title: The CAM-ICU has now a French "official" version. The translation process of the 2014 updated Complete Training Manual of the Confusion Assessment Method for the Intensive Care Unit in French (CAM-ICU.fr).
abstract: BACKGROUND
  Delirium is common in Intensive-Care-Unit (ICU) patients but under-recognized by bed-side clinicians when not using validated delirium-screening tools. The Confusion-Assessment-Method for the ICU (CAM-ICU) has demonstrated very good psychometric properties, and has been translated into many different languages though not into French. We undertook this opportunity to describe the translation process.
  
  
  METHODS
  The translation was performed following recommended guidelines. The updated method published in 2014 including introduction letters, worksheet and flowsheet for bed-side use, the method itself, case-scenarios for training and Frequently-Asked-Questions (32 pages) was translated into French language by a neuropsychological researcher who was not familiar with the original method. Then, the whole method was back-translated by a native English-French bilingual speaker. The new English version was compared to the original one by the Vanderbilt University ICU-delirium-team. Discrepancies were discussed between the two teams before final approval of the French version.
  
  
  RESULTS
  The entire process took one year. Among the 3692 words of the back-translated version of the method itself, 18 discrepancies occurred. Eight (44%) lead to changes in the final version. Details of the translation process are provided.
  
  
  CONCLUSIONS
  The French version of CAM-ICU is now available for French-speaking ICUs. The CAM-ICU is provided with its complete training-manual that was challenging to translate following recommended process. While many such translations have been done for other clinical tools, few have published the details of the process itself. We hope that the availability of such teaching material will now facilitate a large implementation of delirium-screening in French-speaking ICUs.
authors.affiliation: Department of anaesthesia and critical care medicine, university of Montpellier Saint-Éloi hospital, Montpellier, France; PhyMedExp, university of Montpellier, Inserm U1046, CNRS UMR 9214, Montpellier, France. Electronic address: g-chanques@chu-montpellier.fr.
authors.forename: Gérald
authors.initials: G
authors.lastname: Chanques
authors.affiliation: Department of anaesthesia and critical care medicine, university of Montpellier Saint-Éloi hospital, Montpellier, France.
authors.forename: Océane
authors.initials: O
authors.lastname: Garnier
authors.affiliation: Department of anaesthesia and critical care medicine, university of Montpellier Saint-Éloi hospital, Montpellier, France.
authors.forename: Julie
authors.initials: J
authors.lastname: Carr
authors.affiliation: Department of anaesthesia and critical care medicine, university of Montpellier Saint-Éloi hospital, Montpellier, France.
authors.forename: Matthieu
authors.initials: M
authors.lastname: Conseil
authors.affiliation: Department of anaesthesia and critical care medicine, university of Montpellier Saint-Éloi hospital, Montpellier, France; PhyMedExp, university of Montpellier, Inserm U1046, CNRS UMR 9214, Montpellier, France.
authors.forename: Audrey
authors.initials: A
authors.lastname: de Jong
authors.affiliation: Department of medicine, division of allergy, pulmonary, and critical care medicine, and the center for health services research, Vanderbilt university school of medicine, Nashville, Tennessee, USA.
authors.forename: Christine M
authors.initials: CM
authors.lastname: Rowan
authors.affiliation: Department of medicine, division of allergy, pulmonary, and critical care medicine, and the center for health services research, Vanderbilt university school of medicine, Nashville, Tennessee, USA; Geriatric research education clinical center (GRECC), department of veterans affairs, Tennessee valley healthcare system, Nashville, Tennessee, USA.
authors.forename: E Wesley
authors.initials: EW
authors.lastname: Ely
authors.affiliation: Department of anaesthesia and critical care medicine, university of Montpellier Saint-Éloi hospital, Montpellier, France; PhyMedExp, university of Montpellier, Inserm U1046, CNRS UMR 9214, Montpellier, France.
authors.forename: Samir
authors.initials: S
authors.lastname: Jaber
mesh_terms: D000368:Aged; D003221:Confusion / Q000175:diagnosis* / Q000628:therapy*; D003422:Critical Care / Q000592:standards*; D003693:Delirium / Q000175:diagnosis / Q000628:therapy; D005260:Female; D005602:France; D017408:Guidelines as Topic; D006801:Humans; D007362:Intensive Care Units / Q000592:standards*; D008297:Male; D008370:Manuals as Topic / Q000592:standards*; D008875:Middle Aged; D009483:Neuropsychological Tests; D010348:Patient Care Team; D014177:Translations
keywords: Critical care; Delirium; Intensive care unit; Sedation