López-García Mónica, Rubio Leticia, Martin-de-Las-Heras Stella, Suárez Juan, Pérez-Cárceles María D, Martin-Martin Jaime
Cudeca Hospice (Palliative Care Foundation), Málaga, Spain.
Instituto de Investigación Biomédica de Málaga-IBIMA, Málaga, Spain.
Med Teach. 2022 Oct;44(10):1133-1145. doi: 10.1080/0142159X.2022.2067033. Epub 2022 Apr 29.
Palliative care is constantly increasing around the world. The knowledge and skills of future physicians in this area are crucial. This study evaluates the psychometric properties of knowledge and skills questionnaires used in palliative care, validated by physicians or medical students based on the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology.
A systematic review was carried out in Cosmin Databases, Cochrane Library, PsycINFO, SciELO, Cinahl, and Medline up to September 2020 (updated June 2021), based on the COSMIN methodology and PRISMA recommendations. The psychometric properties of each included questionnaire were identified. Methodological quality, quality of results, and quality of evidence were evaluated.
The search strategy yielded 12 questionnaires assessing the knowledge and skills of physicians or medical students. The Palliative Care Knowledge Questionnaire for PEACE (PEACE-Q) and Palliative Care Knowledge Test (PCKT) were the instruments with the highest scores for methodological quality, quality of results, and quality of evidence-based on the COSMIN methodology.
PEACE-Q and PCKT should be the preferred choice to assess palliative care knowledge and skills in physicians. In-depth studies following COSMIN validation criteria are recommended to improve the psychometric properties and cross-cultural validation of the questionnaires.
姑息治疗在全球范围内不断增加。未来医生在该领域的知识和技能至关重要。本研究评估了姑息治疗中使用的知识和技能问卷的心理测量特性，这些问卷已由医生或医学生根据基于共识的健康测量工具选择标准（COSMIN）方法进行了验证。
截至2020年9月（2021年6月更新），在Cosmin数据库、Cochrane图书馆、PsycINFO、SciELO、Cinahl和Medline中基于COSMIN方法和PRISMA建议进行了系统评价。确定了每份纳入问卷的心理测量特性。评估了方法学质量、结果质量和证据质量。
检索策略产生了12份评估医生或医学生知识和技能的问卷。基于COSMIN方法，PEACE姑息治疗知识问卷（PEACE-Q）和姑息治疗知识测试（PCKT）在方法学质量、结果质量和证据质量方面得分最高。
PEACE-Q和PCKT应是评估医生姑息治疗知识和技能的首选。建议按照COSMIN验证标准进行深入研究，以改善问卷的心理测量特性和跨文化验证。
