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This study aimed to develop a Japanese version of the FHU (FHU-J). Three researchers translated the original scale, and cognitive interviews with 10 hospitalized patients ensured face validity. The survey items were back-translated and approved by the original authors. Two web-based surveys were conducted one week apart to assess the FHU-J's internal consistency, concurrent validity, and test\u2013retest reliability that targeted adults hospitalized for over a week in the past year. The first and second surveys included 608 and 255 respondents, respectively (50.4% men; mean age: 57.0). Surgery was the primary reason for admission (48.1%). The Cronbach \u03b1 for the FHU-J was .93, and the intraclass correlation coefficient between the 2 responses was 0.54. 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