Palliative & Supportive Care最新文献

{"title":"Assessment of psychometric properties of the Persian version of the spiritual care competency self-assessment tool.","authors":"Amir Jalali, Fatemeh Merati Fashi, Mohammad Karami, Parnia Kalhory, Nazanin Mardani Taghvostani, Khalil Moradi","doi":"10.1017/S147895152400141X","DOIUrl":"https://doi.org/10.1017/S147895152400141X","url":null,"abstract":"<p><strong>Background: </strong>Spiritual care is essential for the health and well-being of patients and their families, so nursing and midwifery students should have professional competency in this field.</p><p><strong>Objectives: </strong>The present study aimed to translate the Spiritual Care Competency Self-Assessment Tool for nursing and midwifery students into Persian and evaluate its psychometric properties.</p><p><strong>Methods: </strong>This study has a methodological study design.</p><p><strong>Methods measures: </strong>The present study was conducted from July 4 to November 19, 2023, at the Faculty of Nursing and Midwifery in west of Iran. The tool was translated into Persian using the forward-backward translation method. The construct validity was examined using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) with a total of 536 nursing and midwifery students. The internal consistency was assessed using Cronbach's alpha coefficient. Also, the reliability of the tool was evaluated using the test-retest method. SPSS version 26 and Lisrel version 8 software were used in this study.</p><p><strong>Results: </strong>Face and content validity was confirmed quantitatively and qualitatively. The results of EFA and CFA confirmed the tool with 4 factors and 28 items. CFA results indicated a well-fitting model (comparative fit index [CFI] = .97, Non-Normed Fit Index (NNFI) = .92, goodness of fit index [GFI] = .91, root mean square error of approximation [RMSEA] = .05, Standardized Root Mean Square Residual (SRMR) = .046). Pearson's correlation coefficient confirmed a significant relationship between items, subscales, and the main scale. Also, Cronbach's alpha coefficient (.968) and test-retest (.867) confirmed the reliability of the Persian version of the tool.</p><p><strong>Conclusion: </strong>The present study showed that the Persian version of the EPICC Spiritual Care, with 4 factors and 28 items, was suitable for validation and that its psychometric properties were acceptable according to COSMIN criteria. In general, the results showed that the Persian version of the EPICC Spiritual Care is a valid and reliable tool that students, preceptors, and educators can use in clinical settings as a practical way of discussing and evaluating spiritual care competency in Iran.</p>","PeriodicalId":47898,"journal":{"name":"Palliative & Supportive Care","volume":"23 ","pages":"e37"},"PeriodicalIF":1.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating palliative care's role in symptom management for CKD patients in Egypt: A quasi-experimental approach.","authors":"Ateya Megahed Ibrahim, Ishraga A Mohamed, Marwa A Shahin, Takwa Rashwan Mohamed Abd-El Hady, Elsayeda Hamdy Nasr Abdelhalim, Donia Elsaid Fathi Zaghamir, Doaa Bahig Anwr Akl, Laila Zeidan Ghazy Mohammed, Fatma Abdelhalim Moustafa Ahmed","doi":"10.1017/S1478951524001822","DOIUrl":"https://doi.org/10.1017/S1478951524001822","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;Chronic kidney disease (CKD) is a global health challenge that affects patients' symptom burden and quality of life. Palliative care interventions show promise in addressing the multiple needs of CKD patients, focusing on symptom management, psychosocial support, and advance care planning. This study aimed to evaluate the effectiveness of palliative care interventions in improving symptom management in patients with CKD.