Adaptation of the Taiwan Version of the Supportive and Palliative Care Indicators Tool (SPICT-TW) and Its Association with Six-Month Mortality: A Multi-Center Validation Study in Older People
Journal
Healthcare (Switzerland)
Series/Report No.
Healthcare (Switzerland)
Journal Volume
12
Journal Issue
21
Start Page
2185
ISSN
2227-9032
Date Issued
2024-11-01
Author(s)
Liao, Jung-Yu
Chang, Hsiao-Ting
Murray, Scott A
Wu, Chien-Yi
Chang, Hisen-Cheng
Li, Chia-Ming
Tseng, Wei-Zhe
Hsiung, Chao Agnes
Chiou, Hung-Yi
Yu, Sang-Ju
Boyd, Kirsty
Chen, Ping-Jen
DOI
10.3390/healthcare12212185
Abstract
Background: The Supportive and Palliative Care Indicators Tool (SPICT) was developed for identifying, in a timely manner, patients who may benefit from supportive and palliative care for better treatment review, care-plan discussion, and end-of-life care. Although the SPICT has been validated in different languages and for patients living in different settings, it has not been validated for patients receiving home-based medical care (HBMC), or in the context of using traditional Chinese characters. Objectives: The present study aimed to validate the Taiwanese version of the SPICT (SPICT-TW) and to measure its ability to predict six-month mortality in patients who received HBMC in Taiwan. Methods: Seven HBMC agents (five clinics and two hospitals) participated in this validation study. We recruited 129 patients aged ≥ 50 years who had been consistently receiving HBMC for >two months. Results: The results revealed that the SPICT-TW demonstrated similar reliability and validity compared to other language versions of the SPICT. It may be an appropriate tool for healthcare professionals to detect, in a timely manner, the needs for palliative care in older people who receive home healthcare. Furthermore, we found that a combination of four general indicators and one clinical indicator in the SPCIT-TW has the best prediction ability at predicting six-month mortality in these HBMC recipients. This multi-center study validated the SPICT-TW among HBMC recipients in Taiwan. Conclusions: The SPICT-TW demonstrated high reliability and validity through the Kuder–Richardson 20, an intraclass correlation coefficient, Cohen’s kappa, and receiver operating characteristic analysis, supporting its potential as a practical tool for identifying older adults at risk of dying within six months who have not yet received palliative care but may benefit from it.
SDGs
Publisher
MDPI AG
Type
journal article