Journal article
Validation of a redeveloped Prevention and Early Delirium Identification Toolkit (PREDICT) for carers: An eDelphi study
Collegian, Vol.33(4), pp.280-284
2026
Abstract
Background
Delirium is an underdiagnosed, acute disturbance in cognition that disproportionately affects older adults, particularly when hospitalised. Delirium remains poorly understood by many healthcare professionals, patients, and carers. The Prevention and Early Delirium Identification Toolkit (PREDICT) is an online resource to connect carers to support and information. By prefacing the voices of carers and embedding their lived experience into the design process, we sought to advance a more inclusive and responsive approach to delirium care.
Aim
The aim of this eDelphi study was to validate the redeveloped online resource for use to connect and assist carers of older adults at risk of delirium.
Method
Online questionnaires, informed by the Credible and Usable Evaluation of Patient Education Tool, gathered information about the usability and quality of PREDICT.
Findings
Six carers provided feedback over two rounds, highlighting varied responses to several components. While the carer support resources were endorsed as relevant and useful, the delirium screening tool instructions did not reach consensus in the first round due to the instructions being unclear. Modification to the instructions improved the tool’s practical usability in the second round.
Discussion
This eDelphi validation study used expert consensus to refine the usability and quality of redeveloped PREDICT, ensuring that it remains accessible and inclusive in supporting carers of older adults at risk of delirium.
Conclusion
Ongoing end-user engagement is vital to strengthen adoption, credibility, and impact, supporting more effective, person-centred digital care.
Details
- Title
- Validation of a redeveloped Prevention and Early Delirium Identification Toolkit (PREDICT) for carers: An eDelphi study
- Authors
- Christina Aggar (Corresponding Author) - Southern Cross UniversityCarla Sunner - Southern Cross UniversityGolam Sorwar - Southern Cross UniversityMark Hughes - Southern Cross UniversityAndrea Taylor - Royal Brisbane and Women's HospitalKasia Bail - University of CanberraRoslyn M. Compton - University of the Sunshine CoastJennene Greenhill - Southern Cross UniversityJames Baker - Southern Cross UniversityHazel Bridgett - Northern NSW Local Health District (Australia)Janet Baker - Metro North Hospital and Health ServiceAlison Craswell - University of the Sunshine Coast
- Publication details
- Collegian, Vol.33(4), pp.280-284
- Publisher
- Elsevier BV
- Date published
- 2026
- DOI
- 10.1016/j.colegn.2026.05.001
- ISSN
- 1876-7575
- Copyright note
- © 2026 The Author(s). Published by Elsevier Ltd on behalf of Australian College of Nursing Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
- Grant note
- This study is part of an Australian National Health & Medical Research Council grant but did not receive funding.
- Organisation Unit
- Healthy Ageing Research Cluster; School of Health; School of Health - Nursing
- Language
- English
- Record Identifier
- 991246279802621
- Output Type
- Journal article
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