1
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Mehta NH, Prajapati M, Aeleti R, Kinariwala K, Ohri K, McCabe S, Buller Z, Leskinen S, Nawabi NL, Bhatt V, Yerigeri K, Babaria V. The Power of a Belief System: A Systematic Qualitative Synthesis of Spiritual Care for Patients with Brain Tumors. J Clin Med 2024; 13:4871. [PMID: 39201013 PMCID: PMC11355862 DOI: 10.3390/jcm13164871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2024] [Revised: 08/13/2024] [Accepted: 08/16/2024] [Indexed: 09/02/2024] Open
Abstract
Background: Diagnosis with a brain tumor is a critical event in the lives of patients and their families due to poor medical prognoses and complex clinical care. Spiritual care interventions have been known to have meaningful effects in morbid diagnoses and palliative medicine, but their role in the neuro-oncologic patient's experience is poorly understood. This systematic review explores the role of spirituality and its relevance to patient care in the diverse setting of brain tumors. Methods: A comprehensive systematic review was conducted following PRISMA-SR guidelines. PUBMED was queried for studies on spirituality and neuro-oncology. Identified studies included RCTs, interviews, surveys, and case reports that examined spirituality in neuro-oncological clinical care, quality of life, and patient experience. Of 214 articles identified, 21 studies met the inclusion criteria, and the results were narratively synthesized. Results: Spirituality may play a significant role in mental well-being by reconciling existential questions faced by both patients and caregivers, and can serve as a valuable resource to improve mental well-being and reduce rates of palliative caregiver burnout. However, the paucity of studies examining the education and integration of spiritual awareness within the clinical literature warrants further study. Conclusions: While spiritual care interventions may improve the quality of life and mental wellness of patients and their caregivers, it is unclear how spiritual awareness and education should best be implemented. Further research is needed to better understand how key components of spiritual awareness can be integrated into medical education to deepen the patient-physician relationship and improve clinical experiences.
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Affiliation(s)
- Neel H. Mehta
- Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02115, USA
| | - Megh Prajapati
- Department of Biomedical Engineering, Cornell University, Ithaca, NY 14850, USA;
| | - Rishi Aeleti
- Department of Biology, Cornell University, Ithaca, NY 14850, USA;
| | - Kush Kinariwala
- Texas College of Osteopathic Medicine, Fort Worth, TX 7107, USA;
| | - Karina Ohri
- Department of Pediatrics, Norton College of Medicine, SUNY Upstate, Syracuse, NY 13210, USA;
| | - Sean McCabe
- Division of Hematology and Oncology, Department of Medicine, Massachusetts General Hospital Cancer Center, Boston, MA 02114, USA;
| | - Zachary Buller
- Department of Chemistry, Harvard University, Cambridge, MA 02138, USA;
| | - Sandra Leskinen
- State University of New York Downstate Medical Center, New York, NY 11203, USA;
| | - Noah L. Nawabi
- College of Medicine, Medical University of South Carolina, Charleston, SC 29425, USA;
| | - Vatsal Bhatt
- Department of Medicine, Brigham and Women’s Hospital, Boston, MA 02115, USA;
| | - Keval Yerigeri
- Department of Internal Medicine-Pediatrics, Case Western Reserve University/The MetroHealth System, Cleveland, OH 44109, USA
| | - Vivek Babaria
- Orange County Spine and Sports, Interventional Physiatry, Newport Beach, CA 92660, USA;
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2
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Sprik PJ, Vanderstelt H, Valenti-Hein C, Denton J, Ashton D. Chaplain interventions and outcomes in outpatient settings: a scoping review. J Health Care Chaplain 2024:1-23. [PMID: 38836429 DOI: 10.1080/08854726.2024.2357042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2024]
Abstract
As chaplaincy is increasingly practiced in outpatient settings, further understanding is needed of what it entails and is accomplishing within this unique context. This scoping review summarizes 42 articles that describe the types of spiritual care interventions and programs offered by chaplains in outpatient settings, and their outcomes. Findings support that chaplaincy is practiced in outpatient settings, especially in palliative care, oncology, and primary care. Interventions are delivered by chaplains as the sole interventionist, and by interdisciplinary teams with chaplain participants. Results show that outpatient chaplain interventions are feasible and acceptable, with positive psychological and spiritual outcomes. More studies with consistent outcome measurements, and structured chaplain interventions are needed to draw further conclusions about the effectiveness of outpatient chaplain interventions.
