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

**Authors:** Nibras Jasim, Eman Shatnawi, Flor Sanabria Vasquez, Yousra Ali, Lyn Phillipson, Déborah Oliveira, Tiet‐Hanh Dao‐Tran, Genevieve Z. Steiner‐Lim, Diana Karamacoska

PMC · DOI: 10.1002/dad2.70262 · Alzheimer's & Dementia : Diagnosis, Assessment & Disease Monitoring · 2026-02-12

## TL;DR

This study validated a 10-item Arabic version of the Dementia Diagnosis Attitude Scale for use with Arabic-speaking Australians.

## Contribution

The study developed and validated a culturally appropriate tool for assessing dementia-related stigma in Arabic-speaking communities.

## Key findings

- The A-DDAS consists of two factors: 'fear of labelling' and 'fear of discrimination', both with high internal consistency.
- The A-DDAS showed good validity and reliability for measuring dementia attitudes in Arabic-speaking Australians.
- Further research is needed to confirm the tool's effectiveness in other Arabic-speaking regions.

## Abstract

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).

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.

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).

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.

A culturally appropriate, valid, and reliable tool is needed to assess dementia attitudes among Arabic‐speaking populations.The Arabic version of the Dementia Diagnosis Attitude Scale (A‐DDAS) was administered with Arabic‐speaking Australians to assess its validity and reliability.The 10‐item A‐DDAS is valid and reliable for measuring the dementia attitudes of Arab‐speaking individuals in Australia. Further research is needed to validate this tool in diverse geographical contexts where Arabic is spoken.

A culturally appropriate, valid, and reliable tool is needed to assess dementia attitudes among Arabic‐speaking populations.

The Arabic version of the Dementia Diagnosis Attitude Scale (A‐DDAS) was administered with Arabic‐speaking Australians to assess its validity and reliability.

The 10‐item A‐DDAS is valid and reliable for measuring the dementia attitudes of Arab‐speaking individuals in Australia. Further research is needed to validate this tool in diverse geographical contexts where Arabic is spoken.

## Linked entities

- **Diseases:** dementia (MONDO:0001627)

## Full-text entities

- **Diseases:** Dementia (MESH:D003704), fear of discrimination (MESH:D010468)

## Full text

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## Figures

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## References

44 references — full list in the complete paper: https://tomesphere.com/paper/PMC12897567/full.md

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Source: https://tomesphere.com/paper/PMC12897567