Supportive and palliative care indicators tool (SPICT™): content validity, feasibility and pre-test of the Italian version.
Journalbmc palliative care2.015Date
2020 Jun 06
5 months ago
Journal Article
2020-Jun-06 / 19 : 79
Casale G 1, Magnani C 1, 2, Fanelli R 3, Surdo L 4, Goletti M 2, Boyd K 5, D'Angelo D 6, Mastroianni C 1, SPICT-IT™ study group 7
  • 2. Roma 1 Local Health Authority, Borgo Santo Spirito, 3, 00193, Rome, Italy.
  • 3. Primary Care Medical Center, Via Frà Albenzio, 10, 00136, Rome, Italy.
  • 4. Antea Associazione, Piazza Santa Maria della Pietà, 5, Pad XXII, 00135, Rome, Italy. [email protected]
  • 5. Primary Palliative Care Group, The University of Edinburgh, Doorway 3, Medical School, Teviot Place, Edinburgh, EH8 9AG, UK.
  • 6. Research, National Institute of Health, Via Giano della Bella, 34, 00162, Rome, Italy.
  • 7. SPICT-IT™ study group
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).
Keywords: Italian Palliative care Primary care SPICT Supportive care
BMC Palliat Carebmc palliative care

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