{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T13:07:46Z","timestamp":1777036066193,"version":"3.51.4"},"reference-count":29,"publisher":"Scientific Scholar","content-domain":{"domain":["jpalliativecare.com"],"crossmark-restriction":true},"short-container-title":["IJPC"],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Objectives:<\/jats:title>\n<jats:p>Spirituality has an impact on the quality of life of palliative care patients and it influences the way in which they experience their disease. Spiritual distress is a common issue among palliative care patients in India that is best assessed through a tool specifically designed for them. This study presents the findings of a psychometric assessment of SpiDiscI: a 16-item spiritual distress scale for Hindi speaking palliative care patients in India.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Materials and Methods:<\/jats:title>\n<jats:p>This study used a non-experimental cross-sectional sample survey design. 400 cancer patients undergoing pain treatment at the pain and palliative care unit of a tertiary cancer hospital in New Delhi enrolled in the study and completed the study\u2019s questionnaire. The questionnaire contained a section on demographic information, a numerical rating scale (NRS) for pain, SpiDiscI, FACIT-Sp-12, and WHOQOL-BREF. A subset of 50 patients with stable pain completed SpiDiscI a 2<jats:sup>nd<\/jats:sup> time 2 weeks after the first administration of the scale to assess test-retest reliability.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Results:<\/jats:title>\n<jats:p>The scale\u2019s internal consistency is very good (Cronbach\u2019s Alpha 0.85). Spiritual distress scores ranged from 0 to 93.8 (mean 37.1, SD 23.6). Significant negative correlations between SpiDiScI and both FACIT-Sp-12 (R = \u20130.16, <jats:italic>P<\/jats:italic> = 0.001) and WHOQOL-BREF (R = \u20130.27, <jats:italic>P<\/jats:italic> &lt; 0.001) confirmed convergent validity. There was no significant association with NRS pain scores (R = 0.06, <jats:italic>P<\/jats:italic> = 0.224). The highly significant association (R = 0.75, <jats:italic>P<\/jats:italic> &lt; 0.001) of the scores on assessments 2 weeks apart confirmed test-retest reliability.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st4\">\n<jats:title>Conclusion:<\/jats:title>\n<jats:p>SpiDiScI is a reliable and valid measure to assess spiritual distress in research among Hindi speaking palliative care patients in India.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/ijpc_50_21","type":"journal-article","created":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T07:45:50Z","timestamp":1643701550000},"page":"13-20","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Psychometric Assessment of SpiDiscI: Spiritual Distress Scale for Palliative Care Patients in India"],"prefix":"10.25259","volume":"28","author":[{"given":"Joris","family":"Gielen","sequence":"first","affiliation":[{"name":"Center for Global Health Ethics, Duquesne University, Pitsburgh, PA, United States,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Komal","family":"Kashyap","sequence":"additional","affiliation":[{"name":"Department of Onco-anesthesia and Palliative Medicine, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suraj Pal","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Onco-anesthesia and Palliative Medicine, Dr. B.R. Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sushma","family":"Bhatnagar","sequence":"additional","affiliation":[{"name":"Department of Onco-anesthesia and Palliative Medicine, Dr. B.R. 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