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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
Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Region Halland, Halmstad, Sweden.ORCID iD: 0000-0002-8593-8182
Sahlgrenska University Hospital, Göteborg, Sweden.
Sahlgrenska University Hospital, Göteborg, Sweden & Sahlgrenska Academy, Institute of Medicine, Geriatric Medicine and Clinical Osteoporosis Research School, University of Gothenburg, Gothenburg, Sweden.
Region Halland, Halmstad, Sweden.ORCID iD: 0000-0003-3665-0198
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2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Published
Abstract [en]

Background: Timely identification of patients with palliative care needs is a prerequisite for being able to carry out effective and equal palliative care. The Supportive and Palliative Care Indicators Tool (SPICT) identifies patients likely to benefit from a palliative approach.

Aim: The main objective was to describe the translation, cross-cultural adaptation and content validation process of the SPICT-SE. In this process, the prefinal SPICT-SE was tested in focus group interviews to explore how the tool was perceived and interpreted by healthcare professionals in a Swedish healthcare context.

Methods: In this qualitative descriptive study, the translation, cross-cultural adaptation and content validation process of the SPICT-SE was based on a recommended method for cross-cultural adaptation of self-report measures. The process included two independent forward translations, a synthesis, and one independent back-translation. An expert committee consolidated all the versions and developed the prefinal version of the SPICT-SE. The prefinal version of the SPICT-SE was tested in four focus group interviews with physicians and nurses engaged in inpatient or outpatient care in south-west Sweden. A thematic analysis of the transcribed interviews was performed. The SPICT-SE was then revised to the final version.

Results: In the thematic analysis, four themes were constructed that together described how the SPICT-SE was perceived and interpreted by healthcare professionals: The mindset is familiar and relevant; the tool needs to be adjusted in order to be clearer; the purpose and consequences of the tool are ambiguous; and the tool supports a palliative approach.

Conclusion: The SPICT-SE has now been successfully translated, culturally adapted and content validated in a Swedish healthcare context.

© 2019 Nordic College of Caring Science

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2019.
Keywords [en]
Supportive and Palliative Care Indicators Tool, cross-cultural translation, early palliative care, identification tool, palliative care
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hh:diva-40892DOI: 10.1111/scs.12781ISI: 000493275500001PubMedID: 31667879OAI: oai:DiVA.org:hh-40892DiVA, id: diva2:1369554
Note

Funder: Region Halland

Available from: 2019-11-12 Created: 2019-11-12 Last updated: 2019-11-12

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Pham, LottaJönsson, Patrik DahlqvistKällstrand Eriksson, JeanetteZiegert, Kristina

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Pham, LottaJönsson, Patrik DahlqvistKällstrand Eriksson, JeanetteZiegert, Kristina
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Health Care Service and Management, Health Policy and Services and Health Economy

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