Dirk Labuschagne, Patricia K Palmer, Burl Cole, Steven B Drennan, Melissa L Harry, Edward Peñate, Kathryn A Ulrich, George Fitchett
{"title":"姑息治疗精神评估PC-6模型的效度、信度及临床应用","authors":"Dirk Labuschagne, Patricia K Palmer, Burl Cole, Steven B Drennan, Melissa L Harry, Edward Peñate, Kathryn A Ulrich, George Fitchett","doi":"10.1016/j.jpainsymman.2025.05.010","DOIUrl":null,"url":null,"abstract":"<p><strong>Context: </strong>Spiritual care is a core component of quality palliative care (PC), yet a validated tool for spiritual assessment in PC has been lacking. The PC-6, a six-theme model for assessing and quantifying spiritual concerns in PC patients, aims to fill this gap.</p><p><strong>Objectives: </strong>This study tested the validity, reliability, and clinical usefulness of the PC-6.</p><p><strong>Methods: </strong>End-of-life patients (≥ 18 years) in inpatient, outpatient, or home care settings of three Midwest medical centers were interviewed by a chaplain trained in using the PC-6. Patients completed pre- and post-interview self-report measures. For validity, PC-6 scores were compared (Spearman correlation) with Spiritual Pain, Religious/Spiritual Struggles Scale (RSS), and QUAL-E (Preparation and Completion subscales). Inter-rater and intra-rater reliability were tested using the iccCount coefficient.</p><p><strong>Results: </strong>The study enrolled 110 patients (mean age 64.95, SD 15.01) who were majority female (60.9%) and White (80%), with 56.4% having a primary cancer diagnosis. Overall, 43% had moderate or severe spiritual concerns, 15% in two or more themes. PC-6 scores correlated significantly with Spiritual Pain (.217, p<.05), RSS (.394, p<.001), and QUAL-E Preparation and Completion subscales (-.249 and -.288, respectively, both p<.01). Reliability testing found inter-rater reliability (n=57) of 0.402 (95% CI 0.111, 0.629) and intra-rater reliability (n=54) of 0.593 (95% CI 0.019, 0.873). Most patients found the interview helpful (90%) and the duration appropriate (91%).</p><p><strong>Conclusion: </strong>The PC-6 is a valid, reliable, and patient-valued tool for spiritual assessment in PC. Further research is needed to explore its interdisciplinary use and validity across diverse subgroups.</p>","PeriodicalId":16634,"journal":{"name":"Journal of pain and symptom management","volume":" ","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Validity, Reliability, and Clinical Usefulness of the PC-6 Model for Spiritual Assessment in Palliative Care.\",\"authors\":\"Dirk Labuschagne, Patricia K Palmer, Burl Cole, Steven B Drennan, Melissa L Harry, Edward Peñate, Kathryn A Ulrich, George Fitchett\",\"doi\":\"10.1016/j.jpainsymman.2025.05.010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Context: </strong>Spiritual care is a core component of quality palliative care (PC), yet a validated tool for spiritual assessment in PC has been lacking. The PC-6, a six-theme model for assessing and quantifying spiritual concerns in PC patients, aims to fill this gap.</p><p><strong>Objectives: </strong>This study tested the validity, reliability, and clinical usefulness of the PC-6.</p><p><strong>Methods: </strong>End-of-life patients (≥ 18 years) in inpatient, outpatient, or home care settings of three Midwest medical centers were interviewed by a chaplain trained in using the PC-6. Patients completed pre- and post-interview self-report measures. For validity, PC-6 scores were compared (Spearman correlation) with Spiritual Pain, Religious/Spiritual Struggles Scale (RSS), and QUAL-E (Preparation and Completion subscales). Inter-rater and intra-rater reliability were tested using the iccCount coefficient.</p><p><strong>Results: </strong>The study enrolled 110 patients (mean age 64.95, SD 15.01) who were majority female (60.9%) and White (80%), with 56.4% having a primary cancer diagnosis. Overall, 43% had moderate or severe spiritual concerns, 15% in two or more themes. PC-6 scores correlated significantly with Spiritual Pain (.217, p<.05), RSS (.394, p<.001), and QUAL-E Preparation and Completion subscales (-.249 and -.288, respectively, both p<.01). Reliability testing found inter-rater reliability (n=57) of 0.402 (95% CI 0.111, 0.629) and intra-rater reliability (n=54) of 0.593 (95% CI 0.019, 0.873). Most patients found the interview helpful (90%) and the duration appropriate (91%).</p><p><strong>Conclusion: </strong>The PC-6 is a valid, reliable, and patient-valued tool for spiritual assessment in PC. Further research is needed to explore its interdisciplinary use and validity across diverse subgroups.</p>\",\"PeriodicalId\":16634,\"journal\":{\"name\":\"Journal of pain and symptom management\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-05-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of pain and symptom management\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jpainsymman.2025.05.010\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of pain and symptom management","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jpainsymman.2025.05.010","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Validity, Reliability, and Clinical Usefulness of the PC-6 Model for Spiritual Assessment in Palliative Care.
Context: Spiritual care is a core component of quality palliative care (PC), yet a validated tool for spiritual assessment in PC has been lacking. The PC-6, a six-theme model for assessing and quantifying spiritual concerns in PC patients, aims to fill this gap.
Objectives: This study tested the validity, reliability, and clinical usefulness of the PC-6.
Methods: End-of-life patients (≥ 18 years) in inpatient, outpatient, or home care settings of three Midwest medical centers were interviewed by a chaplain trained in using the PC-6. Patients completed pre- and post-interview self-report measures. For validity, PC-6 scores were compared (Spearman correlation) with Spiritual Pain, Religious/Spiritual Struggles Scale (RSS), and QUAL-E (Preparation and Completion subscales). Inter-rater and intra-rater reliability were tested using the iccCount coefficient.
Results: The study enrolled 110 patients (mean age 64.95, SD 15.01) who were majority female (60.9%) and White (80%), with 56.4% having a primary cancer diagnosis. Overall, 43% had moderate or severe spiritual concerns, 15% in two or more themes. PC-6 scores correlated significantly with Spiritual Pain (.217, p<.05), RSS (.394, p<.001), and QUAL-E Preparation and Completion subscales (-.249 and -.288, respectively, both p<.01). Reliability testing found inter-rater reliability (n=57) of 0.402 (95% CI 0.111, 0.629) and intra-rater reliability (n=54) of 0.593 (95% CI 0.019, 0.873). Most patients found the interview helpful (90%) and the duration appropriate (91%).
Conclusion: The PC-6 is a valid, reliable, and patient-valued tool for spiritual assessment in PC. Further research is needed to explore its interdisciplinary use and validity across diverse subgroups.
期刊介绍：
The Journal of Pain and Symptom Management is an internationally respected, peer-reviewed journal and serves an interdisciplinary audience of professionals by providing a forum for the publication of the latest clinical research and best practices related to the relief of illness burden among patients afflicted with serious or life-threatening illness.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
