RT Journal Article T1 Design of Fear and Anxiety of COVID-19 Assessment Tool in Spanish Adult Population A1 Gómez Salgado, Juan A1 Allande Cussó, Regina A1 Domínguez Salas, Sara A1 García Iglesias, Juan Jesús A1 Coronado Vázquez, María del Valle A1 Ruiz Frutos, Carlos AB The aim of this study was to develop a specific scale to measure anxiety and fear levelsin the general Spanish population. For this, a transcultural adaptation to Spanish of the fear ofcoronavirus disease 2019 (COVID-19) scale, in its original version of 10 items, was carried out. Then,the Anxiety and Fear of COVID-19 Assessment Scale (AMICO, for its acronym in Spanish) wasdesigned by translating the tool and Delphi technique into three rounds. Ten experts participatedvoluntarily, and inter-observer match rates and the reliability study of the designed scale werecalculated. A pilot study was carried out with the final version of the scale for the validity andreliability study. The instrument did not raise problems in semantic and cultural terms during thefirst and second rounds of the translation process, with an overall weighted Kappa value of 0.9. In thethird round, eight new items were designed and consensual, obtaining a weighted overall value of0.89. The pilot study sample was made up of 445 subjects, of which 60.3% were women with a meanage of 46.2 years. The final version consisted of 16 items, 2 factors, and a Cronbach’s alpha valueof 0.92. The AMICO scale was developed to assess the level of anxiety and fear of COVID-19 andproved to be valid and reliable for its use in the adult Spanish population. PB MDPI SN 2076-3425 YR 2021 FD 2021-03 LK http://hdl.handle.net/10272/19848 UL http://hdl.handle.net/10272/19848 LA eng NO Gómez Salgado, J., Allande Cussó, R., Domínguez Salas, S., García Iglesias, J. J., Coronado Vázquez, V., & Ruiz Frutos, C. (2021). Design of Fear and Anxiety of COVID-19 Assessment Tool in Spanish Adult Population. Brain Sciences, 11(3), 328. DOI: https://doi.org/10.3390/brainsci11030328 DS Repositorio Institucional de la Universidad de Huelva RD 30 may 2026