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study used a quasi-experimental research design with a sample size of 128 participants diagnosed with CKD. Participants were selected based on strict criteria to ensure consistency of palliative care interventions. Non-probability purposive sampling was used to select participants. Data were collected using validated instruments such as the Edmonton Symptom Assessment System, Kidney Disease Quality of Life-Short Form, Palliative Performance Scale, Dialysis Symptom Index and Functional Assessment of Chronic Illness Therapy-Fatigue. These instruments provided robust measures of symptom severity, quality of life, performance status, symptom burden, and fatigue. The intervention consisted of 4 sessions designed to address symptom management, psychosocial support, and advance care planning strategies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Post-intervention, CKD patients showed significant improvements across multiple measures. Pain decreased from 6.2 to 4.8 (&lt;i&gt;p&lt;/i&gt; = 0.002, 23% improvement), and fatigue decreased from 7.5 to 6.1 (&lt;i&gt;p&lt;/i&gt; = 0.001, 19% reduction). Depression improved from 5.6 to 4.2 (&lt;i&gt;p&lt;/i&gt; = 0.001, 25% reduction) and anxiety decreased from 4.9 to 3.8 (&lt;i&gt;p&lt;/i&gt; = 0.004, 22% reduction). Physical functioning increased from 65.3 to 72.1 (&lt;i&gt;p&lt;/i&gt; = 0.002, 10% improvement), cognitive function from 72.8 to 78.5 (&lt;i&gt;p&lt;/i&gt; = 0.003, 8% increase), and emotional well-being from 60.2 to 65.7 (&lt;i&gt;p&lt;/i&gt; = 0.004, 9% improvement). Ambulation improved from 75.2 to 81.5 (&lt;i&gt;p&lt;/i&gt; = 0.001, 8% increase), activity from 68.7 to 74.3 (&lt;i&gt;p&lt;/i&gt; = 0.004, 8% increase), and self-care from 82.4 to 88.1 (&lt;i&gt;p&lt;/i&gt; = 0.003, 7% improvement). Nutritional status improved from 79.6 to 85.2 (&lt;i&gt;p&lt;/i&gt; = 0.002, 7% increase) and level of consciousness from 70.3 to 75.8 (&lt;i&gt;p&lt;/i&gt; = 0.005, 8% increase). Fatigue scores decreased significantly from 53.2 to 48.6 (&lt;i&gt;p&lt;/i&gt; = 0.001, 9% decrease), activities of daily living from 50.1 to 45.8 (&lt;i&gt;p&lt;/i&gt; = 0.001, 9% decrease), and well-being from 55.6 to 50.2 (&lt;i&gt;p&lt;/i&gt; = 0.001, 10% improvement).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Significance of the results: &lt;/strong&gt;The results highlight the potential of palliative care interventions to improve outcomes and well-being for people with CKD. By addressing their complex needs, these interventions offer valuable lessons for nephrology and palliative care practice, emphasizing holistic approaches to patient care. The findings add to the evidence supporting the integration of palliative care into CKD management, highlighting its","PeriodicalId":47898,"journal":{"name":"Palliative & Supportive Care","volume":"23 ","pages":"e33"},"PeriodicalIF":1.9,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors correlated with demoralization among cancer patients: A systematic review and meta-analysis.","authors":"Wen-Zhen Tang, Shi-Li Cheng, Ernest Mangantig, P Iskandar Yulita Hanum, Kui Jia, Azlina Yusuf","doi":"10.1017/S1478951524001597","DOIUrl":"https://doi.org/10.1017/S1478951524001597","url":null,"abstract":"<p><strong>Objectives: </strong>Demoralization isa common psychological problem in cancer patients. The purpose of this study is to systematically evaluate the correlated factors of demoralization among cancer patients. We also summarized the available evidence, effect estimates, and the strength of statistical associations between demoralization and its associated factors.</p><p><strong>Methods: </strong>We systematically searched PubMed, Web of Science, CINAHL, Embase, the Cochrane Library, PsycINFO, and 2 electronic databases to identify studies published up to October 2023 with data on the correlates of demoralization. Two researchers independently reviewed references, extracted data, and assessed data quality. Meta-analysis was performed using R4.1.1 software.</p><p><strong>Results: </strong>Thirty-eight studies were included in this meta-analysis. For the most studied sociodemographic correlates, demoralization was negatively correlated with income (<i>z</i> = -0.29, 95% CI: -0.51, -0.02), education (<i>z</i> = - 0.11, 95% CI: - 0.16, -0.05), and age (<i>z</i> = -0.45, 95%CI: -0.75, -0.01). For the most studied clinical correlates, demoralization was positively correlated with symptom burden (z = 0.37, 95% CI: 0.22, 0.50) and negatively correlated with quality of life (<i>z</i> = -0.40, 95% CI: -0.54, -0.24). For the most studied psychosocial correlates, demoralization was negatively correlated with social support (<i>z</i> = -0.39, 95% CI: -0.51, -0.26) and positively correlated with anxiety (<i>z</i> = 0.65, 95% CI: 0.56, 0.73), depression (<i>z</i> = 0.61, 95% CI: 0.54, 0.67), and suicidal ideation (<i>z</i> = 0.48, 95% CI: 0.34, 0.60).