's alpha = 0.806) as well as the OKAT (Cronbach's alpha = 0.824) met the 0.7 Cronbach's alpha value requirement. Item analysis did not necessitate any omissions in either tool. McNemar's test identified only three items on the OKAT questionnaire that significantly differed from the test to the retest. The OKAT mean score (SD) for the test was 9.4 (2.6) and that for the re-test was 10.1 (2.9). Paired t test did not show significant difference (P = 0.068).
  
  
  CONCLUSIONS
  The Arabic version of both the Osteoporosis Knowledge Assessment Tool (OKAT) and the Osteoporosis Health Belief Scale (OHBS) was found to be reliable as well as acceptable. Further research is needed as to complete the validation of those tools and to use them at larger scale whether in knowledge assessment or in assessing interventions.
authors.affiliation: Department of Internal Medicine, Faculty of Medicine, Damascus University, P.O. Box 9241, Damascus, Syria. rimasayedhassan@gmail.com
authors.forename: Rima M
authors.initials: RM
authors.lastname: Sayed-Hassan
authors.forename: Hyam N
authors.initials: HN
authors.lastname: Bashour
mesh_terms: D000328:Adult; D003469:Culture; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D038622:Internationality; D007802:Language; D008875:Middle Aged; D010024:Osteoporosis / Q000523:psychology*; D011594:Psychometrics; D015203:Reproducibility of Results; D012307:Risk Factors; D013593:Syria; D055815:Young Adult