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Affiliation(s)
- Petra J Sprik
- Department of Health Services Administration, University of Alabama at Birmingham (UAB), Birmingham, Alabama
| | - Heather Vanderstelt
- Department of Spiritual Care, St. Joseph's Health Care London, London, Canada
| | | | - Joseph Denton
- Spiritual Health Department, Bon Secours Mercy Health, Cincinnati, OH, USA
| | - Deadra Ashton
- Department of Spiritual Health, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA
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3
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Desmet L, Dezutter J, Vandenhoeck A, Dillen A. Healthcare Chaplaincy for Geriatric Patients: A Quasi-Experimental Study into the Outcomes of Catholic Chaplaincy Interventions in Belgium. JOURNAL OF RELIGION AND HEALTH 2024; 63:1985-2010. [PMID: 38240943 PMCID: PMC11061025 DOI: 10.1007/s10943-023-01982-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 12/11/2023] [Indexed: 05/02/2024]
Abstract
The present non-randomized clinical trial examined the short-term outcomes of one-on-one chaplaincy interventions with 416 geriatric patients in Belgium. Participants were interviewed one or two days before a potential chaplaincy intervention (baseline measurement), and one or two days after a potential intervention (post-measurement). Patients in the non-randomized intervention group received an intervention by the chaplain, while the non-randomized comparison group did not. Patients in the intervention group showed a significant decrease in state anxiety and negative affect, and a significant improvement in levels of hope, positive affect, peace, and Scottish PROM-scores, compared to the comparison group. Levels of meaning in life and faith did not significantly change after the chaplaincy intervention. This study suggests that geriatric patients may benefit from chaplaincy care and recommends the integration of chaplaincy care into the care for older adults.
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Affiliation(s)
- Lindsy Desmet
- Faculty of Theology and Religious Studies, KU Leuven, Sint-Michielsstraat 6, 3000, Leuven, Belgium.
| | - Jessie Dezutter
- Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium
| | - Anne Vandenhoeck
- Faculty of Theology and Religious Studies, KU Leuven, Sint-Michielsstraat 6, 3000, Leuven, Belgium
| | - Annemie Dillen
- Faculty of Theology and Religious Studies, KU Leuven, Sint-Michielsstraat 6, 3000, Leuven, Belgium
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4
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Hirsh CD, Grossoehme DH, Tsirambidis H, Richner G, Friebert S. End of Life Therapeutic Videography in Pediatrics: Feasibility and Acceptability. OMEGA-JOURNAL OF DEATH AND DYING 2023; 88:465-476. [PMID: 35105195 DOI: 10.1177/00302228211046793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose: This study aimed to determine the feasibility and acceptability of using videography to alleviate the stress of anticipatory mourning in pediatric palliative care patients. A secondary aim was to expand palliative/end of life care research by performing a more comprehensive examination of children's experiences with life-shortening illness. Methods: Eligible patients ages eight and older made a legacy video with the assistance of investigative staff and completed a questionnaire to evaluate their emotional states before and after making the video. Bereaved parents also received a questionnaire to assess the impact of the legacy. Results: Nine patients enrolled and eight completed the study through the therapeutic exit interview. Most reported decreased anxiety and a positive experience. Conclusion: Therapeutic videography is feasible and acceptable to accomplish and can improve the emotional state of participants. Conducting research requiring active participation of patients very near the end of life proved to be challenging.
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Affiliation(s)
- Cassandra D Hirsh
- Haslinger Family Pediatric Palliative Care Center, Akron Children's Hospital, Akron, OH, USA
- Department of Pediatrics, Northeast Ohio Medical University, Rootstown, OH, USA
| | - Daniel H Grossoehme
- Haslinger Family Pediatric Palliative Care Center, Akron Children's Hospital, Akron, OH, USA
- Department of Pediatrics, Northeast Ohio Medical University, Rootstown, OH, USA
- Department of Family & Community Medicine, Northeast Ohio Medical University, Rootstown, OH, USA
| | - Haralambos Tsirambidis
- Haslinger Family Pediatric Palliative Care Center, Akron Children's Hospital, Akron, OH, USA
- Department of Pediatrics, Northeast Ohio Medical University, Rootstown, OH, USA
| | - Gwendolyn Richner
- Haslinger Family Pediatric Palliative Care Center, Akron Children's Hospital, Akron, OH, USA
- Department of Pediatrics, Northeast Ohio Medical University, Rootstown, OH, USA
| | - Sarah Friebert
- Haslinger Family Pediatric Palliative Care Center, Akron Children's Hospital, Akron, OH, USA
- Department of Pediatrics, Northeast Ohio Medical University, Rootstown, OH, USA
- Rebecca D. Considine Research Institute, Akron Children's Hospital, Akron, OH, USA
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5
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Buelens E, Dewitte L, Dezutter J, Vandenhoeck A, Dillen A. The outcomes of healthcare chaplaincy on hospitalized patients. A quasi-experimental study in Belgium. JOURNAL OF SPIRITUALITY IN MENTAL HEALTH 2023. [DOI: 10.1080/19349637.2023.2177239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
Affiliation(s)
- Eva Buelens
- Faculty of Theology and Religious Studies, University of Leuven, Leuven, Belgium
| | - Laura Dewitte
- Faculty of Psychology and Educational Sciences, University of Leuven, Leuven, Belgium
| | - Jessie Dezutter
- Faculty of Psychology and Educational Sciences, University of Leuven, Leuven, Belgium
| | - Anna Vandenhoeck
- Faculty of Theology and Religious Studies, University of Leuven, Leuven, Belgium
| | - Annemie Dillen
- Faculty of Theology and Religious Studies, University of Leuven, Leuven, Belgium
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6
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Kestenbaum A, Fitchett G, Galchutt P, Labuschagne D, Varner-Perez SE, Torke AM, Kamal AH. Top Ten Tips Palliative Care Clinicians Should Know About Spirituality in Serious Illness. J Palliat Med 2021; 25:312-318. [PMID: 34871044 DOI: 10.1089/jpm.2021.0522] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Assessment of spiritual suffering and provision of spiritual care are a central component of palliative care (PC). Unfortunately, many PC clinicians, like most medical providers, have received limited or superficial training in spirituality and spiritual distress. This article, written by a group of spiritual care providers, and other PC and hospice clinicians, offers a more in-depth look at religion and spirituality to help to enhance readers' current skills while offering a practical roadmap for screening for spiritual distress and an overview of partnering with colleagues to ensure patients receive values-aligned spiritual care provision.
