Systematic adaptation of the Thai version of the supportive and palliative care indicators tool for low-income setting (SPICT-LIS)

Abstract

Background Identification of patients who might benefit from palliative care among countries with different socioeconomic and medical contexts is challenging. The Supportive and Palliative Care Indicators Tool for a Low-income Setting (SPICT-LIS) was designed to help physicians identify patients in low-income setting who might benefit from palliative care. We aimed to systematically adapt and refine the SPICT-LIS for Thai general palliative care providers. Methods We followed the WHO guidelines for translation, cross-cultural adaptation and validation of an instrument for the SPICT-LIS. Three expert panel members did the initial adaptation using forward and backward translations with pretested data. Two iterations of pretesting were conducted to test for applicability and reliability. The case vignettes which were used in the pretesting were modified hospital medical records. The pretesting was done with 30 respondents from various specialties in a community health center and 34 general palliative care providers from a regional referral hospital in the first and second iterations, respectively. To examine instrument reliability, interrater reliability and internal consistency were evaluated. Cognitive interviewing was conducted using semi-structured interviews with general practitioners (GPs) using the “think aloud strategy” and “probing questions”. Results The adapted Thai SPICT-LIS had a total of 34 indicators which included 6 general and 28 clinical indicators. The assessment of the adapted Thai SPICT-LIS found that it provided consistent responses with good agreement among the GPs, with a Fleiss kappa coefficient of 0.93 (0.76–1.00). The administration time was 2.3–4.3 min per case. Most respondents were female. The 8 interviewed GPs said they felt that the SPICT-LIS was appropriate for use in a general setting in Thailand. Conclusion The study found that the Thai SPICT-LIS could be an applicable, acceptable, and reliable tool for general palliative care providers in Thailand to identify patients who might benefit from palliative care.

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

“…Our study found that SPICT-CH has an acceptable agreement between inter-rater reliability nurses, demonstrating a good stability of instrument. The inter-rater consistency (Kappa = 0.71) of SPICT-CH is higher than that (Kappa = 0.66) of the Thai version of SPICT [21]. It possibly due to the different composition of assessors in the studies.…”

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

“…Ten of the included studies were conducted in primary care and general practice settings 20 – 22 24 25 30 – 32 37 38 . The SPICT™ was also used in outpatient clinic settings 23 28 39 and residential aged care 29 35 .…”

Use of the Supportive and Palliative Care Indicators Tool (Spict™) for End-of-life Discussions: a Scoping Review

“…There were multiple study designs including validation and translation (n = 6) studies [17][18][19][20][21][22] and clinical improvement projects (n = 3) [23][24][25] . The focus of the clinical improvement projects was to increase the identi cation of palliative care needs and care planning through the use of the SPICT™.…”