Application of the healthy aging brain care monitor self-report in the assessment of post-intensive care syndrome

doi:10.3877/cma.j.issn.2096-1537.2025.03.006

Abstract

Abstract:

Objective

To translate and culturally adapt the self-report version of the healthy aging brain care monitor (HABC-MSR) into Chinese and test its reliability and validity in patients transferred from the intensive care unit (ICU), thereby, providing a simple and effective tool for the assessment of Post-Intensive Care Syndrome (PICS).

Methods

After obtaining authorization from the original scale developer, the HABC-MSR was translated and cross-culturally adapted according to the Brislin model. A convenience sample of 237 patients transferred from the intensive care unit of Peking Union Medical College Hospital to the general wards between April and December 2023 was enrolled. The reliability and validity of the Chinese version of the HABC-MSR were assessed.

Results

The Chinese version of the HABC-MSR consists of 27 items across three dimensions: cognitive, physical, and psychological functioning. The scale-level content validity index (S-CVI/Ave) was 0.986, and the item-level content validity indices (I-CVI) ranged from 0.909 to 1.000. Confirmatory factor analysis demonstrated a good model fit. Criterion validity analysis revealed that the cognitive dimension showed no significant correlation with the Mini-Cog (r=-0.067, P=0.308). The physical function dimension was positively correlated with the Barthel Index (r=0.146, P<0.025), though the correlation was relatively weak. The psychological dimension showed a strong positive correlation with the Hospital Anxiety and Depression Scale (HADS) (r=0.598, P<0.001). The Cronbach's alpha coefficients of the subscales and the total scale ranged from 0.766 to 0.925, indicating good internal consistency.

Conclusion

The Chinese version of the HABC-MSR demonstrates good reliability and validity in patients transferred from ICU. It can serve as an effective assessment tool for PICS in Chinese clinical context.

Key words: Post-intensive care syndrome, Effectiveness evaluation, Scale, Reliability, Validity

Xinyue Zhang, Zhen Li, Yafang Zhao, Shicong Liang, Guangnan Liu, Yawen Ye, Xiaopeng Huo. Application of the healthy aging brain care monitor self-report in the assessment of post-intensive care syndrome[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2025, 11(03): 244-249.

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URL: https://icu.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2096-1537.2025.03.006

https://icu.cma-cmc.com.cn/EN/Y2025/V11/I03/244

Figures/Tables 4

一般资料	数值
年龄（岁， $x ¯$ ±s）	55.45±15.87
性别[例（%）]
男	127（53.6）
女	110（46.4）
民族[例（%）]
汉族	207（87.3）
少数民族	30（12.6）
婚姻状况[例（%）]
有配偶	206（86.9）
无配偶	31（13.1）
受教育程度[例（%）]
小学及以下	30（12.7）
初中	64（27.0）
高中	67（28.3）
大学及以上	76（32.1）
接受机械通气[例（%）]
是	213（89.9）
否	24（10.1）
接受机械通气时间[h，M（Q_R）]	9.00（2.00，18.00）
住院时间（d， $x ¯$ ±s）	16.72±8.91
APACHE Ⅱ评分（分， $x ¯$ ±s）	11.25±4.56

一般资料	数值
年龄（岁， $x ¯$ ±s）	55.45±15.87
性别[例（%）]
男	127（53.6）
女	110（46.4）
民族[例（%）]
汉族	207（87.3）
少数民族	30（12.6）
婚姻状况[例（%）]
有配偶	206（86.9）
无配偶	31（13.1）
受教育程度[例（%）]
小学及以下	30（12.7）
初中	64（27.0）
高中	67（28.3）
大学及以上	76（32.1）
接受机械通气[例（%）]
是	213（89.9）
否	24（10.1）
接受机械通气时间[h，M（Q_R）]	9.00（2.00，18.00）
住院时间（d， $x ¯$ ±s）	16.72±8.91
APACHE Ⅱ评分（分， $x ¯$ ±s）	11.25±4.56

条目	相关系数^*	双侧P值	条目	相关系数	双侧P值
E1	0.672	<0.001	F9	0.791	<0.001
E2	0.430	<0.001	F10	0.831	<0.001
E3	0.465	<0.001	F11	0.447	<0.001
E4	0.618	<0.001	G1	0.504	<0.001
E5	0.867	<0.001	G2	0.511	<0.001
E6	0.840	<0.001	G3	0.525	<0.001
F1	0.870	<0.001	G4	0.428	<0.001
F2	0.803	<0.001	G5	0.496	<0.001
F3	0.861	<0.001	G6	0.416	<0.001
F4	0.879	<0.001	G7	0.487	<0.001
F5	0.872	<0.001	G8	0.492	<0.001
F6	0.846	<0.001	G9	0.502	<0.001
F7	0.860	<0.001	G10	0.551	<0.001
F8	0.775	<0.001

指标	参考标准	实测结果	评价
χ²/d_f	≤3.00可接受，≤2.00良好	1.900	良好
CFI	≥0.90可接受，≥0.95良好	0.919	可接受
TLI	≥0.90可接受，≥0.95良好	0.907	可接受
SRMR	≤0.08良好	0.070	良好
RMSEA	≤0.08可接受，≤0.06良好	0.060	良好

名称	条目数	Cronbach's α系数
认知维度	6	0.833
生理功能维度	11	0.925
心理维度	10	0.766
总量表	27	0.914

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