Values in Care

    Where this resource is weakest

    Our limits, with live numbers where possible.

    15 + 13

    clinical-guidance entries at the weakest evidence tier ("emerging"), plus entries with no source read, which state no position

    N/A

    citations awaiting human re-check per the latest integrity run

    2

    languages where only the interface is translated so far. In-depth content remains English

    No summary can speak for a tradition

    Guides describe documented patterns from each tradition's authoritative sources. Beliefs vary by denomination, school, culture, and person. A summary smooths what lived faith does not. The patient's own voice always supersedes anything written here.

    No independent review yet

    Content is informed by peer-reviewed literature but is not yet independently reviewed. Invitations are out; no review has been completed. The reviewer log lists completed reviews.

    A single-maintainer, independent project

    Built by one person: no institutional affiliation, IRB oversight, journal peer review, or registered legal entity. Large language models help source candidate claims and structure content; a human verifies every claim against primary sources before publication. A weekly automated check confirms each source still resolves and its title and year match (see the integrity report). It cannot tell whether we read a source correctly, so every citation has a correction link. No services beyond this educational site are offered.

    Coverage has edges

    14 traditions are covered in depth. Many more exist. Content depth is currently serious-illness and end-of-life care; the full planned scope and current status of every topic is at the coverage map. Framing is mostly U.S. (Medicare, U.S. hospice). Only the EOL care page adds an England/UK module, based on NICE guidance. The provider directory covers Southeast Michigan. Spanish and Arabic currently translate the interface only (Español, العربية). In-depth content remains English pending expert-reviewed translation. Coverage is also uneven across traditions: only 13 traditions currently have an approved list of authoritative sources a claim can cite, and that list is deepest for traditions with centralized institutional bodies (fiqh councils, denominational offices, responsa literature). Decentralized or less-institutionalized traditions are structurally harder to source, and at least one (Christian Science) currently has no approved source list at all, so no claim about its position can be verified under our own rules yet.

    Not advice, ever

    Educational and conversation-starting only: never medical, legal, or religious counsel. Decisions belong with the patient, family, physician, faith leader, and care team.

    Instruments and third-party rights

    Public availability and citation are not permission to reproduce, translate, adapt or score an instrument. Values in Care's CC BY-NC 4.0 license covers its own original content only, not the instruments and sources it cites. Where permission is required and not on file, Values in Care names and links the instrument and does not reproduce it. Last checked 2026-10-10.

    FICA Spiritual History ToolPermission required, none on file
    Version
    Not specified
    Owner
    George Washington Institute for Spirituality and Health (GWish), George Washington University
    Official source
    https://gwish.smhs.gwu.edu/programs/transforming-practice-health-settings/clinical-fica-tool
    Use here
    Named and linked as a spiritual-history framework. Not reproduced, adapted, scored or translated.
    Reproduction
    Not permitted without the publisher's written permission. The 2026-10-09 audit reports that the publisher page states excerpts, translations and adaptations require written permission. No permission is on file. Question cards were removed on 2026-10-10.
    Translation
    Not permitted without written permission. None requested or held.
    Exports
    No FICA wording appears in any export, print layout, bundled dataset or translation file.
    Evidence
    Audit report 2026-10-09 (owner-provided). The publisher page could not be re-read from the build environment, so the wording of its terms is unverified here. No permission record found in this repository.
    Checked
    2026-10-10
    FACIT-Sp (Functional Assessment of Chronic Illness Therapy, Spiritual Well-Being)Permission required, none on file
    Version
    Not specified
    Owner
    FACIT.org (instrument developed by David Cella and colleagues)
    Official source
    https://www.facit.org/measures/facit-sp
    Use here
    Proposed only as a candidate outcome measure in the research brief. No items, scoring or norms are embedded or administered.
    Reproduction
    Requires a license from FACIT.org. None held. Items are not reproduced.
    Translation
    Official translations are licensed through FACIT.org. None used.
    Exports
    No FACIT-Sp items or scores in any export or dataset. Published studies are cited by name only.
    Evidence
    docs/cc10-stage2-research-digest-2026-08-29.md (Pack 5): owned by David Cella, licensed via FACIT.org, use requires a license. Terms page existence checked 2026-08-30 (docs/cc10-stage3-url-liveness-2026-08-30.md). Terms text not re-read 2026-10-10.
    Checked
    2026-10-10
    HOPE spiritual history (Anandarajah and Hight, 2001)Described only
    Version
    American Family Physician 2001;63(1):81-89
    Owner
    Authors and the journal publisher (American Academy of Family Physicians)
    Official source
    https://www.aafp.org/pubs/afp/issues/2001/0101/p81.html
    Use here
    Described by its four-part acronym only. Questions are not reproduced and it is not administered.
    Reproduction
    Reuse terms not assessed. Values in Care does not reproduce the published question wording.
    Translation
    Not translated.
    Exports
    Acronym expansion only.
    Evidence
    src/components/SpiritualAssessmentBench.tsx; journal terms not read.
    Checked
    2026-10-10
    PC-7 and PC-6 spiritual-concerns assessmentsDescribed only
    Version
    PC-7 development model; PC-6 2025 validation
    Owner
    Published study authors and journals
    Official source
    Not applicable
    Use here
    Described from the publications. Chaplain-administered; not administered by Values in Care.
    Reproduction
    Items and scoring are not reproduced. Reuse terms not assessed.
    Translation
    Not translated.
    Exports
    Description only.
    Evidence
    src/components/SpiritualAssessmentBench.tsx; evidence sources S26 and S27.
    Checked
    2026-10-10
    Spiritual Concerns Checklist (17 items)Described only
    Version
    BMJ Support Palliat Care 2020 Rasch validation
    Owner
    Published study authors and journal
    Official source
    Not applicable
    Use here
    Described from the publication. Items are not reproduced.
    Reproduction
    Items are not reproduced. Reuse terms not assessed.
    Translation
    Not translated.
    Exports
    Description only.
    Evidence
    src/components/SpiritualAssessmentBench.tsx; evidence source S30.
    Checked
    2026-10-10
    Values in Care conversation prompts, context questions and priority dimensionsOriginal content
    Version
    Current release
    Owner
    Values in Care
    Official source
    Not applicable
    Use here
    Original preparation prompts in the Decision Guide, My Values and the conversation workspace.
    Reproduction
    Original content under CC BY-NC 4.0. Where a prompt was shaped by shared-decision-making guidance (AHRQ SHARE, NICE NG197), that guidance is linked, not reproduced.
    Translation
    Interface text only. Not a validated translation of any instrument.
    Exports
    Included in exports. Not a validated instrument, scale or decision aid.
    Evidence
    src/data/conversationBriefs.ts, src/data/decisionSupportResearch.ts.
    Checked
    2026-10-10
    Constructs proposed for evaluation (recognition, control over sharing, clinician understanding)Named and linked
    Version
    Not yet selected
    Owner
    Not applicable
    Official source
    Not applicable
    Use here
    Described as proposed constructs in the research brief. No existing scale is adopted, embedded or implied.
    Reproduction
    None. Any instrument later chosen needs its own row here, with permission, before it appears.
    Translation
    None.
    Exports
    None.
    Evidence
    docs/research/collaboration-brief.md.
    Checked
    2026-10-10

    Correction policy: Methodology.