Inclusion Criteria:  Hospitalized in intensive care or intensive care ventilated on a tracheostomy or an orotracheal intubation tube for> 24 hours not too agitated or too sedated (RASS -1 to +2) for> 24 hours CAM ICU negative Speak or read French  Exclusion Criteria:  Inability to use the device:  Blind or visually impaired Severe paresis of the upper limbs No understanding of the tool.