Development of a Guide to Multidimensional Needs Assessment in the Palliative Care Initial Encounter (MAP)
Goni-Fuste, Blanca (Universitat Internacional de Catalunya)
Pergolizzi, Denise (Universitat Internacional de Catalunya)
Monforte-Royo, Cristina (Universitat Internacional de Catalunya)
Alonso-Babarro, Alberto (Hospital Universitario La Paz (Madrid))
Belar, Alazne (Universidad de Navarra)
Crespo, Iris (Universitat Internacional de Catalunya)
Güell, Ernest (Institut d'Investigació Biomèdica Sant Pau)
Julià Torras, Joaquim (Institut Català d'Oncologia)
Moreno-Alonso, Deborah (Institut Català d'Oncologia de L'Hospitalet)
Nabal Vicuña, Maria (Universitat de Lleida)
Pascual López, Antonio (Institut d'Investigació Biomèdica Sant Pau)
Porta-Sales, Josep (Universitat Internacional de Catalunya)
Rocafort, Javier (Francisco de Vitoria University)
Rodríguez Prat, Andrea (Universitat Internacional de Catalunya)
Rodriguez Mesa, Dulce (Hospital Universitari Sant Joan de Reus (Tarragona))
Sala, Carme (Consorci Sanitari de Terrassa)
Serrano-Bermúdez, Gala (Institut Català d'Oncologia de L'Hospitalet)
Serna Mont-Ros, Judith (Hospital Universitari Vall d'Hebron)
Balaguer Santamaría, Albert (Universitat Internacional de Catalunya)
Universitat Autònoma de Barcelona

Data:	2023
Resum:	Ensuring patient-centered palliative care requires a comprehensive assessment of needs beginning in the initial encounter. However, there is no generally accepted guide for carrying out this multidimensional needs assessment as a first step in palliative intervention. To develop an expert panel-endorsed interview guide that would enable proactive and systematic Multidimensional needs Assessment in the Palliative care initial encounter (MAP). A preliminary version of the MAP guide was drafted based on a published literature review, published semistructured interviews with 20 patients, 20 family carers, and 20 palliative care professionals, and a nominal group process with palliative care professionals and a representative of the national patient's association. Consensus regarding its content was obtained through a modified Delphi process involving a panel of palliative care physicians from across Spain. The published systematic literature review and qualitative study resulted in the identification of 55 needs, which were sorted and grouped by the nominal group. Following the Delphi process, the list of needs was reduced to 47, linked to six domains: Clinical history and medical conditions (n = 8), Physical symptoms (n = 17), Functional and cognitive status (n = 4), Psycho-emotional symptoms (n = 5), Social issues (n = 8), and Spiritual and existential concerns (n = 5). MAP is an expert panel-endorsed semi-structured clinical interview guide for the comprehensive, systematic, and proactive initial assessment to efficiently assess multiple domains while adjusting to the needs of each patient. A future study will assess the feasibility of using the MAP guide within the timeframe of the palliative care initial encounter.
Ajuts:	Instituto de Salud Carlos III PI19/01901
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Clinical interview ; Delphi technique ; Hospices ; Needs assessment ; Palliative care
Publicat a:	Journal of Pain and Symptom Management, Vol. 66 Núm. 4 (october 2023) , p. 361-369.e6, ISSN 1873-6513

DOI: 10.1016/j.jpainsymman.2023.07.011
PMID: 37468050

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