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The Intermittent Catheterization Adherence Scale (ICAS) measures this adherence, but no Arabic version has existed. We translated the ICAS into Modern Standard Arabic (MSA) and tested its psychometric properties in 84 Tunisian adults on CISC at 2 rehabilitation departments. Translation followed forward and back translation guidelines, with a 6-member expert committee and a pretest of 20 patients. We assessed content validity with the content validity index (CVI), structure with exploratory factor analysis (EFA), internal consistency with Cronbach\u2019s alpha, and 10-day test\u2013retest reliability with the intraclass correlation coefficient (ICC). The mean total score was 3.12 \u00b1 2.03 on the 0 to 8 scale, with no floor or ceiling effect. Content validity was strong (scale-level CVI by averaging 0.99). The correlation matrix was suitable for factor analysis (Kaiser\u2013Meyer\u2013Olkin 0.780; Bartlett\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.001). Parallel analysis supported a single factor explaining 40.1% of the variance, on which item 5 loaded weakly (0.25). Internal consistency was acceptable (alpha 0.75) and test\u2013retest reliability excellent (single-measures ICC 0.97, 95% CI 0.95\u20130.98). Associations with clinical indicators were weak and non-significant. The Arabic ICAS reads best as a single-dimension screening measure for Tunisian patients and needs confirmation in larger, independent Arabic-speaking cohorts.\n                  <\/jats:p>","DOI":"10.1007\/s11255-026-05409-5","type":"journal-article","created":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T08:39:44Z","timestamp":1791016784000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cross-cultural translation and psychometric validation of the Arabic Intermittent Catheterization Adherence Scale (ICAS): a bicentric study"],"prefix":"10.1007","author":[{"given":"Nedra","family":"El Feni","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ines","family":"Heni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marwa","family":"Ghanmi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariam","family":"Gaddour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahbi","family":"Mtaoua","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Issa","family":"Alsaeed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lolwa","family":"Barakat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Halil Ibrahim","family":"Ceylan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4031-1412","authenticated-orcid":false,"given":"Valentina","family":"Stefanica","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ismail","family":"Dergaa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,3]]},"reference":[{"key":"5409_CR1","doi-asserted-by":"publisher","first-page":"453","DOI":"10.1038\/nrn2401","volume":"9","author":"CJ Fowler","year":"2008","unstructured":"Fowler CJ, Griffiths D, de Groat WC (2008) The neural control of micturition. 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The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was conducted in accordance with the Declaration of Helsinki and approved by the Ethics Committee of the Faculty of Medicine of Sousse, University of Sousse (code HS 39-2024, dated 10\/12\/2024).","order":2,"name":"Ethics","label":"Institutional review board statement","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Informed oral and written consent was obtained from all subjects involved in the study.","order":3,"name":"Ethics","label":"Informed consent","group":{"name":"EthicsHeading","label":"Declarations"}}]}}