Translation And Validation Of The Amsterdam Preoperative Anxiety And Information Score For Evaluation Of Preoperative Anxiety In Adult Surgical Patients In Black Lion Hospital Addis Ababa Ethiopia.

Background: Perioperative anxiety is described as a vague, uneasy feeling, the source of which isrnoften nonspecific and unknown to the individual. It has the potential to affect all aspects ofrnanesthesia such as preoperative visit, induction, perioperative and recovery periods. Although thernmagnitude and consequences of preoperative anxiety is well documented in developed world,rnthere are limited studies conducted in Ethiopia. The use of anxiety screening instruments thatrntake too much time to be filled will not be applicable clinically in our set up where enough timernmay not be given to conduct preoperative assessments. rnObjective: The primary aim of this study is to translate the APAIS into Ethiopian nationalrnlanguage, Amharic and evaluate its validity in assessing the prevalence of preoperative anxiety inrnBlack lion Hospital. rnMethods: A forward and backward translation of the items in APAIS was performed intornAmharic by a legal bilingual expert. Three hundred sixty five sampled elective adult surgicalrnpatients scheduled for surgery at Black lion hospital were interviewed from July 01 to Aug 30,rn2019 using the Amharic version of the APAIS. Then, the validity of the translated version wasrnchecked by evaluating its psychometric properties of internal validity and acceptability. Thernresults were also compared with findings of other similar studies. rnrnResults: The reliability of the Amharic version of the APAIS was high ( Cronbach's alpha ofrn0.87) and the data collected was a good fit ( RMSEA of 0.04) In addition, the questionnaire wasrnwell accepted 100% with no missing values for each dimension of the APAIS. The mean APAISrnscores for total anxiety and desire for information were 11.6 and 6.0 respectively and 58.9% ofrnthe study participants had anxiety and those patients, who had some form of formal education,rncame from urban areas, had previous anesthesia experience and complications and who hadrnaverage or high information requirement were more likely to be anxious. rnConclusion: The Amharic version of the APAIS is a reliable and acceptable tool for measuringrnpatients’ preoperative anxiety and their need of information. It can be used routinely as arnscreening instrument at pre anesthesia clinics to assess patients’ level of anxiety.

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