Spanish adaptation and validation of the supportive & palliative care indicators tool - SPICT-ESTM

• Published in: Revista de saúde pública Vol. 52; p. 3
• Main Authors: Fachado, Alfonso Alonso, Martínez, Noemí Sansó, Roselló, Marisa Martín, Rial, José Javier Ventosa, Oliver, Enric Benito, García, Rafael Gómez, García, José Manuel Fernández
• Format: Journal Article
• Language: English; Spanish
• Published: Brazil Faculdade de Saúde Pública da Universidade de São Paulo 2018; Universidade de São Paulo
• Subjects: Aged; Aged, 80 and over; Cross-Cultural Comparison; Decision Support Techniques; Female; Health Policy & Services; Humans; Language; Longitudinal Studies; Male; Middle Aged; Multicenter Study; Needs Assessment; Original; Palliative Care - psychology; Palliative Care - standards; Palliative Care Clinical Decision-Making; Prospective Studies; Psychometrics; Spain; Surveys and Questionnaires - standards; Surveys and Questionnaires, utilization; Translations; Validation Studies; Cuidados Paliativos Toma de Decisiones Clínicas; Decision Support Techniques; Estudio Multicéntrico; Validation Studies; Multicenter Study; Palliative Care Clinical Decision-Making; Surveys and Questionnaires, utilization; Encuestas y Cuestionarios, utilización; Translations; Traducciones; Estudios de Validación; Técnicas de Apoyo para la Decisión
• ISSN: 0034-8910; 1518-8787; 1518-8787
• DOI: 10.11606/s1518-8787.2018052000398

OBJECTIVE To culturally adapt and validate the SPICTTM to Spanish, which is a brief and simple tool to support a better identification of chronic patients who have palliative care needs. METHODS For this study, we designed a multicenter and national project between the centers of Galicia, Balearic Islands, and Andalusia. For the process of translation and cross-cultural adaptation of the SPICTTM to Spanish, we followed the steps proposed by Beaton et al. with successive translations and subsequent consensus of experts using the debriefing methodology. After the content validation was completed, the psychometric properties were validated. A prospective longitudinal study was designed with 188 patients from Galicia, the Balearic Islands, and Andalusia. The internal consistency and reliability of the test and retest was analyzed for 10 days by the same researcher. RESULTS For more than 90% of the participants of the SPICT-ESTM, it seems simple to be filled out, and they consider it written in an understandable language. The average time to apply the questionnaire without prior knowledge was 4 minutes and 45 seconds. To evaluate the internal consistency of the instrument, we used the Kuder-Richardson formula 20. Internal consistency is 0.71. The agreement index of the Kappa test is between 0.983 and 0.797 for the different items. CONCLUSIONS In this study, we demonstrate the equivalence of content with the original. In addition, the validation of the psychometric properties establishes that the SPICT-ESTM maintains adequate reliability and stability. If we add the satisfaction shown by the professionals and the ease of use, the SPICT-ESTM is an adequate tool for the identification of palliative patients with chronic diseases and palliative care needs.