{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T07:16:22Z","timestamp":1771571782847,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T00:00:00Z","timestamp":1713225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to validate the Delirium Observation Screening Scale (DOSS) in a population of long\u2010term care facility (LTCF) residents in Flanders. Currently there is no validated screening tool for delirium available for the population in this setting in Flanders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A multisite, cross\u2010sectional study was conducted in six LTCFs. A total of 338 residents aged 65\u2009years and older were included. Sociodemographic and clinical data, including data from the Montreal Cognitive Assessment (MoCA), Confusion Assessment Method (CAM) and DOSS, were obtained by three trained nurse researchers. For the DOSS, internal consistency was determined, and inter\u2010rater reliability was calculated. To validate the DOSS, the sensitivity, specificity, and positive and negative predictive value of the DOSS relative to the CAM were determined through receiver operating characteristic analysis. This article adheres to the Strengthening the Reporting of Observational Studies (STROBE) checklist for observational research.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For 338 residents, delirium assessments were completed during an early or late shift. The prevalence of delirium was 14.2% as measured with the DOSS. The reliability (<jats:italic>\u03b1<\/jats:italic>) for the CAM and DOSS was assessed, as was the inter\u2010rater reliability (<jats:italic>\u03ba<\/jats:italic>) and the area under the curve. The sensitivity and specificity for a cut\u2010off value of 3 on the DOSS by Youden's index were very high, as was the negative predictive value. The positive predictive value was good.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study showed that the DOSS is a reliable and valid instrument to screen for delirium in LTCF residents in Flanders. <jats:bold>Geriatr Gerontol Int 2024; 24: 619\u2013625<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.14878","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T09:36:07Z","timestamp":1713260167000},"page":"619-625","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Validation of the Delirium Observation Screening Scale in long\u2010term care facilities in Flanders"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4938-4952","authenticated-orcid":false,"given":"Kelly","family":"Sabbe","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, Centre for Research and Innovation in Care (CRIC) University of Antwerp  Antwerp Belgium"},{"name":"Health Service Research Belgian Health Care Knowledge Centre (KCE)  Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4516-547X","authenticated-orcid":false,"given":"Roos","family":"van der Mast","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Collaborative Antwerp Psychiatric Research Institute (CAPRI) University of Antwerp  Antwerp Belgium"},{"name":"Leiden University Medical Centre University of Leiden  Leiden The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2817-0944","authenticated-orcid":false,"given":"Tinne","family":"Dilles","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, Centre for Research and Innovation in Care (CRIC) University of Antwerp  Antwerp Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7670-0300","authenticated-orcid":false,"given":"Bart","family":"Van Rompaey","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, Department of Family Medicine and Population Health (FAMPOP) University of Antwerp  Antwerp Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,16]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2001.00548.x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrneurol.2009.24"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.7748\/nop2010.05.22.4.16.c7732"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afq126"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d5928"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.2147\/NDT.S49520"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-113-12-941"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.161.20.2467"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1182"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01239.x"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610214002853"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610217001697"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1891\/rtnp.17.1.31.53169"},{"key":"e_1_2_12_15_1","first-page":"S3","article-title":"Delirium case finding: pilot testing of a new screening scale for nurses","volume":"50","author":"Schuurmans MJ","year":"2002","journal-title":"J Am Geriatr Soc"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6955-6-3"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06453-w"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999-019-00261-6"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-016-0537-0"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.941648"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-13-129"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53221.x"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12439-010-0218-0"},{"key":"e_1_2_12_24_1","unstructured":"EulderinkF HeerenTJ.Inleiding gerontologie en geriatrie: Bohn Stafleu van Loghum 2004."},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-014-0176-2"},{"key":"e_1_2_12_26_1","unstructured":"Rijksinstituut voor ziekte\u2010 en invaliditeitsverzekering (RIZIV).Dutch Katz scale 2022. 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