</p><p><strong>Significance of results: </strong>Demoralization showed either positive or negative associations with sociodemographic, clinical, and psychological variables. More research is needed to explore the underlying mechanisms to develop effective interventions. This review provides information on the factors associated with demoralization in cancer patients, which can be used to inform strategies for clinical care providers.</p>","PeriodicalId":47898,"journal":{"name":"Palliative & Supportive Care","volume":"23 ","pages":"e16"},"PeriodicalIF":1.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feelings of guilt among cancer patients and the usage of complementary or alternative medicine - A cross-sectional survey.","authors":"Sarah Sophie Meren, Lena Josfeld, Jozien Clazina Bahlmann, L Fischer von Weikersthal, H Männle, J Huebner","doi":"10.1017/S1478951524001718","DOIUrl":"https://doi.org/10.1017/S1478951524001718","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the influence of feelings of guilt among cancer patients on their health behavior, with a specific focus on the use of complementary and alternative medicine (CAM).</p><p><strong>Methods: </strong>A multicentric cross-sectional study was conducted, involving 162 oncological patients, assessing sociodemographic variables, feelings of guilt, patient activation, self-efficacy, and CAM usage. The Shame-Guilt-Scale was employed to measure guilt, with subscales including punitive guilt, self-criticism (actions), moral perfectionism, and empathy-reparation. To assess patient activation and self-efficacy, we used the German Version of the Patient Activation Measure 13 and the Short Scale for Measuring General Safe-efficacy Beliefs, respectively. To evaluate CAM-usage, we used a standardized instrument from the working group Prevention and Integrative Oncology of the German Cancer Society. Statistical analyses, including regression models, were employed to examine potential associations.</p><p><strong>Results: </strong>Female gender was associated with more frequent CAM usage. Regarding holistic and mind-body-methods, younger patients more often used these methods. No significant association was found between feelings of guilt and CAM usage. Patients experienced guilt most strongly related to empathy and reparation for their own actions.</p><p><strong>Significance of results: </strong>Our results do not support the hypothesis of a direct link between guilt and CAM usage. Guilt may be an important aspect in psychological support for cancer patients, yet, with respect to counselling on CAM, it does not play an important part to understand patients' motivations.</p>","PeriodicalId":47898,"journal":{"name":"Palliative & Supportive Care","volume":"23 ","pages":"e21"},"PeriodicalIF":1.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advance care planning readiness, barriers, and facilitators among seriously ill Black older adults and their surrogates: A mixed methods study.","authors":"Rebecca Howe, Shreya Kumar, Laura Slattery, Stephanie Milton, Orly Tonkikh, Everlyne G Ogugu, Julie T Bidwell, Janice Bell, Grace Amadi, Alicia Agnoli","doi":"10.1017/S1478951524001548","DOIUrl":"https://doi.org/10.1017/S1478951524001548","url":null,"abstract":"<p><strong>Objectives: </strong>Advance care planning (ACP) supports communication and medical decision-making and is best conceptualized as part of the care planning continuum. Black older adults have lower ACP engagement and poorer quality of care in serious illness. Surrogates are essential to effective ACP but are rarely integrated in care planning. Our objective was to describe readiness, barriers, and facilitators of ACP among seriously ill Black older adults and their surrogates.</p><p><strong>Methods: </strong>We used an explanatory sequential mixed methods study design. The setting was 2 ambulatory specialty clinics of an academic medical center and 1 community church in Northern California, USA. Participants included older adults and surrogates. Older adults were aged 60+, self-identified as Black, and had received care at 1 of the 2 clinics or were a member of the church congregation. Surrogates were aged 18+ and could potentially make medical decisions for the older adult. The validated ACP engagement survey was used to assess confidence and readiness for ACP. What \"matters most\" and barriers and facilitators to ACP employed questions from established ACP materials and trials. Semi-structured interviews were conducted after surveys to further explain survey results.