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Spanish adaptation and validation of the supportive

Overview of attention for article published in Revista de Saúde Pública, January 2018
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Spanish adaptation and validation of the supportive & palliative care indicators tool – SPICT-ES™
Published in
Revista de Saúde Pública, January 2018
DOI 10.11606/s1518-8787.2018052000398
Pubmed ID

Alfonso Alonso Fachado, Noemí Sansó Martínez, Marisa Martín Roselló, José Javier Ventosa Ria, Enric Benito Oliver, Rafael Gómez García, José Manuel Fernández García


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.

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Geographical breakdown

Country Count As %
Unknown 62 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 13%
Other 7 11%
Student > Bachelor 6 10%
Student > Doctoral Student 5 8%
Student > Postgraduate 5 8%
Other 16 26%
Unknown 15 24%
Readers by discipline Count As %
Medicine and Dentistry 22 35%
Nursing and Health Professions 13 21%
Psychology 3 5%
Biochemistry, Genetics and Molecular Biology 2 3%
Social Sciences 2 3%
Other 4 6%
Unknown 16 26%