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Department of Anesthesiology, University of Virginia, Charlottesville, VA, USA; Department of Anesthesiology, King Fahad Medical City, Riyadh, Saudi Arabia; Outcomes Research Consortium, Cleveland, OH, USA, USA Correspondence Address: Siny Tsang Department of Epidemiology, Columbia University, New York, NY USASource of Support: None, Conflict of Interest: None The task of developing a new questionnaire or translating an existing questionnaire into a different language might be overwhelming.

The purpose of this paper is to give evidence for the thesis that if teachers using a questionnaire as a data collection instrument have the questionnaire items translated from one language into another, they cannot assume that the translated items are valid simply because they were translated.Aim: The aim of this study was to culturally adapt, including translation and preliminary validation of the questionnaire for the cancer patients.Materials and Methods: A custom-made, validated version of the English self-administered questionnaire consisting of 30 items was translated into Tamil, Kannada and Malayalam languages.To determine test-retest reliability of the Arabic FABQ, patients completed it twice within 48 hours without receiving any active treatment between these two sessions.Patients completed the Arabic FABQ (and three other scales) at baseline and 14 days later to determine its validity and sensitivity. Test-retest reliability was good (FABQ–work: intraclass coefficient [ICC] = 0.74; FABQ—physical activity: ICC = 0.90; FABQ overall: ICC = 0.76).The Arabic version of the FABQ shows promise in the assessment of fear-avoidance beliefs among patients with LBP who speak and read Arabic.