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Objective <p>This study aimed to perform the cross-cultural adaptation of the Daycare Anesthesia Satisfaction (DAS) Questionnaire and to evaluate its psychometric properties in Turkish-speaking adults undergoing ambulatory surgery.</p> Methods <p>This methodological cross-sectional study was conducted with 560 patients undergoing elective ambulatory surgery. The adaptation procedure followed the established cross-cultural translation procedures, which included forward translation, back translation, expert panel review and cognitive debriefing. Construct validity was evaluated using confirmatory factor analysis (CFA) and convergent validity was assessed using composite reliability (CR) and average variance extracted (AVE) values. Reliability was analyzed using Cronbach’s alpha coefficient and the intraclass correlation coefficient (ICC).</p> Results <p>The scale-level content validity index was 0.95. The Turkish-adapted DAS demonstrated excellent internal consistency for the total score (Cronbach’s α = 0.971). Test-retest reliability was excellent (ICC = 0.988, 95% CI: 0.986–0.989). CFA results indicated a mixed fit for the original four-factor structure; while absolute fit indices were acceptable (χ²/df = 3.53, RMSEA = 0.07, SRMR = 0.06), incremental fit indices fell below optimal thresholds (CFI = 0.83, TLI = 0.81). Nevertheless, the CR and AVE values for all factors exceeded the recommended thresholds (&gt; 0.84 and &gt; 0.51), indicating strong convergent validity.</p> Conclusion <p>The Turkish adapted DAS questionnaire demonstrated excellent reliability and satisfactory content and convergent validity for Turkish-speaking adults undergoing ambulatory surgery. Although CFA provided only partial support for the original four-factor structure, the instrument appears to be a useful tool for assessing patient satisfaction in clinical practice and research. Given that only partial support was obtained for the four-factor structure, this conclusion should be regarded as provisional with respect to structural validity. Further multicentre studies are warranted to confirm the structural validity of the DAS-T and broaden its generalizability.</p>

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Cross-cultural adaptation and psychometric evaluation of the Daycare Anesthesia Satisfaction questionnaire in Turkish-speaking adults undergoing ambulatory surgery

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年7月20日

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  • Merve Bulun Yediyıldız,
  • Irem Durmus,
  • Hulya Yilmaz Ak,
  • Kubra Taskin,
  • Ayşe Demirden,
  • Gulten Arslan,
  • Kemal Tolga Saraçoğlu

摘要

Objective

This study aimed to perform the cross-cultural adaptation of the Daycare Anesthesia Satisfaction (DAS) Questionnaire and to evaluate its psychometric properties in Turkish-speaking adults undergoing ambulatory surgery.

Methods

This methodological cross-sectional study was conducted with 560 patients undergoing elective ambulatory surgery. The adaptation procedure followed the established cross-cultural translation procedures, which included forward translation, back translation, expert panel review and cognitive debriefing. Construct validity was evaluated using confirmatory factor analysis (CFA) and convergent validity was assessed using composite reliability (CR) and average variance extracted (AVE) values. Reliability was analyzed using Cronbach’s alpha coefficient and the intraclass correlation coefficient (ICC).

Results

The scale-level content validity index was 0.95. The Turkish-adapted DAS demonstrated excellent internal consistency for the total score (Cronbach’s α = 0.971). Test-retest reliability was excellent (ICC = 0.988, 95% CI: 0.986–0.989). CFA results indicated a mixed fit for the original four-factor structure; while absolute fit indices were acceptable (χ²/df = 3.53, RMSEA = 0.07, SRMR = 0.06), incremental fit indices fell below optimal thresholds (CFI = 0.83, TLI = 0.81). Nevertheless, the CR and AVE values for all factors exceeded the recommended thresholds (> 0.84 and > 0.51), indicating strong convergent validity.

Conclusion

The Turkish adapted DAS questionnaire demonstrated excellent reliability and satisfactory content and convergent validity for Turkish-speaking adults undergoing ambulatory surgery. Although CFA provided only partial support for the original four-factor structure, the instrument appears to be a useful tool for assessing patient satisfaction in clinical practice and research. Given that only partial support was obtained for the four-factor structure, this conclusion should be regarded as provisional with respect to structural validity. Further multicentre studies are warranted to confirm the structural validity of the DAS-T and broaden its generalizability.