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Validation of the Arabic Dementia Diagnosis Attitude Scale (A-DDAS)
Journal article   Open access   Peer reviewed

Validation of the Arabic Dementia Diagnosis Attitude Scale (A-DDAS)

Nibras Jasim, Eman Shatnawi, Flor Sanabria Vasquez, Yousra Ali, Lyn Phillipson, Deborah Oliveira, Tiet-Hanh Dao-Tran, Genevieve Z. Steiner-Lim and Diana Karamacoska
Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring, Vol.18(1), pp.1-9
01/2026
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Abstract

Alzheimer’s disease beliefs perceptions psychometrics stigma
Introduction: Culturally appropriate scales are needed to efficiently assess stigma among Arabic-speaking communities. This study aimed to validate the Arabic version of the Dementia Diagnosis Attitude Scale (A-DDAS). Methods: The translated A-DDAS underwent pre-testing with native speakers in Australia. The final version of the scale was tested with Arabic-speaking adults aged ≥ 18 residing in Australia. The sample (N = 266) was randomly split such that one half (n = 133) underwent exploratory factor analysis and the other half (n = 133) underwent confirmatory factor analysis. Internal consistency reliability was assessed via Cronbach α. Results: The final 10-item scale consisted of two factors with five items each: “fear of labelling” (α=0.88) and “fear of discrimination” (α=0.85), with inter-factor correlation r = 0.51 and high reliability (α = 0.87). Discussion: The A-DDAS yielded good validity and reliability scores, confirming its suitability for use with Arabic-speaking Australians in stigma studies, educational interventions, and clinical settings.

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