Supportive and palliative care indicators tool (SPICT™): content validity, feasibility and pre-test of the Italian version

Casale, Giuseppe; Magnani, Caterina; Fanelli, Renato; Goletti, Mauro; Boyd, Kirsty; D’Angelo, Daniela; Mastroianni, Chiara

doi:10.1186/s12904-020-00584-3

Cited by 17 publications

(15 citation statements)

References 20 publications

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“…The cultural adaptation process for the instrument showed a semantic equivalence with the SPICT-ES ™ translated into Spanish by Fachado A et al, (2018), making it necessary to add some words/expressions in 3 items to more clearly describe the indicators, similar to what was done in other adaptations [23,24]. Based on the concordance level, it is interpreted that SPICT-ES CH corresponds to an instrument that gathers evidence of content validity, with clear items, coherent with the construct to be measured and feasible to be submitted to the following stages.…”

Section: Discussionmentioning

confidence: 99%

Cultural adaptation and validation of the SPICT-ES™ instrument to identify palliative care needs in Chilean older adults

Farfán-Zúñiga

Zimmermann-Vildoso

2022

BMC Palliat Care

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Introduction Chile presents a context of an aging population and increased life expectancy, leading to many older adults (OA) needing palliative care (PC) during the course of their illness. The SPICT-ES™ is an instrument used to clinically evaluate patients with advanced chronic illness (ACI) to detect PC needs. Validating this instrument in Chile will allow for early detection of OA at risk of clinical deterioration who require this care. Objective Adapt and validate the SPICT-ES™ instrument to identify PC needs among OA in Chile. Methodology Study following quantitative design – cross-sectional, descriptive, and developed in three stages: cultural adaptation by expert judgment; preliminary test of the SPICT-ESCH instrument to evaluate reliability and application of the SPICT-ESCH in 292 patients, to determine internal consistency and stability of the instrument. This study was done between January 2019 and July 2021. Participants in the study were nurses and OA from 5 health centers in Santiago, Chile. This study was approved by the Ethics Committee of Universidad de los Andes. Results In the cultural adaptation with content validity, following expert judgment, all items were kept. Semantic modifications were made on only three of them. A Lawshe coefficient of 84% which determined SPICT-ESCH as an acceptable instrument for the following stages of validation and reliability. The pilot for the new version in Chile, SPICT-ESCH, determined stability and consistency over time, with a Pearson correlation coefficient (ρ) of 0.9167 (p < 0.0001). In the final application of the instrument, to fortify the psychometric evaluation (n = 292) we identified 53.4% positive SPICT-ESCH. The logistical model via OR (< 0.001) showed that the items predicted the positivity of the instrument. The internal consistency obtained was 0.8662, confirming a correlation and intercorrelation between items. 100% of nurses evaluated the SPICT-ESCH as a useful and feasible instrument. Conclusion SPICT-ESCH includes all the relevant indicators for adequate clinical identification of PC needs among the Chilean OA population, who could Benefit from the early introduction of palliative support contributing to their quality of life.

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Section: Discussionmentioning

confidence: 99%

Cultural adaptation and validation of the SPICT-ES™ instrument to identify palliative care needs in Chilean older adults

Farfán-Zúñiga

Zimmermann-Vildoso

2022

BMC Palliat Care

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“…To minimize common method bias and maximize content validity, the authors used multiple strategies, such as multidimensional scales for each construct; simple language suitable for the target audience; pre-test of the questionnaire and feedback from children, academics and teachers of the target grades’ participants; positive and negative items were used in a balanced way; teachers were involved as intermediaries of the whole process [ 60 , 61 , 62 , 63 , 64 ]. Harman’s single factor test revealed that systematic variance was not a problem in the present study [ 65 ].…”

Section: Methodsmentioning

confidence: 99%

Dance Is for All: A Social Marketing Intervention with Children and Adolescents to Reduce Prejudice towards Boys Who Dance

