Content validity of the NECPAL CCOMS-ICO© in Spanish to identify palliative needs in children and adolescents with Cancer.
Julián Alberto López-Alba, Diana Marcela Jaramillo-García, Nadia Carolina Reina-Gamba
PMID 35485619WHAT IT FOUND
The revised NECPAL palliative needs tool kept the surprise question and eight items covering cancer, symptom, need and psychosocial domains for children and adolescents with cancer; weight loss, cognition and resource-use items were dropped, based on seven expert ratings.
Key findings
01Seven Colombian medical experts rated the NECPAL CCOMS-ICO 3.1 items, and the geriatric syndromes dimension was not submitted for validation.
02The final accepted version contains the surprise question and eight parameters covering demand or need, persistent symptoms, psychosocial aspects and cancer severity or progression.
03The overall CVI was 0.6825, and the stated cut-off for acceptability was 0.58.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
The methods say seven experts, but Table 3 lists global CVI for six experts. No children, adolescents or families were assessed; the study reports expert ratings only. The authors note there are few pediatric palliative care experts in Colombia and no pediatric palliative care training programs. Several original items were rejected, so the final tool is not the full adult NECPAL version. The study did not test whether the revised questions accurately identify palliative needs in real patients.
Declared interests
No scholarships, grants or other funding were received. The article derives from a Master of Nursing degree work at Universidad El Bosque.
The easy way to misread this
Do not treat this as evidence that the revised NECPAL CCOMS-ICO© works in children or adolescents with cancer. The study tested expert ratings of item relevance, not whether the tool correctly identifies palliative needs in patients.