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Table 1 Criteria and scoring for considered scales

From: Validation of Finnish Neecham Confusion Scale and Nursing Delirium Screening Scale using Confusion Assessment Method algorithm as a comparison scale

Criteria and scoring

NEECHAM

Nu-DESC

DOS

Context:

1 = Acute care environment

0 = other

1

1

1

Assessor:

1 = non-expert

0 = expert (e.g. physician)

1

1

1

Amount of patients under assessment

2 = over 150

1 = 100–150

0 = under 100

2

2

2

Usability

2 = short, incl. filling and scoring instructions

1 = long, incl. filling and scoring instructions

0 = long or no instructions

1

2

1

Process of development based on:

2 = DSM-III/ IV and is reported

1 = other and is reported

0 = no report of development

1

Delphi panel, correlates with DSM-III-R

2

2

Correlation validity:

correlation to the DSM-criteria

2 = r >0.60

1 = 0.40 < r < 0.60

0 = r < 0.40 or not reported

1

0.70, 0.543

2

0.714

0

not reported

Concurrent validity:

Correlation to the comparison scale

2 = r > 0.60

1 = 0.40 < r < 0.60

0 = r < 0.40 or not reported

2

0.87 MMSE1,3

2

0.67 MDAS2,4

2

0.63 CAM5

0.79 MMSE1,5

Discriminant validity:

1 = appropriately discriminates confusion

from non-confusion

0 = no discrimination or not reported

1

sensitivity 1.06

specificity .876

1

sensitivity .864

specificity .874

1

sensitivity .896

specificity .886

Internal Consistency: Cronbach’s α

2 = 0.70 < α < 0.90

1 = α > 0.9 or 0.60 < α < 0.70

0 = α < 0.60 or not reported

2

0.903

0

not reported

1

0.935

Interrater reliability: Cohen’s κ

2 = > 0.8

1 = 0.6 < κ < 0.8

0 = < 0.6 or not reported

1

0.653

2

0.894

0

not reported

Amount of validation to other languages

2 = 2 or over

1 = 1

0 = none or not mentioned

2

2

0

Total

13

17

11

  1. 1Mini-Mental State Exam, 2The Memorial Delirium Assessment Scale, 3[19], 4[20], 5[27], 6[39]