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Translation and validation of the Care Transition Measure into Hebrew and Arabic

Article type: Published article


Objective: To assess the validity and reliability of the Hebrew and Arabic translations of the complete and shortened versions of the Care Transition Measure (CTM)-a measure of patients experience of the transition between hospital and community care.Design: Translation of questionnaires items, evaluation of reliability, construct validity, factor structure and convergent validity.Setting: An oncology center at a tertiary care facility that serves the entire population of the north part of Israel.Participants: Patients receiving care at the clinics of an oncology treatment center. Main outcome measure Psychometric properties of both the 15-item (complete) and 3-item (shortened) versions of the CTM in Hebrew and Arabic. Reliability established using internal consistency with Cronbachs-alpha. Exploratory factor analysis conducted using Varimax rotation. Convergent validity determined with Pearson correlation and ANOVA tests.Results: Three hundred and eighteen Hebrew- and Arabic-speaking oncology patients completed the questionnaire. Cronbachs-alpha for the questionnaire was 0.94 and 0.90 for the Hebrew and the Arabic versions, respectively. Factor analysis resulted in three factors in each of the translated versions with a cumulative variance of 73.41% and 69.2% in the Hebrew and Arabic versions, respectively. Tests of the convergent validity showed that the measure is correlated with health status and that the shortened and complete versions ratings are consistent across different patient groups.Conclusion: The translated Hebrew and Arabic versions of the questionnaire are reliable and valid instruments to assess patients transitions across settings in diverse populations.

Full citation

Shadmi E, Zisberg A, Coleman EA, Shadmi E, Zisberg A, Coleman EA. Translation and validation of the Care Transition Measure into Hebrew and Arabic. International Journal for Quality in Health Care. 2009;21(2):97-102.


Methods Condition Gender Age Country Setting Sample size
oncology Both 18 - above Israel
Healthcare Facility 101

Number of items

15 items


Measure does not require training

Required time

Less than 5 min

Access measure


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Articles last updated: March 2020