Spanish adaptation and validation of the supportive & palliative care indicators tool – SPICT-ES™


  • Alfonso Alonso Fachado Servizo Gallego de Saúde. Subdirección General de Planificación y Programacion Asistencial
  • Noemí Sansó Martínez Universidad de las Islas Baleares. Facultad de Enfermería y Fisioterapia
  • Marisa Martín Roselló Fundación Cudeca
  • José Javier Ventosa Ria Complejo Hospitalario Universitario de Ferrol. Servizo Galego de Saúde
  • Enric Benito Oliver Universidad Francisco de Vitoria
  • Rafael Gómez García Fundación Cudeca
  • José Manuel Fernández García Centro de Salud de Porto do Son. Servizo Gallego de Saúde



Palliative Care Clinical Decision-Making. Decision Support Techniques. Surveys and Questionnaires, utilization. Translations. Validation Studies. Multicenter Study.


OBJECTIVE: To culturally adapt and validate the SPICTTM to Spanish, which is a brief and simple tool to support a better identification of chronic patients who have palliative care needs. METHODS: For this study, we designed a multicenter and national project between the centers of Galicia, Balearic Islands, and Andalusia. For the process of translation and cross-cultural adaptation of the SPICTTM to Spanish, we followed the steps proposed by Beaton et al. with successive translations and subsequent consensus of experts using the debriefing methodology. After the content validation was completed, the psychometric properties were validated. A prospective longitudinal study was designed with 188 patients from Galicia, the Balearic Islands, and Andalusia. The internal consistency and reliability of the test and retest was analyzed for 10 days by the same researcher. RESULTS: For more than 90% of the participants of the SPICT-ESTM, it seems simple to be filled out, and they consider it written in an understandable language. The average time to apply the questionnaire without prior knowledge was 4 minutes and 45 seconds. To evaluate the internal consistency of the instrument, we used the Kuder-Richardson formula 20. Internal consistency is 0.71. The agreement index of the Kappa test is between 0.983 and 0.797 for the different items. CONCLUSIONS: In this study, we demonstrate the equivalence of content with the original. In addition, the validation of the psychometric properties establishes that the SPICT-ESTM maintains adequate reliability and stability. If we add the satisfaction shown by the professionals and the ease of use, the SPICT-ESTM is an adequate tool for the identification of palliative patients with chronic diseases and palliative care needs.



How to Cite

Fachado, A. A., Martínez, N. S., Roselló, M. M., Ria, J. J. V., Oliver, E. B., García, R. G., & García, J. M. F. (2018). Spanish adaptation and validation of the supportive & palliative care indicators tool – SPICT-ES™. Revista De Saúde Pública, 52, 3.



Original Articles