Spanish Translation and Cultural Adaptation of the Intensive Care Unit Delirium Playbook.

Fuentes AL, Makhija H, Fine JM, Alicea Reyes P, Diaz De Leon B, Sanchez-Azofra A, Rodriguez-Flores L, Weston J, Marquine MJ, Hu E, Espinosa-Meza R, Serafin Higuera IR, Vacas Jacques P, Pollack D, Novelli F, Ely EW, Malhotra A, Needham DM, Martin JL, Kamdar BB, Arroyo-Novoa CM, Figueroa-Ramos MI. Spanish Translation and Cultural Adaptation of the Intensive Care Unit Delirium Playbook. ATS scholar. 2024 Jun 1; 5(2):259-273.

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• RCS 20-191 – Research Career Scientist Award

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Abstract:

BACKGROUND: A lack of high-quality provider education hinders the delivery of standard-of-care delirium detection and prevention practices in the intensive care unit (ICU). To fill this gap, we developed and validated an e-learning ICU Delirium Playbook consisting of eight videos and a 44-question knowledge assessment quiz. Given the increasing Spanish-speaking population worldwide, we translated and cross-culturally adapted the playbook from English into Spanish. OBJECTIVE: To translate and culturally adapt the ICU Delirium Playbook into Spanish, the second most common native language worldwide. METHODS: The translation and cross-cultural adaptation process included double forward and back translations and harmonization by a 14-person interdisciplinary team of ICU nurses and physicians, delirium experts, methodologists, medical interpreters, and bilingual professionals representing many Spanish-speaking global regions. After a preeducation quiz, a nurse focus group completed the playbook videos and posteducation quiz, followed by a semistructured interview. RESULTS: The ICU Delirium Playbook: Spanish Version maintained conceptual equivalence to the English version. Focus group participants posted mean (standard deviation) pre- and post-playbook scores of 63% (10%) and 78% (12%), with a 15% (11%) pre-post improvement ( = 0.01). Participants reported improved perceived competency in performing the Confusion Assessment Method for the ICU and provided positive feedback regarding the playbook. CONCLUSION: After translation and cultural adaptation, the ICU Delirium Playbook: Spanish Version yielded significant knowledge assessment improvements and positive feedback. The Spanish playbook is now available for public dissemination.