Palliative Care in the Community: The Greek Version of the Supportive and Palliative Care Indicators Tool (SPICT™)
Introduction/Objectives: Systematic identification of persons with palliative care needs constitutes a major challenge for promoting palliative care in all levels of the health system, including primary care. The aim of this study was to translate, cross-culturally adapt, and content validate Suppor...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2024-04-01
|
| Series: | Journal of Primary Care & Community Health |
| Online Access: | https://doi.org/10.1177/21501319241245842 |
| _version_ | 1797213012456636416 |
|---|---|
| author | Maria Bouri Evanthia Sakellari Dimitrios Krentiris Areti Lagiou |
| author_facet | Maria Bouri Evanthia Sakellari Dimitrios Krentiris Areti Lagiou |
| author_sort | Maria Bouri |
| collection | DOAJ |
| description | Introduction/Objectives: Systematic identification of persons with palliative care needs constitutes a major challenge for promoting palliative care in all levels of the health system, including primary care. The aim of this study was to translate, cross-culturally adapt, and content validate Supportive and Palliative Care Indicators Tool (SPICT) for use in the Greek primary care context. Secondary objectives were to probe the use of SPICT-GR in exemplary case vignettes, to discuss the clarity and comprehensibility of its content as well as the appropriateness, acceptability, and feasibility of the tool within the Greek primary care. Methods: The Greek translation and cross-cultural adaptation of SPICT™ followed World Health Organization recommendations for translation and adaptation of instruments. For this purpose a working group was set up consisting of 2 senior researchers, a primary care professional with postgraduate training in Palliative Medicine and a general practitioner (GP) with special interest in primary palliative care. Three focus groups comprised of health professionals (n = 23) working in primary care settings participated in the pilot testing phase. Participants also completed a questionnaire including rating their perceptions on tool’s utility and feasibility as well as on the clarity and relevance of its items. Thematic analysis was used for focus groups discussions on how the tool was perceived and interpreted by health professionals in a Greek healthcare context and descriptive statistics for the quantitative analysis of the questionnaire data. Results: The majority assessed the tool as useful (65%), considered its implementation in primary care as feasible (91%) and rated its items as “relevant” or “very relevant” and “clear” or “very clear.” Three themes emerged from focus groups discussions: Guiding clinical practice and facilitating collaboration; promoting comprehensive care and awareness for palliative care; applicability in and suitability for primary care . Conclusions: SPICT-GR™ was identified as a practical and applicable tool for primary care, a source of guidance for the comprehensive identification of patients’ palliative care needs, promoting awareness on palliative care and facilitating a shared language among health care professionals. |
| first_indexed | 2024-04-24T10:51:31Z |
| format | Article |
| id | doaj.art-e9fed859daa340a09510056c8cb0163f |
| institution | Directory Open Access Journal |
| issn | 2150-1327 |
| language | English |
| last_indexed | 2024-04-24T10:51:31Z |
| publishDate | 2024-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Primary Care & Community Health |
| spelling | doaj.art-e9fed859daa340a09510056c8cb0163f2024-04-12T12:04:02ZengSAGE PublishingJournal of Primary Care & Community Health2150-13272024-04-011510.1177/21501319241245842Palliative Care in the Community: The Greek Version of the Supportive and Palliative Care Indicators Tool (SPICT™)Maria Bouri0Evanthia Sakellari1Dimitrios Krentiris2Areti Lagiou3University of West Attica, Athens, GreeceUniversity of West Attica, Athens, GreeceHealth Center of Salamina, 2nd Regional Health Authority of Piraeus and the Aegean, GreeceUniversity of West Attica, Athens, GreeceIntroduction/Objectives: Systematic identification of persons with palliative care needs constitutes a major challenge for promoting palliative care in all levels of the health system, including primary care. The aim of this study was to translate, cross-culturally adapt, and content validate Supportive and Palliative Care Indicators Tool (SPICT) for use in the Greek primary care context. Secondary objectives were to probe the use of SPICT-GR in exemplary case vignettes, to discuss the clarity and comprehensibility of its content as well as the appropriateness, acceptability, and feasibility of the tool within the Greek primary care. Methods: The Greek translation and cross-cultural adaptation of SPICT™ followed World Health Organization recommendations for translation and adaptation of instruments. For this purpose a working group was set up consisting of 2 senior researchers, a primary care professional with postgraduate training in Palliative Medicine and a general practitioner (GP) with special interest in primary palliative care. Three focus groups comprised of health professionals (n = 23) working in primary care settings participated in the pilot testing phase. Participants also completed a questionnaire including rating their perceptions on tool’s utility and feasibility as well as on the clarity and relevance of its items. Thematic analysis was used for focus groups discussions on how the tool was perceived and interpreted by health professionals in a Greek healthcare context and descriptive statistics for the quantitative analysis of the questionnaire data. Results: The majority assessed the tool as useful (65%), considered its implementation in primary care as feasible (91%) and rated its items as “relevant” or “very relevant” and “clear” or “very clear.” Three themes emerged from focus groups discussions: Guiding clinical practice and facilitating collaboration; promoting comprehensive care and awareness for palliative care; applicability in and suitability for primary care . Conclusions: SPICT-GR™ was identified as a practical and applicable tool for primary care, a source of guidance for the comprehensive identification of patients’ palliative care needs, promoting awareness on palliative care and facilitating a shared language among health care professionals.https://doi.org/10.1177/21501319241245842 |
| spellingShingle | Maria Bouri Evanthia Sakellari Dimitrios Krentiris Areti Lagiou Palliative Care in the Community: The Greek Version of the Supportive and Palliative Care Indicators Tool (SPICT™) Journal of Primary Care & Community Health |
| title | Palliative Care in the Community: The Greek Version of the Supportive and Palliative Care Indicators Tool (SPICT™) |
| title_full | Palliative Care in the Community: The Greek Version of the Supportive and Palliative Care Indicators Tool (SPICT™) |
| title_fullStr | Palliative Care in the Community: The Greek Version of the Supportive and Palliative Care Indicators Tool (SPICT™) |
| title_full_unstemmed | Palliative Care in the Community: The Greek Version of the Supportive and Palliative Care Indicators Tool (SPICT™) |
| title_short | Palliative Care in the Community: The Greek Version of the Supportive and Palliative Care Indicators Tool (SPICT™) |
| title_sort | palliative care in the community the greek version of the supportive and palliative care indicators tool spict™ |
| url | https://doi.org/10.1177/21501319241245842 |
| work_keys_str_mv | AT mariabouri palliativecareinthecommunitythegreekversionofthesupportiveandpalliativecareindicatorstoolspict AT evanthiasakellari palliativecareinthecommunitythegreekversionofthesupportiveandpalliativecareindicatorstoolspict AT dimitrioskrentiris palliativecareinthecommunitythegreekversionofthesupportiveandpalliativecareindicatorstoolspict AT aretilagiou palliativecareinthecommunitythegreekversionofthesupportiveandpalliativecareindicatorstoolspict |