Transcultural Adaptation and Psychometric Evaluation of the Chinese Version of the Family Caregiver ICU Delirium Knowledge Questionnaire — Oak Academic Publishing
Research ArticleOpen AccessGoogle Scholar indexed
Transcultural Adaptation and Psychometric Evaluation of the Chinese Version of the Family Caregiver ICU Delirium Knowledge Questionnaire
Department of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
,
Department of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
,
Department of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
,
Shenzhen Hospital of Southern Medical University, Shenzhen, China
1 Department of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
2 Department of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
3 Department of Critical Care Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China
4 Shenzhen Hospital of Southern Medical University, Shenzhen, China
Objective: To test the reliability and validity of the Chinese version of the family caregiver ICU delirium knowledge questionnaire (C-CIDKQ) in mainland China. Methods: The Brislin translation model was used for standard translation and back-translation; cross-cultural adjustment of the translated scale was carried out through expert group discussion, communication with the original author and pre-investigation; convenience sampling method was used to study 214 family caregivers of ICU patients in a tertiary first-class general university hospital in Guangzhou city in southern China. Results: C-CIDKQ included three dimensions and 21 items: risk factor dimension (10 items), action dimension (6 items), and symptom dimension (5 items). The Cronbach’s alpha coefficients of the three dimensions of risk factor dimension, action dimension and symptom dimension were 0.713, 0.213 and 0.839, respectively, and the internal consistency reliability of the total scale was 0.777. Conclusion: C-CIDKQ has good reliability and validity and can be used as an ICU delirium knowledge evaluation tool for family caregivers of ICU patients in China. If the items of the action dimension are appropriately modified, the reliability and validity of the scale can be further improved.
KeywordsIntensive Care UnitFamily CaregiverCaregiver ICU Delirium Knowledge Questionnaire
Bersaneti, M., & Whitaker, I. Y. (2022). Association between Nonpharmacological Strategies and Delirium in the Intensive Care Unit. Nursing in Critical Care. https://doi.org/10.1111/nicc.12750 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=35052018&query_hl=1
Bull, M. J., Avery, J. S., Boaz, L., & Oswald, D. (2015). Psychometric Properties of the Family Caregiver Delirium Knowledge Questionnaire. Research in Gerontological Nursing, 8, 198-207. https://doi.org/10.3928/19404921-20150409-01 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=25893726&query_hl=1
Bull, M. J., Boaz, L., & Jerme, M. (2016). Educating Family Caregivers for Older Adults about Delirium: A Systematic Review. Worldviews on Evidence-Based Nursing, 13, 232-240. https://doi.org/10.1111/wvn.12154 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=26970229&query_hl=1
Fiest, K. M., Soo, A., Hee, L. C., Niven, D. J., Ely, E. W., Doig, C. J., & Stelfox, H. T. (2021). Long-Term Outcomes in ICU Patients with Delirium: A Population-based Cohort Study. American Journal of Respiratory and Critical Care Medicine, 204, 412-420. https://doi.org/10.1164/rccm.202002-0320OC http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=33823122&query_hl=1
First, M. B. (2013). Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, and Clinical Utility. The Journal of Nervous and Mental Disease, 201, 727-729. https://doi.org/10.1097/NMD.0b013e3182a2168a http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=23995026&query_hl=1
Jung, M. H., Park, M., Kim, S., & Ra, J. R. (2021). Delirium-Related Knowledge, Caregiving Performance, Stress Levels, and Mental Health of Family Caregivers of Terminal Cancer Patients with Delirium in a Hospice Care Unit. Journal of Hospice and Palliative Care, 24, 116-129. https://doi.org/10.14475/jhpc.2021.24.2.116
Ko, R. E., Kang, D., Park, H., Cho, J., Suh, G. Y., & Chung, C. R. (2022). Association between the Presence of Delirium during Intensive Care Unit Admission and Cognitive Impairment or Psychiatric Problems: The Korean ICU National Data Study. J Intensive Care, 10, Article No. 7. https://doi.org/10.1186/s40560-022-00598-4 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=35164863&query_hl=1
Krewulak, K. D., Bull, M. J., Ely, E. W., Stelfox, H. T., & Fiest, K. M. (2020). Psychometric Evaluation of the Family Caregiver ICU Delirium Knowledge Questionnaire. BMC Health Services Research, 20, Article No. 116. https://doi.org/10.1186/s12913-020-4892-5 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=32059716&query_hl=1
Krewulak, K. D., Bull, M. J., Wesley, E. E., Davidson, J. E., Stelfox, H. T., & Fiest, K. M. (2020). Effectiveness of an Intensive Care Unit Family Education Intervention on Delirium Knowledge: A Pre-Test Post-Test Quasi-Experimental Study. Canadian Journal of Anesthesia, 67, 1761-1774. https://doi.org/10.1007/s12630-020-01810-5 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=32959203&query_hl=1
