Cross-Cultural Adaptation, Validity, and Reliability of the Arabic Version of the Western Ontario Meniscal Evaluation Tool

Abstract

The Western Ontario Meniscal Evaluation Tool (WOMET) is a survey developed specifically to assess the health-related quality of life (HRQoL) of patients with meniscal pathology. This study aims to culturally adapt and validate the WOMET in Arabic. The Arabic version of the WOMET was modified according to cross-cultural adaptation best practices. The study included 47 patients with meniscal pathology. The construct validity of the study was assessed using the Lysholm and 36-Item Short Form (SF-36). Overall, 22 participants took the Arabic WOMET test twice to evaluate the test–retest reliability. The Arabic WOMET demonstrated a Cronbach's α value of 0.894 and an intraclass correlation coefficient of 0.906, indicating high reliability. The subscales were affected by the ceiling and floor effects by 0.0 to 2.1% and 0 to 4.3%, respectively. Furthermore, the Arabic WOMET exhibited correlation coefficients of 0.39 and 0.57 with respect to the Lysholm and SF-36 physical functions, respectively. The Arabic version of WOMET is a reliable instrument for assessing the HRQoL of Arabic-speaking patients with meniscal disease.

Keywords

osteoarthritis - proprioception - weight-bearing - analgesics - lubrication

Ethical Consideration

This study was approved by the Institutional Review Board of the King Saud University College of Medicine in Riyadh, Saudi Arabia (approval no. E-22-6969). The participants were informed of the study's objectives and their right to withdraw at any time during the study without obligation toward the research team. Consent was obtained from all participants. No identifying information was collected to ensure participant confidentiality. Furthermore, the participants were informed that their participation was voluntary and that no rewards or incentives would be offered.

Data Availability Statement

The datasets used during the current study are available from the corresponding author on reasonable request.

Publication History

Received: 26 October 2024

Accepted: 23 July 2025

Article published online:
12 August 2025

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