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BMC Palliative Care
Published in: BMC Palliative Care 1/2020

01-12-2020 | Care | Research article

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

Authors: Giuseppe Casale, Caterina Magnani, Renato Fanelli, Laura Surdo, Mauro Goletti, Kirsty Boyd, Daniela D’Angelo, Chiara Mastroianni, the SPICT-IT™ study group

Published in: BMC Palliative Care | Issue 1/2020

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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).
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Metadata
Title
Supportive and palliative care indicators tool (SPICT™): content validity, feasibility and pre-test of the Italian version
Authors
Giuseppe Casale
Caterina Magnani
Renato Fanelli
Laura Surdo
Mauro Goletti
Kirsty Boyd
Daniela D’Angelo
Chiara Mastroianni
the SPICT-IT™ study group
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
Care
Published in
BMC Palliative Care / Issue 1/2020
Electronic ISSN: 1472-684X
DOI
https://doi.org/10.1186/s12904-020-00584-3

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