Supportive and palliative care indicators tool (SPICT™) in a Danish healthcare context: translation, cross-cultural adaptation, and content validation

Heidi Bergenholtz*, Anna Weibull, Mette Raunkiær

*Corresponding author for this work

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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.

Original languageEnglish
Article number41
JournalBMC Palliative Care
Number of pages11
Publication statusPublished - 24. Mar 2022

Bibliographical note

Publisher Copyright:
© 2022, The Author(s).


  • Content validation
  • Cross-cultural adaptation
  • Early palliative care
  • General palliative care
  • Identification
  • Palliative care
  • Supportive and palliative care indicators tool
  • Translation
  • Humans
  • Palliative Care
  • Cross-Cultural Comparison
  • Language
  • Delivery of Health Care
  • Denmark
  • Surveys and Questionnaires


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