Adaptation and validation in Chile of the patient identification instrument needing palliative care: NECPAL-CCOMS-ICO 3.1 (c)

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dc.article.number100940
dc.contributor.authorTroncoso, Jonathan
dc.contributor.authorMorales Meyer, Tina
dc.contributor.authorVillarroel, Luis
dc.contributor.authorTurrillas, Pamela
dc.contributor.authorRodriguez Nunez, Alfredo
dc.date.accessioned2025-05-01T10:31:40Z
dc.date.available2025-05-01T10:31:40Z
dc.date.issued2021
dc.description.abstractObjective: Adapt and validate the NECPAL instrument in Chile.
dc.description.abstractDesign: Prospective, longitudinal, analytical study for validation of the instrument in 5 stages: cultural adaptation, content validation, pilot test, application, and statistical analysis.
dc.description.abstractPlace: Four primary care centers of the South East Metropolitan Health Service, in Santiago, Chile.
dc.description.abstractParticipants: Primary health care physicians and nurses for cultural adaptation and application, and palliative care experts for content validation.
dc.description.abstractMain measurements: Cultural adaptation was carried out through cognitive interviews. Content validity was measured using Delphi method and the Lawshe content validity ratio (CVR) was obtained. In the pilot test, we measured stability (test-retest), inter judge harmony and application time in 14 chronic advanced patients (CAP). The test was applied to this same group, calculating the sample according to Nunally's recommendation.
dc.description.abstractResults: A sample of 118 CAP was obtained. The CVR was 0.75 and the average testing time was 6.7 min (SD = 4.01). The test-retest obtained a Kappa test concordance index between 0.632 and 1.0; and the interjudge harmony agreement between 0.192 and 0.692. The surprise question (PS) was positive in 20.3% of the sample. The main conditions associated with the disease specific severity item, were fragility (23.7%), chronic heart disease (21.2%) and chronic lung disease (12.7%). The demand group and specific severity indicators obtained a greater predictive capacity of PS+, with an area under the curve of 0.808 (95% CI: 0.697-0.918).
dc.description.abstractConclusions: NECPAL is feasible to be used in Chile, has adequate psychometric properties and will allow early detection of patients in need of palliative care. (C) 2021 The Authors. Published by Elsevier Espana, S.L.U.
dc.description.funderAgencia Nacional de Investigación
dc.description.funderFondecyt
dc.format.extent10 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.aprim.2021.101994
dc.identifier.eisbn978-1-5106-5352-8
dc.identifier.eissn1578-1275
dc.identifier.isbn978-1-5106-5351-1
dc.identifier.issn0212-6567
dc.identifier.pubmedidMEDLINE:33740612
dc.identifier.scieloidS0718-69242020000300109
dc.identifier.scopusidSCOPUS_ID:85204167915
dc.identifier.urihttps://doi.org/10.1016/j.aprim.2021.101994
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/103785
dc.identifier.wosidWOS:000638197900014
dc.information.autorucEscuela de Medicina; Rodriguez Nunez Alfredo; 0000-0002-3123-653X; 120368
dc.information.autorucFacultad de Matemáticas; Villarroel Del Pino Luis Antonio; 0000-0001-9603-937X; 77182
dc.issue.numero4
dc.language.isoes
dc.nota.accesoSin adjunto
dc.pagina.final68
dc.pagina.inicio61
dc.publisherSpringer Science and Business Media Deutschland GmbH
dc.relation.ispartofWorld Conference on Timber Engineering (2023 : Oslo, Noruega)
dc.revistaATENCION PRIMARIA
dc.rightsregistro bibliográfico
dc.subjectPalliative care
dc.subjectNeeds
dc.subjectValidation studies
dc.subjectPrimary health care
dc.subjectGENERAL-POPULATION
dc.subjectSURPRISE QUESTION
dc.subjectTOOLS
dc.subjectPREVALENCE
dc.subjectMORTALITY
dc.subjectSURVIVAL
dc.subjectHEALTH
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleAdaptation and validation in Chile of the patient identification instrument needing palliative care: NECPAL-CCOMS-ICO 3.1 (c)
dc.typeartículo
dc.volumen53
sipa.codpersvinculados120368
sipa.codpersvinculados77182
sipa.indexWOS
sipa.indexPubmed
sipa.trazabilidadCarga WOS-SCOPUS;01-05-2025
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