Abstract:The aim of this study was to translate and test the psychometric properties of a Farsi and an English version of the spiritual needs questionnaire (SpNQ) a measure originally developed in German. The World Health Organization guideline for translating and validating questionnaires was used. Participants were recruited from hospitals in Iran and New Zealand during an outpatient follow-up appointment after cancer treatment. People diagnosed with cancer in Iran (68) and New Zealand (54) completed and returned the SpNQ (at time 1) and within the two week time period (time 2). Cronbach's alpha ranged from 0.79 to 0.92, except for the existentialistic domain of the SpNQ (0.53-0.54). The coefficient of variation (CV) indicated minimal random variation between the assessments; the measures were generally stable, except for the item "existentialistic". The translated versions of the SpNQ have the potential to support a comprehensive assessment of cancer patients' spiritual needs.Keywords: cancer; spiritual care; needs
BackgroundThe provision of holistic care is recognised and promoted as best practice in caring for people with cancer [1], and involves assessing and treating physical, emotional and spiritual needs [2]. Spirituality has been defined as "an inherent quality of all humans that drives the search for meaning and purpose in life" and "involves relationships with oneself, others and a transcendent dimension" ([3], p. 324). Taylor [4] states spirituality reveals itself as spiritual needs in three levels: intrapersonal, interpersonal and transpersonal. The need to have purpose, hope and transcend challenges is an example of intrapersonal spiritual needs. The desire to forgive and be forgiven and to love and be loved by others illustrates an interpersonal level of need. Examples of transpersonal spiritual needs include the desire to relate to and worship an ultimate other (often God).In recent years, an increasing number of studies have shown that spirituality and/or religiosity can be a source of comfort for cancer patients [5,6] and is linked to self-esteem, sense of hope, a sense of meaning and purpose, and the provision of emotional comfort [6]. Spirituality is a much broader concept than religion, although it may be expressed through religion [7]. Koenig [2] believes that spirituality and religion can be used interchangeably, because most research linking spirituality to health has measured religious beliefs or practices.There is a growth in the evidence of a positive association between spirituality and other health outcomes [8], which suggests the importance of considering spiritual needs in health care [9]. There is