國家衛生研究院 NHRI:Item 3990099045/16264
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    题名: 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
    作者: Liao, JY;Chang, HT;Peng, JK;Murray, SA;Wu, CY;Chang, HC;Li, CM;Cheng, SY;Tseng, WZ;Hsiung, CA;Chiou, HY;Yu, SJ;Boyd, K;Chen, PJ
    贡献者: Institute of Population Health Sciences;National Center for Geriatrics and Welfare Research
    摘要: 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.
    日期: 2024-11-01
    關聯: Healthcare. 2024 Nov 01;12(21):Article number 2185.
    Link to: http://dx.doi.org/10.3390/healthcare12212185
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=2227-9032&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:001352267500001
    Cited Times(Scopus): https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85208571483
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