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DCQ — Delirium Caregiver Questionnaire

2021

A staged caregiver telephone-triage questionnaire with a seven-item form and a three-item short option. It was designed for older outpatients with cognitive impairment rather than bedside hospital assessment.

Informant / caregiver-basedScreening / case-findingNo eligible DTA study identifiedRelated context

Related context

Telephone/outpatient caregiver triage rather than bedside patient assessment. This profile remains public for clinical and bibliographic context, but it does not add to the headline count of independent core families.

What this tool is and how to interpret its evidence

The Delirium Caregiver Questionnaire is a purpose-built telephone triage tool for caregivers of older outpatients referred because of cognitive concerns. It uses a staged seven-item decision process and can be completed in under two minutes. The investigators also explored a shorter three-item route. Its purpose is to identify people who need urgent face-to-face assessment; it does not make a final diagnosis remotely.

Luijendijk and colleagues developed the questionnaire in one cohort and evaluated the final version in a subsequent cohort, with clinicians establishing delirium diagnoses while blinded to questionnaire results. The seven-item form had sensitivity and specificity of 73.5%. A three-item analysis gave sensitivity of 79.6% and specificity of 70.8%, although performance depended on complete caregiver reporting of key symptoms. The study also found that delirious patients were assessed sooner after DCQ introduction.

DCQ is a genuine delirium tool omitted by a bedside-only rule. It should be added to remote, outpatient and informant context, not silently mixed with hospital bedside tests. The page can state the form lengths, staged triage purpose, timing and accuracy without reproducing the questions. A positive result means urgent clinical assessment is warranted; a negative result cannot safely exclude delirium when caregiver information is incomplete or symptoms are fluctuating.

Evidence and practical details

73.5% (7-item); 79.6% (3-item analysis)
Sensitivity*
73.5% (7-item); 70.8% (3-item analysis)
Specificity*
Full name
Delirium Caregiver Questionnaire
Catalogue class
Related context
Record type
context-related
Family
dcq-family
Purpose
Informant / caregiver-based, Screening / case-finding
Population
Older outpatients with cognitive impairment and their caregivers
Setting
Outpatient / remote
Items
Administration
<2 min
Evidence
No eligible DTA study identified
Evidence maturity
single-DTA
Evidence stage
contextual-validation-or-psychometric-evidence
DTA studies identified
0
Reference type
Canonical source or first evaluation
Cut-off / scoring
Staged triage decision rather than a simple summed threshold
Original/source citation
Luijendijk HJ, Quispel-Aggenbach DWP, Stroomer-van Wijk AJM, Meijerink-Blom AH, van Walbeek A, Zuidema SU A short delirium caregiver questionnaire for triage of elderly outpatients with cognitive impairment: a development and test accuracy study International Psychogeriatrics. 2021;33(1):31-37. PMID 31658916

Format and clearly labelled links

Rights, version and permission record

Instrument access state
Verified open article containing the instrument
Instrument host
Cambridge University Press / PubMed Central (primary open article)
Current instrument/version note
Final seven-item Delirium Caregiver Questionnaire (published 2021)
Rights holder
International Psychogeriatric Association (article copyright statement)
Licence / rights basis
CC-BY-4.0 ↗
Rights checked
2026-07-19
Rights-holder contact
Not yet verified

Permission scope recorded at the last check

  • Clinical use: Article content may be used under CC BY 4.0; clinical implementation must still follow the validated population and local governance.
  • Research use: Permitted under CC BY 4.0 with citation and attribution.
  • Web republication: Permitted under CC BY 4.0 with attribution, source link and change notice.
  • Translation/adaptation: Permitted under CC BY 4.0; identify changes and do not imply author endorsement.
  • EHR/software integration: Copyright licence permits adaptation, but implementation validity and governance are separate and were not established by this rights review.
  • Commercial use: Permitted by CC BY 4.0 subject to its terms.

Attribution supplied for permitted reuse: Delirium Caregiver Questionnaire, Luijendijk HJ, Quispel-Aggenbach DWP, Stroomer-van Wijk AJM, Meijerink-Blom AH, van Walbeek A and Zuidema SU, International Psychogeriatrics 2021;33:31-37, https://doi.org/10.1017/S1041610219001595, licensed under CC BY 4.0. Identify any changes.

Site-text licence boundary: the CC BY 4.0 notice for original deliriumtools.com editorial text does not cover third-party instruments, item wording, forms, article text, logos, screenshots or linked material.

Page record and review status

Page version
3.1.0
Last factual/source check
2026-07-19
Last rights/link check
2026-07-19
Curator and responsible editor
Professor Alasdair M J MacLullich — Curator factual and source review complete (not an independent external reviewer)
Independent external clinical review
Not yet completed. No independent external reviewer, consortium endorsement or institutional endorsement is claimed.

Corrections and rights-holder notices can be submitted through the contribute and corrections page.

* Where shown, sensitivity/specificity are from the cited evaluation and are not pooled estimates. “DTA studies identified” describes the current audit, not a completed systematic-review count. Citation metadata checked against PubMed or a publisher record does not imply validation, study quality, endorsement or suitability for a setting. See Methodology.