Department of Anesthesiology, Clinical Pharmacology, Intensive Care and Emergency Medicine, Division of Anesthesiology, Geneva University Hospital, 4 Rue Gabrielle-Perret-Gentil, 1205, Geneva, Switzerland.
Department of Internal Medicine, Geneva University Hospital, Geneva, Switzerland.
Can J Anaesth. 2022 Jun;69(6):726-735. doi: 10.1007/s12630-022-02232-1. Epub 2022 Mar 25.
The routine use of validated diagnostic instruments is key to identifying delirious patients early and expediting care. The 3-Minute Diagnostic Assessment for Delirium using the Confusion Assessment Method (3D-CAM) instrument is a brief, easy to use, sensitive, and specific delirium assessment tool for hospitalized patients. We aimed to translate the original English version into French, and then adapt it to older high-risk patients.
Translation and adaptation of the questionnaire were guided by an expert committee and the 3D-CAM instrument developer. During the translation phase, we achieved semantic and conceptual equivalence of the instrument by conducting forward and backward translations. During the adaptation phase, we assessed the face validity, clarity of wording, and ease of use of the translated questionnaire by administering it to 30 patients and their caregivers in peri-interventional and medical intermediate care units. During both phases, we used qualitative (goal and adequacy of the questionnaire) and quantitative (Sperber score, clarity score) criteria.
Translation: four items were judged inadequate and were revised until all reached a Sperber score of < 3/7. Face validity: 91% of patients thought the questionnaire was designed to assess memory, thoughts, or reasoning. Clarity: eight items required adjustments until all scored ≥ 9/10 for clarity. Ease of use: all bedside caregivers reported that the questionnaire was easy to complete after receiving brief instructions.
We produced a culturally adapted French version of the 3D-CAM instrument that is well understood and well-received by older high-risk patients and their caregivers.
使用经过验证的诊断工具是早期识别谵妄患者并加速治疗的关键。使用意识混乱评估法的 3 分钟谵妄诊断评估（3D-CAM）工具是一种针对住院患者的简短、易用、敏感且特异的谵妄评估工具。我们旨在将原始英文版本翻译成法语，然后将其改编为针对高风险老年患者。
通过专家委员会和 3D-CAM 工具开发人员指导问卷的翻译和改编。在翻译阶段，我们通过正向和反向翻译实现了仪器的语义和概念等效性。在改编阶段，我们通过在介入前和医疗中级护理病房向 30 名患者及其护理人员施测该问卷来评估翻译问卷的表面有效性、措辞清晰度和易用性。在这两个阶段，我们都使用了定性（问卷的目标和充分性）和定量（斯珀伯评分、清晰度评分）标准。
翻译：有四个项目被认为不充分，并进行了修订，直到所有项目的斯珀伯评分都<3/7。表面有效性：91%的患者认为该问卷旨在评估记忆力、思维或推理。清晰度：有八项需要调整，直到所有项目的清晰度评分都≥9/10。易用性：所有床边护理人员在接受简短指导后表示，该问卷易于完成。
我们制作了一种经过文化改编的 3D-CAM 法语版本，该版本深受高风险老年患者及其护理人员的理解和欢迎。
