Difficulties in identifying patients at risk of clinical deterioration or death represent one of the main barriers to Palliative Care (PC) development in the community. Currently, no specific Italian tools aimed at identifying patients with PC needs are available. Of the different European tools available, the SPICT™ can be used easily in any kind of setting and does not include the Surprise Question. The purpose of the study was to translate, cross-culturally adapt and pre-test the Italian version of the SPICT™. The Beaton recommendations for the cross-cultural adaptation of instruments were followed. Content validity was assessed using the Lynn method. A sample of Italian General Practitioners (GPs) assessed the SPICT-IT™ for feasibility and tested it. During the cross-cultural adaptation, some issues regarding semantic, experiential, idiomatic and conceptual equivalences were raised and resolved. The Scale-Content Validity Index/Ave was 0.86. Of the 907 GPs included in the sample, 71 (7.8%) agreed to test the SPICT-IT™ and to assess its feasibility. The participants provided care for 73,526 people in the community. Of these people, 1.7% (N = 1303) were identified as being in need of PC according to the SPICT-IT™. Sixty-six (93.0%) GPs stated they would use the SPICT-IT™ in their daily clinical practice. The SPICT-IT™ demonstrated acceptable content validity. The percentage of patients identified through the SPICT-IT™ was comparable to findings from literature. The next phase of this project will investigate the impact of a proactive training programme aimed at supporting GPs in identifying patients with PC needs and delivering appropriate Primary Palliative Care (PPC).

中文翻译：

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支持和姑息治疗指标工具（SPICT™）：意大利语版本的内容有效性，可行性和预测试。

难以识别有临床恶化或死亡风险的患者是社区内姑息治疗（PC）发展的主要障碍之一。当前，尚无旨在识别有PC需求的患者的特定意大利工具。在可用的各种欧洲工具中，SPICT™可以在任何设置中轻松使用，并且不包含“惊喜问题”。该研究的目的是翻译，跨文化适应和预测试SPICT™的意大利语版本。遵循了Beaton关于乐器跨文化适应的建议。使用Lynn方法评估内容的有效性。意大利全科医生（GPs）的样本评估了SPICT-IT™的可行性并对其进行了测试。在跨文化适应过程中，有关语义，体验，习语和概念上的对等被提出并解决。量表内容有效性指数/平均值为0.86。在样本中包括的907个GP中，有71个（7.8％）同意测试SPICT-IT™并评估其可行性。参与者为社区中的73,526人提供了护理。根据SPICT-IT™，其中有1.7％（N = 1303）被确定为需要PC。66名（93.0％）的GP表示他们将在日常临床实践中使用SPICT-IT™。SPICT-IT™证明了可接受的内容有效性。通过SPICT-IT™识别出的患者百分比与文献中的发现相当。该项目的下一阶段将调查旨在支持GP识别有PC需求的患者并提供适当的初级姑息治疗（PPC）的主动培训计划的影响。