To convert the Supportive and Palliative Care Indicator Tool (SPICTTM) into Chinese, verify its content validity, and adjust it culturally using cognitive interviewing.
Methods
This study translated, culturally adapted, and validated the SPICTTM based on TRAPD model (Translation, Review, Adjudication, Pretesting, and Documentation) in a Chinese healthcare context. Three rounds of interviews were conducted with 27 health care providers using cognitive interviews between July 2024 and October 2024.
Results
The Chinese version of SPICTTM demonstrated good comprehensiveness and understandability. It has been culturally and content-wise adapted through cognitive interviews, and most of the comprehension-related issues were effectively addressed through the addition of explanatory words; however, some of the interviewers’ recommendations that needed to be quantified the indexes were not adopted.
Conclusions
Cognitive interviews, guided by person-centered principles, can identify areas of the original scale that require modification. Although the application of the SPICTTM is still in its early stages in China, it has laid a foundation for the supportive and palliative care practice.
JaulEBarronJ. Age-related diseases and clinical and public health implications for the 85 years old and over population. Front Public Health.2017;5:335.
2.
ForemanKJMarquezNDolgertA, et al.Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016–40 for 195 countries and territories. Lancet.2018;392(10159):2052–2090.
3.
BloomDEChatterjiSKowalP, et al.Macroeconomic implications of population ageing and selected policy responses. Lancet.2015;385(9968):649–657.
4.
BloomDECanningDLubetA. Global population aging: Facts, challenges, solutions & perspectives. Daedalus. 2015;144(2):80–92.
5.
BaiCLeiX. New trends in population aging and challenges for China’s sustainable development. China Econ J.2020;13(1):3–23.
6.
WangMYSungHCLiuJY. Population aging and its impact on human wellbeing in China. Front Public Health.2022;10:883566.
7.
SleemanKEDe BritoMEtkindS, et al.The escalating global burden of serious health-related suffering: projections to 2060 by world regions, age groups, and health conditions. Lancet Glob Health.2019;7(7):e883–e892.
8.
TanuseputroPBudhwaniSBaiYQ, et al.Palliative care delivery across health sectors: a population-level observational study. Palliat Med.2017;31(3):247–257.
World Health Organization. Assessing the development of palliative care worldwide: a set of actionable indicators. 2021.
11.
BakitasMLyonsKDHegelMT, et al.Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial. JAMA. 2009;302(7):741–749.
12.
HaunMWEstelSRückerG, et al.Early palliative care for adults with advanced cancer. Cochrane Database Syst Rev.2017(6).
13.
EtkindSNBoneAEGomesB, et al.How many people will need palliative care in 2040? Past trends, future projections and implications for services. BMC Med.2017;15:1–10.
14.
TzirakiCGrimesCVenturaF, et al.Rethinking palliative care in a public health context: addressing the needs of persons with non-communicable chronic diseases. Prim Health Care Res Dev.2020;21:e32.
15.
WuYLiLSuH, et al.Hospice and palliative care: development and challenges in China. Clin J Oncol Nurs. 2016;20(1):E16–E19.
16.
WangTMolassiotisAChungBPM, et al.Current research status of palliative care in mainland China. J Palliat Care.2018;33(4):215–241.
17.
PaskSPintoCBristoweK, et al.A framework for complexity in palliative care: a qualitative study with patients, family carers and professionals. Palliat Med.2018;32(6):1078–1090.
18.
RomanòM. New Disease Trajectories of Heart Failure: Challenges in Determining the Ideal Timing of Palliative Care Implementation. J Palliat Med.2024.
19.
RadbruchLDe LimaLKnaulF, et al.Redefining palliative care—a new consensus-based definition. J Pain Symptom Manage.2020;60(4):754–764.
20.
ElMokhallalatiYBradleySHChapmanE, et al.Identification of patients with potential palliative care needs: a systematic review of screening tools in primary care. Palliat Med.2020;34(8):989–1005.
21.
ZhangMZhaoYPengM. Palliative care screening tools and patient outcomes: a systematic review. BMJ Support Palliat Care.2024.
22.
WalshRIMitchellGFrancisL, et al.What diagnostic tools exist for the early identification of palliative care patients in general practice? A systematic review. J Palliat Care.2015;31(2):118–123.
23.
BergenholtzHWeibullARaunkiærM. Supportive and palliative care indicators tool (SPICT™) in a Danish healthcare context: translation, cross-cultural adaptation, and content validation. BMC Palliat Care.2022;21(1):41.
24.
AfsharKFeichtnerABoydK, et al.Systematic development and adjustment of the German version of the Supportive and Palliative Care Indicators Tool (SPICT-DE). BMC Palliat Care.2018;17:1–9.
25.
CasaleGMagnaniCFanelliR, et al.Supportive and palliative care indicators tool (SPICT™): content validity, feasibility and pre-test of the Italian version. BMC Palliat Care.2020;19:1–5.
26.
FachadoAAMartínezNSRosellóMM, et al.Spanish adaptation and validation of the supportive & palliative care indicators tool–SPICT-ESTM. Rev Saude Publica.2018;52:3.
27.
HighetGCrawfordDMurraySA, et al.Development and evaluation of the Supportive and Palliative Care Indicators Tool (SPICT): a mixed-methods study. BMJ Support Palliat Care.2014;4(3):285–290.
28.
PiersRDe BrauwerIBaeyensH, et al.Supportive and Palliative Care Indicators Tool prognostic value in older hospitalised patients: a prospective multicentre study. BMJ Support Palliat Care.2021.
29.
ZamanzadehVGhahramanianARassouliM, et al.Design and Implementation Content Validity Study: Development of an instrument for measuring Patient-Centered Communication. J Caring Sci.2015;4(2):165–78.
30.
HarknessJAVillarAEdwardsB. Translation, adaptation, and design. In: Survey Methods in Multinational, Multiregional, and Multicultural Contexts. 2010:115–140.
31.
KnaflKDeatrickJGalloA, et al.The analysis and interpretation of cognitive interviews for instrument development. Res Nurs Health.2007;30(2):224–234.
32.
TourangeauR. Cognitive aspects of survey measurement and mismeasurement. Int J Public Opin Res.2003;15(1):3–7.
33.
IzumiSVandermauseRBenavides-VaelloS. Adapting cognitive interviewing for nursing research. Res Nurs Health.2013;36(6):623–633.
34.
LeeJ. Conducting cognitive interviews in cross-national settings. Assessment. 2014;21(2):227–240.
RyanKGannon-SlaterNCulbertsonMJ. Improving survey methods with cognitive interviews in small-and medium-scale evaluations. Am J Eval.2012;33(3):414–430.
37.
Patel-SyedZBeckerSOlsonM, et al.What do you think it means? Using cognitive interviewing to improve measurement in implementation science: description and case example. Implement Sci Commun. 2024;5(1):14.
38.
LenznerTHadlerPNeuertC. An experimental test of the effectiveness of cognitive interviewing in pretesting questionnaires. Qual Quant.2023;57(4):3199–3217.
39.
SripaewSFumaneeshoatOIngviyaT. Systematic adaptation of the Thai version of the supportive and palliative care indicators tool for low-income setting (SPICT-LIS). BMC Palliat Care.2021;20:1–9.
40.
PhamLArnbyMBenkelI, et al.Early integration of palliative care: translation, cross-cultural adaptation and content validity of the Supportive and Palliative Care Indicators Tool in a Swedish healthcare context. Scand J Caring Sci.2020;34(3):762–771.