Krewulak, K. D., Sept, B. G., Stelfox, H. T., Ely, E. W., Davidson, J. E., Ismail, Z., & Fiest, K. M. (2019). Feasibility and Acceptability of Family Administration of Delirium Detection Tools in the Intensive Care Unit: A Patient-Oriented Pilot Study. CMAJ Open, 7, E294-E299. https://doi.org/10.9778/cmajo.20180123 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=31028053&query_hl=1
Lao, W. Y., Chen, X. P., Qiao, L. J., Hua, B. F., Li, Q. J., Zhuang, Y. Y. et al. (2019). Research Progress of Family Version of the Delirium Assessment Tool in Elderly Patients. Journal of Nursing and Rehabilitation, 18, 39-41. https://kns.cnki.net/kcms/detail/detail.aspx?FileName=HLKF201911009&DbName=CJFQ2019
Li, L. L. (2018). Application Effects of Improved Family Members Management in Enhancing Satisfaction of Family Members of ICU Patients. Nursing Journal of Chinese People’s Liberation Army, 35, 63-65. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=jfjhlzz201805016
Liang, S., Chau, J., Lo, S., Zhao, J., & Choi, K. C. (2021). Effects of Nonpharmacological Delirium-Prevention Interventions on Critically Ill Patients’ Clinical, Psychological, and Family Outcomes: A Systematic Review and Meta-Analysis. Australian Critical Care, 34, 378-387. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=33250403&query_hl=1
McKenzie, J., & Joy, A. (2020). Family Intervention Improves Outcomes for Patients with Delirium: Systematic Review and Meta-Analysis. Australasian Journal on Ageing, 39, 21-30. https://doi.org/10.1111/ajag.12688 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=31250961&query_hl=1
Mitchell, M. L., Kean, S., Rattray, J. E., Hull, A. M., Davis, C., Murfield, J. E., & Aitken, L. M. (2017). A Family Intervention to Reduce Delirium in Hospitalized ICU Patients: A Feasibility Randomized Controlled Trial. Intensive and Critical Care Nursing, 40, 77-84. https://doi.org/10.1016/j.iccn.2017.01.001 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=28254205&query_hl=1
Munro, C. L., Cairns, P., Ji, M., Calero, K., Anderson, W. M., & Liang, Z. (2017). Delirium Prevention in Critically Ill Adults through an Automated Reorientation Intervention—A Pilot Randomized Controlled Trial. Heart & Lung, 46, 234-238. https://doi.org/10.1016/j.hrtlng.2017.05.002 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=28606450&query_hl=1
Rosgen, B., Krewulak, K., Demiantschuk, D., Ely, E. W., Davidson, J. E., Stelfox, H. T., & Fiest, K. M. (2018). Validation of Caregiver-Centered Delirium Detection Tools: A Systematic Review. Journal of the American Geriatrics Society, 66, 1218-1225. https://doi.org/10.1111/jgs.15362 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=29671281&query_hl=1
Salluh, J. I., Wang, H., Schneider, E. B., Nagaraja, N., Yenokyan, G., Damluji, A., Serafim, R. B., & Stevens, R. D. (2015). Outcome of Delirium in Critically Ill Patients: Systematic Review and Meta-Analysis. BMJ, 350, Article No. h2538. https://doi.org/10.1136/bmj.h2538 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=26041151&query_hl=1
Shi, J., Mo, X., & Sun, Z. (2012). Content Validity Index in Scale Development. Journal of Central South University (Medical Science), 37, 152-155. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=hnykdx201202007
Slooter, A. J., Van De Leur, R. R., & Zaal, I. J. (2017). Delirium in Critically Ill Patients. In Handbook of Clinical Neurology (Vol. 141, pp. 449-466). Elsevier. https://doi.org/10.1016/B978-0-444-63599-0.00025-9 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=28190430&query_hl=1
Smithburger, P. L., Korenoski, A. S., Alexander, S. A., & Kane-Gill, S. L. (2017). Perceptions of Families of Intensive Care Unit Patients Regarding Involvement in Delirium-Prevention Activities: A Qualitative Study. Critical Care Nurse, 37, e1-e9. https://doi.org/10.4037/ccn2017485 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=29196594&query_hl=1
Stollings, J. L., Kotfis, K., Chanques, G., Pun, B. T., Pandharipande, P. P., & Ely, E. W. (2021). Delirium in Critical Illness: Clinical Manifestations, Outcomes, and Management. Intensive Care Medicine, 47, 1089-1103. https://doi.org/10.1007/s00134-021-06503-1 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=34401939&query_hl=1
Tang, B., Wang, X., Chen, W., Zhu, S., Chao, Y., Zhu, B. et al. (2019). Experts Consensus on the Management of Delirium in Critically Ill Patients. Chinese Journal of Internal Medicine, 58, 108-118. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zhnk201902007
Vasilevskis, E. E., Chandrasekhar, R., Holtze, C. H., Graves, J., Speroff, T., Girard, T. D., Patel, M. B., Hughes, C. G., Cao, A., Pandharipande, P. P., & Ely, E. W. (2018). The Cost of ICU Delirium and Coma in the Intensive Care Unit Patient. Medical Care, 56, 890-897. https://doi.org/10.1097/MLR.0000000000000975 http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=30179988&query_hl=1
Wang, J., Wang, M., Yang, Y., & Hu, M. (2018). Needs of Family Members of Patients in Emergency Intensive Care Units and Its Influencing Factors. Nursing Journal of Chinese People’s Liberation Army, 35, 19-21+76. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=jfjhlzz201814005