</p><p><strong>Results: </strong>Older adults (<i>N</i> = 30) and surrogates (<i>N</i> = 12) were confident that they could engage in ACP (4.1 and 4.7 out of 5), but many were not ready for these conversations (3.1 and 3.9 out of 5). A framework with 4 themes - illness experience, social connections, interaction with health providers, burden - supports identification of barriers and facilitators to ACP engagement.</p><p><strong>Significance of results: </strong>We identified barriers and facilitators and present a framework to support ACP engagement. Future research can assess the impact of this framework on communication and decision-making.</p>","PeriodicalId":47898,"journal":{"name":"Palliative & Supportive Care","volume":"23 ","pages":"e15"},"PeriodicalIF":1.9,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seasons of life.","authors":"Antonio Yaghy","doi":"10.1017/S1478951524001809","DOIUrl":"https://doi.org/10.1017/S1478951524001809","url":null,"abstract":"","PeriodicalId":47898,"journal":{"name":"Palliative & Supportive Care","volume":"23 ","pages":"e24"},"PeriodicalIF":1.9,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SAHD-10: Development and initial validation of a short version of the Schedule of Attitudes Toward Hastened Death based on a large multinational sample.","authors":"Kerstin Kremeike, Kathleen Boström, Thomas Dojan, Cristina Montforte-Royo, Barry Rosenfeld, Raymond Voltz, Christian Rietz, Julia Strupp","doi":"10.1017/S1478951524001524","DOIUrl":"https://doi.org/10.1017/S1478951524001524","url":null,"abstract":"<p><strong>Objectives: </strong>Wishes to hasten death (WTHDs) are common in patients with serious illness. The Schedule of Attitudes Toward Hastened Death (SAHD) is a validated 20-item instrument for measuring WTHD. Two short versions have also been developed based on statistical item selection. However, all existing versions show some limitations with potential for improvement. This study aims to develop and initially validate a theory-driven and statistically sound SAHD short version based on a large multinational sample to advance the WTHD assessment in different countries and with different legislations.</p><p><strong>Methods: </strong>A 3-step procedure was carried out including (1) theory-driven item selection, (2) exploratory, and (3) confirmatory factor analysis. We used a data set collected between 1998 and 2020 across 3 different countries (Germany, Spain, USA). Participants were <i>N</i> = 1156 complete cases (<i>n</i> = 181 German, <i>n</i> = 101 Spanish and <i>n</i> = 874 US) of severely ill adult in- and outpatients. They had to be ≥18 years and give informed consent.</p><p><strong>Results: </strong>The exploratory factor analysis revealed that 10 of 11 items previously selected theory-driven loaded on either of 2 factors: (1) WTHD and (2) internal locus of control. These factors showed good to excellent reliability according to Cronbach's α and McDonald's Ω, as well as an excellent fit of our data as an overall model for the total sample.</p><p><strong>Significance of results: </strong>The developed SAHD-10 represents a reliable and valid alternative to the SAHD and an efficient means to measure and further investigate a WTHD in cross-cultural clinical and research settings.</p>","PeriodicalId":47898,"journal":{"name":"Palliative & Supportive Care","volume":"23 ","pages":"e14"},"PeriodicalIF":1.9,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communicating about the end of life: The path of prognostic awareness.","authors":"Jacopo D'Andria Ursoleo, Alice Bottussi, Andrew S Epstein, Viviana Teresa Agosta, Fabrizio Monaco, William E Rosa","doi":"10.1017/S147895152400169X","DOIUrl":"https://doi.org/10.1017/S147895152400169X","url":null,"abstract":"","PeriodicalId":47898,"journal":{"name":"Palliative & Supportive Care","volume":"23 ","pages":"e23"},"PeriodicalIF":1.9,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Wernicke encephalopathy with active hallucinations during lung