{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T07:11:42Z","timestamp":1778829102771,"version":"3.51.4"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"unspecified","delay-in-days":134,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526102442_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We aimed to translate and cross-culturally adapt the Supportive and Palliative Care Indicators Tool-4ALL (SPICT-4ALL) for use in the Tamil healthcare context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102442_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The translation and cross-cultural adaptation of the SPICT-4ALL (2023 version) were conducted using the TRAPD model (Translation, Review, Adjudication, Pretesting, and Documentation). Cross-cultural adaptation used a modified Delphi-technique. Twelve participants, including mid-level healthcare workers from primary care and palliative care settings and lay people from India and Sri Lanka, scored the items on the tool. Agreement on scores was assessed, and focus group discussion (FGD) was used to reach consensus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102442_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Delphi panel agreement was 34% initially but reached 100% with minor changes to items in the translated version after the FGD. Thematic analysis found SPICT-4ALL in Tamil is user-friendly and accessible for proactive identification of palliative care needs, facilitates person-centered care planning, and enhances interdisciplinary coordination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102442_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>SPICT-4ALL-Tamil 2023 is the translated and cross-culturally adapted version for use in the Tamil healthcare context. This will enable and empower mid-level health workers within the primary and secondary care settings and people not in the healthcare field to identify individuals with palliative care needs. Further research to validate and study acceptability of the tool and its impact on patient outcomes is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526102442","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T06:42:03Z","timestamp":1778827323000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Towards palliative care for all: Translation and cross-cultural adaptation of the Supportive and Palliative Care Indicators Tool-4ALL (SPICT-4ALL) to the Tamil healthcare context in India and Sri Lanka"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7469-0034","authenticated-orcid":false,"given":"Shunmuga Priya","family":"I. C.","sequence":"first","affiliation":[{"name":"Christian Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shamini","family":"Prathapan","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences, University of Sri Jayewardenepura"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jyothsna","family":"Kuriakose","sequence":"additional","affiliation":[{"name":"Christian Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gobith","family":"Ratnasingam","sequence":"additional","affiliation":[{"name":"University of Jaffna"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruby Angeline","family":"Pricilla S.","sequence":"additional","affiliation":[{"name":"Christian Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sajitha MF","family":"Rahman","sequence":"additional","affiliation":[{"name":"Christian Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Munday","sequence":"additional","affiliation":[{"name":"Usher Institute, University of Edinburgh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsty","family":"Boyd","sequence":"additional","affiliation":[{"name":"University of St Andrews"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott A.","family":"Murray","sequence":"additional","affiliation":[{"name":"The University of Edinburgh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.V.M.C.","family":"Fernando","sequence":"additional","affiliation":[{"name":"University of Sri Jayewardenepura"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenifer Jeba","family":"Sundararaj","sequence":"additional","affiliation":[{"name":"Christian Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"S1478951526102442_ref7","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1186\/s12904-024-01572-7","article-title":"Community-based palliative care needs and barriers to access among cancer patients in rural north India: A Participatory action research","volume":"23","author":"Gupta","year":"2024","journal-title":"BMC Palliative Care"},{"key":"S1478951526102442_ref13","doi-asserted-by":"crossref","first-page":"eLAPC20230053","DOI":"10.59679\/LAPC20230053","article-title":"Profile of patients in need of palliative care in a public tertiary hospital ward in Northeastern Brazil","volume":"3","author":"Moraes","year":"2024","journal-title":"Latin American Journal of Palliative Care"},{"key":"S1478951526102442_ref1","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1186\/s12904-018-0283-7","article-title":"Systematic development and adjustment of the German version of the Supportive and Palliative Care Indicators Tool (SPICT-DE)","volume":"17","author":"Afshar","year":"2018","journal-title":"BMC Palliative Care"},{"key":"S1478951526102442_ref19","unstructured":"The SPICT I Supportive and Palliative Care Tool (2025) Available at https:\/\/www.spict.org.uk (accessed 12 December 2025 )."},{"key":"S1478951526102442_ref10","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1136\/bmjspcare-2013-000488","article-title":"Development and evaluation of the Supportive and Palliative Care Indicators Tool (SPICT): A mixed-methods study","volume":"4","author":"Highet","year":"2014","journal-title":"BMJ Supportive and Palliative Care"},{"key":"S1478951526102442_ref23","volume-title":"Global Atlas of Palliative Care at the End of Life","year":"2020"},{"key":"S1478951526102442_ref11","unstructured":"Kulis, D , Bottomley, A , Velikova, G , et al. 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e149"}}