Translation and Validation of the Arabic Version of the Eating Behavior After Bariatric Surgery (EBBS) Questionnaire

Nuha H. Alsehemi, Amal A. Alharbi, Rahaf S. Alamri, Bushra A. Fatani, Seham H. Alsenan, Iffat Elbarazi, Madhawi M. Aldhwayan

Research output: Contribution to journalArticlepeer-review


Purpose: Complications after metabolic and bariatric surgery are common due to the patient’s poor commitment to postoperative lifestyle changes. Therefore, intensive follow-up from a multidisciplinary team might improve outcomes. The present study aimed to translate and validate the Eating Behavior after Bariatric Surgery (EBBS) questionnaire into Arabic for use in clinical and research settings. Materials and Methods: The study followed World Health Organization guidelines for translation and questionnaire adaptation, including forward translation, back translation, pilot testing, and the creation of the final version of the tool. A total of 390 patients who had undergone metabolic and bariatric surgery 3 years ago or more were involved in testing the questionnaire’s validity and reliability. Results: The mean age of participants was 36 years (range: 20 to 70 years), 56% were females, 94.1% were Saudis, and 56% had bachelor’s degrees. The internal consistency of the questionnaire was tested using Cronbach’s alpha. One item (alcohol consumption) was excluded during the reliability analysis due to low variance. The reliability analysis results showed that the 10 items were internally consistent, with a Cronbach’s α of 0.851. Conclusion: The validation and reliability of the Arabic-language version of the EBBS questionnaire were found to be satisfactory. The presence of a validated Arabic version of this instrument may help practitioners estimate patients’ adherence to dietary and lifestyle recommendations after metabolic and bariatric surgery. Furthermore, the questionnaire may aid in identifying factors that influence the efficacy of these procedures. Graphical Abstract: [Figure not available: see fulltext.].

Original languageEnglish
Pages (from-to)1108-1120
Number of pages13
JournalObesity Surgery
Issue number4
Publication statusPublished - Apr 2023


  • Arabic
  • Bariatric surgery
  • Compliance
  • Dietary recommendations
  • EBBS
  • Lifestyle change
  • Obesity
  • Questionnaire
  • Translation
  • Validation

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics


Dive into the research topics of 'Translation and Validation of the Arabic Version of the Eating Behavior After Bariatric Surgery (EBBS) Questionnaire'. Together they form a unique fingerprint.

Cite this