Cultural Adaptation and Content Validity of the Supportive and Palliative Care Indicators Tool (SPICT-CHN TM ): A Cognitive Interview Study

Objectives To convert the Supportive and Palliative Care Indicator Tool (SPICT TM ) into Chinese, verify its content validity, and adjust it culturally using cognitive interviewing. Methods This study translated, culturally adapted, and validated the SPICT TM based on TRAPD model (Translation, Review, Adjudication, Pretesting, and Documentation) in a Chinese healthcare context. Three rounds of interviews were conducted with 27 health care providers using cognitive interviews between July 2024 and October 2024. Results The Chinese version of SPICT TM demonstrated good comprehensiveness and understandability. It has been culturally and content-wise adapted through cognitive interviews, and most of the comprehension-related issues were effectively addressed through the addition of explanatory words; however, some of the interviewers’ recommendations that needed to be quantified the indexes were not adopted. Conclusions Cognitive interviews, guided by person-centered principles, can identify areas of the original scale that require modification. Although the application of the SPICT TM is still in its early stages in China, it has laid a foundation for the supportive and palliative care practice.