cancer treatment and hemodialysis: A case report.","authors":"Marino Hirata, Mayumi Ishida, Hideki Onishi","doi":"10.1017/S1478951524001974","DOIUrl":"https://doi.org/10.1017/S1478951524001974","url":null,"abstract":"<p><strong>Objectives: </strong>Wernicke encephalopathy (WE) is an acute neuropsychiatric disorder caused by thiamine deficiency. The classical triad of symptoms for WE include mental status changes, ataxia, and ophthalmoplegia. In contrast, more uncommon symptoms include hallucinations. Known risk factors include alcoholism, malignancies, and chronic kidney disease, particularly hemodialysis. However, WE in nonalcoholic adults is often overlooked.</p><p><strong>Methods: </strong>We report a WE patient with lung cancer undergoing hemodialysis who presented with the uncommon symptom of active hallucinations, which were improved by thiamine replacement therapy, despite a borderline whole blood thiamine concentration.</p><p><strong>Results: </strong>An 81-year-old woman with lung cancer and undergoing hemodialysis was referred to our psycho-oncology department for active hallucinations that appeared suddenly 24 days earlier. She had been diagnosed with lung cancer 6 months earlier and was undergoing chemotherapy and radiotherapy. She had no alcohol dependence or anorexia before or after admission. Physical examination revealed active visual hallucinations and delirium. On suspicion of WE, intravenous thiamine was administered. One day after administration, the hallucinations and delirium improved. Her whole blood thiamine concentration was borderline (24 ng/ml).</p><p><strong>Significance of results: </strong>WE might be a cause of active visual hallucinations as they disappeared on thiamine administration alone. We need to be aware of risk factors such as malignancies and hemodialysis, and it is important not to overlook WE.</p>","PeriodicalId":47898,"journal":{"name":"Palliative & Supportive Care","volume":"23 ","pages":"e22"},"PeriodicalIF":1.9,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PACOPED QL: Development and evaluation of the quality-of-life scale for children with life-threatening illnesses.","authors":"Laia Riera-Negre, Javier Varona, Maria Rosa Rosselló, Sebastià Verger","doi":"10.1017/S1478951524001779","DOIUrl":"https://doi.org/10.1017/S1478951524001779","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to validate the Palliative and Complex Chronic Pediatric Patients QoL Inventory (PACOPED QL), a new quality-of-life (QoL) assessment tool for pediatric palliative patients with complex chronic conditions. The goal is to create a comprehensive and inclusive instrument tailored to this unique population, addressing the gap in existing tools that do not meet these specific needs.</p><p><strong>Methods: </strong>The validation process included a literature review and consultations with experts. A pilot study refined the items, followed by a cross-sectional study involving pediatric palliative patients and their caregivers. Statistical analyses, such as Cronbach's alpha for internal consistency and exploratory factor analysis for structural validity, were utilized.</p><p><strong>Results: </strong>The PACOPED QL, comprising 50 items across 8 domains and 6 subdomains, demonstrated strong reliability with Cronbach's alpha and Guttman split-half reliability both exceeding .9. Validity assessments confirmed its suitability for children with complex illnesses. The tool was refined through expert consultations and pilot testing, reducing items from an initial 85 to a final 50, ensuring relevance and clarity.</p><p><strong>Significance of results: </strong>The PACOPED QL shows strong reliability and validity in assessing QoL in pediatric palliative patients. Its comprehensive structure makes it a promising tool for clinical practice and research, addressing a critical need for a tailored assessment in this population. The instrument's robust psychometric properties indicate its potential utility in improving the QoL assessment and care for children with life-threatening illnesses. Further studies are encouraged to confirm its effectiveness across various settings.</p>","PeriodicalId":47898,"journal":{"name":"Palliative & Supportive Care","volume":"23 ","pages":"e19"},"PeriodicalIF":1.9,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}