Silva

Sá

Silva

et al. 2021

IJERPH

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Dance is proven to offer a myriad of physical, psychological, and social benefits. However, because dance has been frequently perceived as a feminine practice, there is a prevailing prejudice towards boys who dance, making it hard for them to engage in this physical activity. Social marketing has been presented as a promising framework to deal with different social problems, including prejudice, although its effectiveness is still difficult to establish. Drawing on the Theory of Planned Behavior (TPB), a quasi-experimental study involving a sample of 436 children and adolescents, composed of 51.38% boys and 48.62% girls was implemented to measure the effectiveness of a Social Marketing Intervention (SMI) in reducing prejudice towards dance and boys who dance, in particular, and in increasing their intentions to practice this physical activity. The study furthermore aimed to compare the influence of the SMI on participants of two different stages of child development to ascertain when it is most effective to intervene. The questionnaire was used to collect information and included items derived from relevant literature. To assess differences between children and adolescents before and after the SMI, the analysis relied on independent t-tests and paired t-tests. Results suggest positive effects of the SMI on some dimensions of the TPB.

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“… 17 Furthermore, several tools including general as well as disease-specific indicators have been developed: the Gold Standards Framework Prognostic Indicator Guidance (GSF-PIG), the Supportive and Palliative Care Indicators Tool (SPICT) and the RADPAC indicators. 15 , 18 , 19 However, these tools are rather focused on the terminal phase and have not been validated for COPD.…”

Section: Introductionmentioning

confidence: 99%

External Validation and User Experiences of the ProPal-COPD Tool to Identify the Palliative Phase in COPD

Broese

Kleij

Verschuur

et al. 2022

COPD

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Background: Difficulty predicting prognosis is a major barrier to timely palliative care provision for patients with COPD. The ProPal-COPD tool, combining six clinical indicators and the Surprise Question (SQ), aims to predict 1-year mortality as a proxy for palliative care needs. It appeared to be a promising tool for healthcare providers to identify patients with COPD who could benefit from palliative care. Objective: To externally validate the ProPal-COPD tool and to assess user experiences. Methods: Patients admitted with an acute exacerbation COPD were recruited across 10 hospitals. Demographics, clinical characteristics and survival status were collected. Sensitivity, specificity, positive and negative predictive values of the tool using two cut-off values were calculated. Also, predictive properties of the SQ were calculated. In monitoring meetings and interviews, healthcare providers shared their experiences with the tool. Transcripts were deductively coded using six user experience domains: Acceptability, Satisfaction, Credibility, Usability, User-reported adherence and Perceived impact. Results: A total of 523 patients with COPD were included between May 2019 and August 2020, of whom 100 (19.1%) died within 12 months. The ProPal-COPD tool had an AUC of 0.68 and a low sensitivity (55%) and moderate specificity (74%) for predicting 1-year all-cause mortality. Using a lower cut-off value, sensitivity was higher (74%), but specificity lower (46%). Sensitivity and specificity of the SQ were 56% and 73%, respectively (AUC 0.65). However, healthcare providers generally appreciated using the tool because it increased awareness of the palliative phase and provided a shared understanding of prognosis, although they considered its outcome not always correct. Conclusion:The accuracy of the ProPal-COPD tool to predict 1-year mortality is limited, although screening patients with its indicators increases healthcare providers' awareness of palliative care needs and encourages them to timely initiate appropriate care.

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Supportive and palliative care indicators tool (SPICT™): content validity, feasibility and pre-test of the Italian version

Cited by 17 publications

References 20 publications

Cultural adaptation and validation of the SPICT-ES™ instrument to identify palliative care needs in Chilean older adults

Cultural adaptation and validation of the SPICT-ES™ instrument to identify palliative care needs in Chilean older adults

Dance Is for All: A Social Marketing Intervention with Children and Adolescents to Reduce Prejudice towards Boys Who Dance

External Validation and User Experiences of the ProPal-COPD Tool to Identify the Palliative Phase in COPD

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