Abstract
Background
Post–intensive care syndrome (PICS) requires the use of multiple assessment tools
because it affects multiple domains: Cognitive, Functional, and Behavioural/Psychological.
Therefore, this study translated the self-report (SR) version of the Healthy Aging
Brain Care Monitor (HABC-M), spanning multiple domains, into Japanese and analysed
its reliability and validity in a post–intensive care setting.
Methods
Patients aged 20 years or older and admitted to the adult intensive care unit from
August 2019 to January 2021 were included and surveyed by questionnaire. The 21-item
Dementia Assessment Sheet for the Regional Comprehensive Care System was used to validate
cognitive and physical aspects, and the Patient Health Questionnaire-9, the Generalized
Anxiety Disorder-7, and the Post Traumatic Stress Disorder Checklist for Diagnostic
and Statistical Manual of Mental Disorders 5th edition were used to validate emotional
aspects. Reliability was assessed by Cronbach's alpha, and congruent validity by correlation
analysis. Multivariate linear regression models were used to identify potential factors
for PICS.
Results
A total of 104 patients (mean age: 64 ± 14 years) with 3 median mechanical ventilation
days (interquartile range: 2–5) were enrolled. The Cognitive domain of the HABC-M
SR was highly correlated with memory and disorientation (r = 0.77 for each), while
the Functional domain was highly correlated with Instrumental Activities of Daily
Living Scale (r = 0.75–0.79). The Behavioural/Psychological domain highly correlated
with the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Post
Traumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental
Disorders 5th edition (r = 0.75–0.76). Multivariate analysis revealed longer ICU stays
associated with lower Cognitive and Functional (p = 0.03 for each) domains and longer
mechanical ventilation days with a lower Behavioural/Psychological domain (p < 0.01).
Conclusion
The translated Japanese HABC-M SR showed high validity for assessment of the Cognitive,
Functional, and Behavioural/Psychological domains of PICS. Therefore, we recommend
that the Japanese version of the HABC-M SR be routinely used in the assessment of
PICS.
Keywords
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Article info
Publication history
Published online: March 16, 2023
Accepted:
February 3,
2023
Received in revised form:
January 17,
2023
Received:
August 13,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.
