Supportive and Palliative Care Indicators Tool (SPICT™): Content Validity, Feasibility and Pre-test of the Italian Version

Overview

Journal BMC Palliat Care

Publisher Biomed Central

Specialty Critical Care

Date 2020 Jun 8

PMID 32505197

Citations 12

Authors

Giuseppe Casale

Caterina Magnani

Renato Fanelli

Laura Surdo

Mauro Goletti

Kirsty Boyd

Daniela DAngelo

Chiara Mastroianni

Affiliations

Soon will be listed here.

Abstract

Background: Difficulties in identifying patients at risk of clinical deterioration or death represent one of the main barriers to Palliative Care (PC) development in the community. Currently, no specific Italian tools aimed at identifying patients with PC needs are available. Of the different European tools available, the SPICT™ can be used easily in any kind of setting and does not include the Surprise Question. The purpose of the study was to translate, cross-culturally adapt and pre-test the Italian version of the SPICT™.

Methods: The Beaton recommendations for the cross-cultural adaptation of instruments were followed. Content validity was assessed using the Lynn method. A sample of Italian General Practitioners (GPs) assessed the SPICT-IT™ for feasibility and tested it.

Results: During the cross-cultural adaptation, some issues regarding semantic, experiential, idiomatic and conceptual equivalences were raised and resolved. The Scale-Content Validity Index/Ave was 0.86. Of the 907 GPs included in the sample, 71 (7.8%) agreed to test the SPICT-IT™ and to assess its feasibility. The participants provided care for 73,526 people in the community. Of these people, 1.7% (N = 1303) were identified as being in need of PC according to the SPICT-IT™. Sixty-six (93.0%) GPs stated they would use the SPICT-IT™ in their daily clinical practice.

Conclusions: The SPICT-IT™ demonstrated acceptable content validity. The percentage of patients identified through the SPICT-IT™ was comparable to findings from literature. The next phase of this project will investigate the impact of a proactive training programme aimed at supporting GPs in identifying patients with PC needs and delivering appropriate Primary Palliative Care (PPC).

Citing Articles

Translation, cross-cultural adaptation and validation of the Chinese version of supportive and palliative care indicators tool (SPICT-CH) to identify cancer patients with palliative care needs.

Xie Z, Tang S, Johnson C, Xiao L, Ding J, Huang C BMC Palliat Care. 2025; 24(1):4.

PMID: 39773249 PMC: 11708097. DOI: 10.1186/s12904-024-01641-x.

Adaptation of the Taiwan Version of the Supportive and Palliative Care Indicators Tool (SPICT-TW) and Its Association with Six-Month Mortality: A Multi-Center Validation Study in Older People.

Liao J, Chang H, Peng J, Murray S, Wu C, Chang H Healthcare (Basel). 2024; 12(21).

PMID: 39517396 PMC: 11545587. DOI: 10.3390/healthcare12212185.

Implementation of the ID-PALL Assessment Tool for Palliative Care Needs: A Feasibility and Prevalence Study in a Tertiary Hospital.

Teike Luthi F, Bernard M, Behaghel G, Burgniard S, Larkin P, Borasio G Palliat Med Rep. 2024; 5(1):350-358.

PMID: 39144135 PMC: 11319861. DOI: 10.1089/pmr.2023.0080.

Use of the supportive and palliative care indicators tool (SPICT™) for end-of-life discussions: a scoping review.

Mahura M, Karle B, Sayers L, Dick-Smith F, Elliott R BMC Palliat Care. 2024; 23(1):119.

PMID: 38750464 PMC: 11097449. DOI: 10.1186/s12904-024-01445-z.

Palliative Care in the Community: The Greek Version of the Supportive and Palliative Care Indicators Tool (SPICT™).

Bouri M, Sakellari E, Krentiris D, Lagiou A J Prim Care Community Health. 2024; 15():21501319241245842.

PMID: 38605629 PMC: 11010743. DOI: 10.1177/21501319241245842.

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