Background: Early identification of patients who require palliative and supportive care at the general palliative care level is challenging. The Supportive & Palliative Care Indicators Tool (SPICT™) might provide a helpful framework for this process. Aim: To translate, culturally adapt and content validate SPICT™-DK in hospital, primary care, and general practice and within the broader Danish health care context. Methods: SPICT™-DK was translated and cross-culturally validated by using the TRAPD-model (Translation, Review, adjudication, pretesting, and documentation) as well as the EORTC- translation guide (European Organisation for Research and Treatment of Cancer). In the pre-(pilot) testing phase, six focus group interviews and five individual interviews were conducted involving n = 29 health care professionals from general practice, primary care, and hospital. The qualitative data were analyzed through thematic analysis and the SPICT™-DK was then revised and published. Results: The interviews revealed that SPICT™-DK can be used to identify people with palliative care needs. Three themes were derived from the analysis and showed SPICT™-DK provides a linguistic framework but must be used as an interdisciplinary tool as that SPICT™-DK requires competencies and collaboration. Conclusion: SPICT™-DK is now translated and culturally validated in a Danish healthcare setting. The tool is useful to identify people with palliative care needs but must be implemented as an interdisciplinary collaborative intervention. SPICT™ -DK cannot be used by all healthcare professionals as it requires disease-specific competencies. However, it provides a common language for early palliative care interventions which can form the basis for interdisciplinary planning of future treatment and care.
Bibliografisk noteFunding Information:
The following foundations have provided financial support to the project: the Novo Nordisk Foundation and the Regional Research Foundation in Region Zealand, Denmark. REHPA, Knowledge Centre for Rehabilitation and Palliative Care financed a SPICT-conference for the first and second author in Edinburgh, Scotland.
We would like to thank REHPA, Knowledge Centre for Rehabilitation, and Palliative Care for initiating and supporting the translation work. A big thanks to the translators, Rikke Bergenholtz, Mikael J?rgensen, Vicky Joshi, and Angela Heath-Larsen who performed excellent forward-backward translations. We also extend our thanks to David Clark, BA, MA, PhD, FacSS, Adjunct professor, SDU, and Professor Emeritus in Medical Sociology, University of Glasgow, Scotland who provided language editing for this paper. Furthermore, we would like to thank our respondents for their time in participating in the interviews.