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Portuguese Version of Delirium Experience Questionnaire (DEQ): Feasibility Study

Published online by Cambridge University Press:  23 March 2020

S. Martins ,
E. Pinho ,
R. Correia  and
L. Fernandes
S. Martins
Affiliation:
CINTESIS, Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal Department of Clinical Neurosciences and Mental Health, Faculty of Medicine, University of Porto, Porto, Portugal
E. Pinho
Affiliation:
UPCIG, Intensive Care Medicine Service, CHSJ, Porto, Portugal
R. Correia
Affiliation:
UPCIU, Intensive Care Medicine Service, CHSJ, Porto, Portugal
L. Fernandes
Affiliation:
CINTESIS, Center for Health Technology and Services Research, Faculty of Medicine, University of Porto, Porto, Portugal Department of Clinical Neurosciences and Mental Health, Faculty of Medicine, University of Porto, Porto, Portugal Clinic of Psychiatry and Mental Health, CHSJ, Porto, Portugal

Abstract

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Introduction

Delirium is a frequent and serious acute neuropsychiatric syndrome, namely in elderly hospitalised patients, described as a psychologically traumatic experience by patients, family/caregivers and health professionals(HPs). In this context, the Delirium Experience Questionnaire (DEQ) was developed as a face-valid instrument assessing the delirium experience recall and the degree of distress related to delirium episodes in patients, family/caregivers, and HPs.

Aim

To present the translation and cultural adaptation of the Portuguese version of DEQ (DEQ-PT).

Methods

The translation process followed ISPOR guidelines. After preparation, forward translation, reconciliation, back translation, back translation review, harmonization and cognitive debriefing (involving experts’ consensus), the DEQ-PT was tested (pre-test) in a group of elderly patients with delirium(≥ 65 years) in two Intermediate Care Units (Intensive Care Medicine Service-CHSJ, Porto). Exclusion criteria were: brain injury, blindness/deafness, unable to communicate, and Glasgow Coma Scale ≤ 11. Their families were also assessed, as well as the HPs (physicians/nurse) in charge of patients during hospitalisation.

Results

After obtaining permission to use the instrument, the DEQ was successfully translated into Portuguese, with harmonization of all new translations. Pre-test included a group of 5 patients, 5 families and 5 nurses. This version revealed good cognitive equivalence with the original English version and also a good level of comprehensibility.

Conclusion

The DEQ-PT showed good feasibility, being suitable, quick and easy to use in the assessment of delirium experience in intermediate care units. These findings will be further developed by an ongoing validation study.

Acknowledgement

This work was supported by foundation for science and technology (SFRH/BPD/103306/2014).

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster viewing: Old age psychiatry
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S658
Copyright
Copyright © European Psychiatric Association 2017
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