Development of a Guide to Multidimensional Needs Assessment in the Palliative Care Initial Encounter (MAP)
Author
Alonso-Babarro, Alberto
Belar, Alazne
Güell, Ernest
Moreno-Alonso, Deborah
Nabal Vicuña, Maria
Pascual, Antonio
Porta-Sales, Josep
Rocafort, Javier
Rodríguez-Prat, Andrea
Rodríguez, Dulce
Sala, Carme
Serrano-Bermúdez, Gala
Other authors
Serna, Judith
Publication date
2023-10ISSN
0885-3924
Abstract
Context: 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. Objectives: To develop an expert panel-endorsed interview guide that would enable proactive and systematic Multidimensional needs Assessment in the Palliative care initial encounter (MAP). Methods: 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. Results: 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). Conclusion: 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.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
61 - Medical sciences
Keywords
Avaluació de necessitats
Entrevista clínica
Cures pal·liatives
Hospicis
Tècnica Delphi
Evaluación de necesidades
Entrevista clínica
Cuidados paliativos
Hospicios
Técnica Delphi
Needs assessment
Clinical interview
Palliative care
Hospices
Delphi technique
Pages
15
Publisher
Elsevier
Collection
66; 4
Is part of
Journal of Pain and Symptom Management
Citation
Goni-Fuste, Blanca; Pergolizzi, Denise; Monforte-Royo, Cristina [et al.]. Development of a Guide to Multidimensional Needs Assessment in the Palliative Care Initial Encounter (MAP). Journal of Pain and Symptom Management, 2023, 66(4), p. 361-369. Disponible en: <https://www.sciencedirect.com/science/article/pii/S0885392423005961?via%3Dihub>. Fecha de acceso: 7 nov. 2023. DOI: 10.1016/j.jpainsymman.2023.07.011
This item appears in the following Collection(s)
- Ciències de la Salut [745]
Rights
Under a Creative Commons license.
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by-nc-nd/4.0/