Internal Medicine Services, The Prince Charles Hospital, Brisbane, Queensland, Australia.
Northside Clinical School, School of Medicine, University of Queensland, Brisbane, Queensland, Australia.
Australas J Ageing. 2024 Jun;43(2):415-419. doi: 10.1111/ajag.13288. Epub 2024 Feb 28.
Following a user-centred redesign and refinement process of an electronic delirium screening tool (eDIS-MED), further accuracy assessment was performed prior to anticipated testing in the clinical setting.
Content validity of each of the existing questions was evaluated by an expert group in the domains of clarity, relevance and importance. Questions with a Content Validity Index (CVI) <0.80 were reviewed by the development group for potential revision. Items with CVI <0.70 were discarded. Next, face validity of the entirety of the tests was conducted and readability measured.
A panel of five clinical experts evaluated the test battery comprising eDIS-MED. The content validity process endorsed 61 items. The overall scale CVI was 0.92. Eighty-eight per cent of the responses with regard to question relevancy, usefulness and appropriateness were positive. The questions were deemed fifth grade level and very easy to read.
A revised electronic screening tool was shown to be accurate according to an expert group. A clinical validation study is planned.
对电子谵妄筛查工具（eDIS-MED）进行了以用户为中心的重新设计和改进流程后，在预期在临床环境中进行测试之前，对其进行了进一步的准确性评估。
专家组对现有问题的每个问题的内容有效性进行了评估，评估内容包括清晰度、相关性和重要性。内容有效性指数（CVI）<0.80 的问题由开发小组进行审查，以确定是否需要修改。CVI<0.70 的项目被丢弃。接下来，对整个测试进行了表面有效性评估，并测量了可读性。
一个由五名临床专家组成的小组评估了包含 eDIS-MED 的测试套件。内容有效性过程认可了 61 个项目。整体量表 CVI 为 0.92。对于问题相关性、有用性和适当性的 88%的回答是肯定的。这些问题被认为是五年级水平，非常容易阅读。
专家组认为，经过修订的电子筛查工具具有准确性。计划进行临床验证研究。
