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Related Experiment Video

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Development and Validation of the Family ICU Delirium Detection Instrument.

Karla D Krewulak1,2, Nina Carcamo Arakawa1,2, Kirsten Deemer2

  • 1Department of Critical Care Medicine, University of Calgary, Calgary, AB, Canada.

Critical Care Explorations
|January 2, 2026
PubMed
Summary

This study adapted the Sour Seven tool into the Family ICU Delirium Detection Instrument (FIDDI) for improved delirium detection by families in intensive care units (ICUs). The FIDDI demonstrated reliability and validity, supporting its use in family-engaged patient care.

Keywords:
critical caredeliriumfamilyintensive care unitspatient-centered care

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Area of Science:

  • Intensive care medicine
  • Geriatric medicine
  • Psychiatry

Background:

  • Delirium is a common, harmful complication in ICU patients.
  • Family involvement in patient care is crucial but often underutilized for delirium detection.
  • Existing delirium detection tools may not fully engage family members.

Purpose of the Study:

  • To adapt the Sour Seven tool into the Family ICU Delirium Detection Instrument (FIDDI).
  • To assess the usability, reliability, and construct validity of the FIDDI for delirium detection in ICU patients.
  • To explore the potential of a family-engaged approach to ICU delirium detection.

Main Methods:

  • Cross-sectional study design in a Canadian adult ICU.
  • Inclusion of 51 patient-family pairs (dyads).
  • Adaptation of the Sour Seven, followed by testing for internal consistency (Cronbach's alpha) and construct validity (confirmatory factor analysis), with family feedback surveys.

Main Results:

  • The adapted tool, FIDDI, showed strong internal consistency (Cronbach's alpha = 0.858) and acceptable construct validity.
  • Family members found the FIDDI easy to use and helpful for understanding delirium.
  • Some family members attributed behavioral changes to medical factors, indicating a need for further education.

Conclusions:

  • The FIDDI is a reliable and valid tool for family-assisted delirium detection in the ICU.
  • The findings support the FIDDI's potential as a valuable family-engaged assessment tool.
  • Further research is recommended to compare the FIDDI's effectiveness against current delirium detection methods.