Post-intensive care screening: French translation and validation of the Healthy Aging Brain Care-Monitor, hybrid version

Abstract

Background The Healthy Aging Brain Care-Monitor (HABC-M) questionnaires (self-reported version and caregiver version) have been validated for post-intensive care syndrome (PICS) detection in patients surviving a stay in the intensive care unit (ICU). Their authors have also developed a hybrid version (HABC-M-HV) suited to the daily needs of their post-ICU follow-up clinic. The objectives of the present cross-sectional observational study were to translate the HABC-M-HV questionnaire into French (HABC-M-HV-F) according to international guidelines and to test its measurement properties. Methods The HABC-M-HV was translated according to international guidelines. The measurement performances of the questionnaire were tested using internal consistency, test–retest reliability, Standard Error of Measurement (SEM) and Smallest Detectable Change (SDC) calculation, floor and ceiling effect measurement and construct validity. Results The validation study included 51 ICU survivors (27.5% women, 63 [55–71] years old). The questionnaire was administered by phone. The internal consistency was very good (Cronbach’s alpha coefficient 0.79). The intra- and inter-examinator reliabilities were excellent (Intraclass Coefficient Correlation = 0.99 and 0.97, respectively). The SEM was 0.62 and the SDC was 1.72. No floor or ceiling effects were observed. The convergent validity was almost entirely confirmed with 71.4% of our hypothesis confirmed. Conclusion The HABC-M-HV-F has been shown to be a valid and reliable tool for PICS screening and follow-up in French-speaking ICU survivors. A remote administration by phone was feasible. Trial registration: Not applicable.

Validation into Spanish of a Scale to Detect the Post-intensive Care Syndrome

“…In previous versions, the construct of the HABC-M instrument was validated through CFA and convergent validity. 7 , 36 - 38 The Spanish version was determined through CFA and it was possible to obtain a model with fit indices between good and excellent, which corroborated the studies by Monahan et al ., on the scale’s adequate psychometric properties through CFA. 37 , 38 Nevertheless, although the RMSE in this study was > 0.05, a figure greater than those found in studies by Monahan et al ., the literature supported values < 0.08, even up to 0.1, in samples considered small ( n < 200), which is why it is possible to indicate that the model fitted reasonably the data observed.…”

“…In previous studies, phase and content validity were carried out through expert consensus, evaluating comprehension and clarity criteria in ICU staff. (36)(37)(38) This study established percentages between experts and survivors in separate samples and defined broader criteria for each of the stages. In previous versions, the construct of the HABC-M instrument was validated through CFA and convergent validity.…”

“…The correlations found did not differ from previous studies, which shows the diversity of items among subscales and their importance in the construct. (7,36) Due to this, the impact of the present study for the ICU-surviving population, as well as for the nursing discipline, lies on the benefit of having a clinical tool adapted and validated into Spanish, which permits detecting PICS rapidly and simply by applying this scale in clinical or outpatient settings, seeking an integral approach that allows establishing care routes focused on reestablishing cognitive, functional, and psychological health; In conclusion, the psychometric properties of the HABC-M instrument in its Spanish version demonstrate good validity and excellent reliability, which permits its use to detect and monitor patients with PICS.…”

“…The results were consistent and strengthened prior research on the psychometric properties of the HABC-M within the PICS context. 7 , 36 The Spanish version was obtained from the TA process and it was possible to achieve a semantic replica conceptually equivalent to the original version, product of the collaborative work among a philologist, certified translators, methodology experts, and intensive care specialists.…”

“… 37 , 38 Regarding the regression path of the latent variables under the SEM, it is important to highlight how the functional and psychological subscales correlate with the severity of the PICS symptoms; thus, it was possible to evidence how functional health is causal of damage to psychological health and vice-versa. Regarding cognitive health, the findings suggested that such were less observable, which supported the hypothesis by Wang et al ., and Horlait et al ., on the limitations with respect to this subscale and the need to evaluate its objectivity on the severity of the cognitive symptoms in the context of the critical patient; 7 , 36 however, upon the presence of problems in cognitive and/or functional health, it was concluded that a deterioration of these could trigger more severe sequelae in psychological health.…”