{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T08:03:16Z","timestamp":1779955396063,"version":"3.53.1"},"reference-count":44,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Vestibular Research"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vestibular disorders affect mobility, independence, and quality of life. Culturally adapted assessment tools are essential for accurate evaluation and effective treatment in diverse populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To translate, culturally adapt, and evaluate the psychometric properties of the Vestibular Disorders Activities of Daily Living Scale (VADL) into European Spanish (VADL-ES).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The VADL was adapted following international cross-cultural guidelines. Psychometric testing included internal consistency (Cronbach\u2019s \u03b1), test\u2013retest reliability (ICC), content validity (CVI), convergent validity with the Dizziness Handicap Inventory (DHI), and discriminant validity (ROC analysis, Youden index). Floor\/ceiling effects, standard error of measurement (SEM), minimal detectable change (MDC\n                      <jats:sub>95<\/jats:sub>\n                      ), and structural validity (exploratory and confirmatory factor analysis) were also assessed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The VADL-ES showed excellent internal consistency (\u03b1 = 0.978), test\u2013retest reliability (ICC = 0.988), strong correlation with the DHI (\u03c1 = 0.768), and high content validity (S-CVI = 0.93). ROC analysis yielded an AUC = 0.988 with 100% specificity. Factor analysis confirmed a three-factor structure explaining 72% of variance. No floor or ceiling effects were observed; MDC95 was 0.91.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The VADL-ES is a valid and reliable instrument for assessing functional limitations in Spanish-speaking patients with vestibular disorders, enabling standardized evaluation and longitudinal monitoring in clinical and research settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09574271261455219","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T19:51:16Z","timestamp":1779738676000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Cross-cultural adaptation and psychometric properties of a Spanish-language version of the Vestibular Disorders Activities of Daily Living Scale (VADL-ES)"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5831-8770","authenticated-orcid":false,"given":"Aitor","family":"Yusta-Ceacero","sequence":"first","affiliation":[{"name":"Rey Juan Carlos University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4388-5411","authenticated-orcid":false,"given":"Sergio","family":"Serrada-Tejeda","sequence":"additional","affiliation":[{"name":"Rey Juan Carlos University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1340-8278","authenticated-orcid":false,"given":"Patricia","family":"S\u00e1nchez-Herrera Baeza","sequence":"additional","affiliation":[{"name":"Rey Juan Carlos University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8882-2137","authenticated-orcid":false,"given":"Nuria","family":"M\u00e1ximo-Bocanegra","sequence":"additional","affiliation":[{"name":"Rey Juan Carlos University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7115-4013","authenticated-orcid":false,"given":"Paula","family":"Obeso-Ben\u00edtez","sequence":"additional","affiliation":[{"name":"Rey Juan Carlos University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaqu\u00edn","family":"Horna-Schlincker","sequence":"additional","affiliation":[{"name":"Henares University Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen S.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9684-6876","authenticated-orcid":false,"given":"Rosa M","family":"Mart\u00ednez-Pi\u00e9drola","sequence":"additional","affiliation":[{"name":"Rey Juan Carlos University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4009-6185","authenticated-orcid":false,"given":"Marta","family":"P\u00e9rez-de-Heredia-Torres","sequence":"additional","affiliation":[{"name":"Rey Juan Carlos University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1212\/01.wnl.0000175987.59991.3d"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/hex.13906"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.19.2118"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-444-63437-5.00005-4"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2009.66"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-014-0684-x"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1990.01870040046011"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/50A.1.M28"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.09.017"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.126.7.881"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.5935\/1808-8694.20130036"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29938"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.4103\/njcp.njcp_1502_21"},{"issue":"1","key":"e_1_3_8_15_2","first-page":"25","article-title":"Validity and reliability of the Persian version of the vestibular disorders activities of daily living scale","volume":"27","author":"Mehrkian S","year":"2018","unstructured":"Mehrkian S, Erfanimanesh Z, Bakhshi E. 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