Postoperative Delirium Clinical Trial
Official title:
Validation Study of the Malay Version of the 3-Minute Diagnostic Interview for Confusion Assessment Method Defined Delirium (3D-CAM)
Validation of the Malay version of 3D-CAM, involving two-staged process.
1. Translation and cultural adaptation of 3D-CAM into the Malay language.
2. Testing for Validity and Reliability of the translated 3D-CAM tool to detect
postoperative delirium.
1. Translation and Cultural Adaptation
The research panel, who consisted of experts in the clinical field of anesthesia, did
the meticulous process of translation and cultural adaptation of 3D-CAM.
This process included independent translation by the research panel, reconciliation of
two independent translated 3D-CAM, ethics approval prior to pilot study on 20 relevant
subjects, back translation into English and finalizing the Malay version of 3D-CAM for
the next phase of testing.
2. Testing for Validity and Reliability of the translated 3D-CAM tool
Patients were recruited pre-operatively after reading the patient's information sheet and
signing the informed consent.
Post-operatively, two trained assessors separately administered the Malay 3D-CAM on the
recruited patients. One of the trained assessors administered the original 3D-CAM on the same
patients at a different time. Standard reference of diagnosing delirium was made by a
psychiatrist using the DSM V criteria, after interviewing the patients.
1. For validity, the diagnosis of delirium made using the Malay 3D-CAM tool was tested
against the standard reference for diagnosing delirium according to the DSM V criteria
made by a psychiatrist
2. For inter-rater reliability, the diagnosis of delirium made by two trained assessors
using the Malay 3D-CAM tool were statistically compared.
3. For parallel reliability, the diagnosis of delirium made using the Malay 3D-CAM was
compared to the original English version of 3D-CAM.
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