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Affiliation(s)
- Allison Kestenbaum
- Spiritual Care Services, UC San Diego Health, San Diego, California, USA
| | - George Fitchett
- Department of Religion, Health & Human Values, Rush University Medical Center, Chicago, Illinois, USA
| | - Paul Galchutt
- Spiritual Health Services, M Health Fairview, Minneapolis, Minnesota, USA
| | - Dirk Labuschagne
- Supportive Oncology, Rush University Medical Center, Chicago, Illinois, USA
| | - Shelley E Varner-Perez
- Indiana University (IU) Health, Indianapolis, Indiana, USA.,IU Center for Aging Research, Regenstrief Institute, Inc., Daniel F. Evans Center for Spiritual and Religious Values in Healthcare, IU Health, Indianapolis, Indiana, USA
| | - Alexia M Torke
- Indiana University School of Medicine, Evans Center for Spiritual and Religious Values in Healthcare, IU Health, Indianapolis, Indiana, USA
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7
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Spiritual Care for Individuals with Cancer: The Importance of Life Review as a Tool for Promoting Spiritual Well-Being. Semin Oncol Nurs 2021; 37:151209. [PMID: 34465498 DOI: 10.1016/j.soncn.2021.151209] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
OBJECTIVE To discuss spirituality in the context of cancer, focusing on the use of life review as a tool to help promote spiritual well-being among individuals with cancer. DATA SOURCES Literature regarding spirituality and life review of the author in cancer care provided the foundation for this article. CONCLUSION Reliance on spirituality as an untapped supportive resource may surprise patients and their families when dealing with a diagnosis of cancer. Coming to terms with advancing disease can be a time of internal and spiritual growth. It is important that all members of the health care team make efforts to understand that spirituality is part of the journey that the person with advanced cancer is going through and that life review is one way to promote spiritual well-being among patients with advanced cancer. IMPLICATIONS FOR NURSING PRACTICE Nurses are ideally placed to provide spiritual care. Using life review, nurses can assist individuals coming to terms with their diagnosis and can positively impact spiritual and psychosocial well-being.
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8
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Perez SEV, Maiko S, Burke ES, Slaven JE, Johns SA, Smith OJ, Helft PR, Kozinski K, Torke AM. Spiritual Care Assessment and Intervention (SCAI) for Adult Outpatients With Advanced Cancer and Caregivers: A Pilot Trial to Assess Feasibility, Acceptability, and Preliminary Effects. Am J Hosp Palliat Care 2021; 39:895-906. [PMID: 34467769 PMCID: PMC8928229 DOI: 10.1177/10499091211042860] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Although religion and spirituality are important to adults with cancer and their family caregivers, few studies have tested spiritual care interventions in the outpatient setting. AIM To determine the feasibility, acceptability, and preliminary effects of chaplain-delivered, semi-structured spiritual care to adult outpatients with advanced cancer and their caregivers. DESIGN In this pre/post pilot intervention study, board-certified chaplains utilized the Spiritual Care Assessment and Intervention (SCAI) framework during 4 individual sessions. Surveys at baseline and at 1, 6, and 12 weeks post-intervention assessed spiritual well-being, quality of life, depression, anxiety, and religious coping. SETTING/PARTICIPANTS We enrolled U.S. adult outpatients with or without an eligible family caregiver. Eligible patients were at least 18 years old and at least 2 weeks post-diagnosis of incurable and advanced-stage lung or gastrointestinal (GI) cancer. RESULTS Of 82 eligible patients, 24 enrolled (29.3%); of 22 eligible caregivers, 18 enrolled (81.8%). Four planned chaplain visits were completed by 87.5% of patients and 77.8% of caregivers. All enrolled participants completed baseline surveys, and more than 75% completed follow-up surveys at 2 of 3 time points. More than 80% of patients and caregivers reported they would recommend the sessions to a friend or family member. Patients' spiritual well-being improved significantly at all timepoints compared to baseline: 1-week post (p < .006), 6-weeks post (p < .001), and 12-weeks post (p < .004). CONCLUSIONS Spiritual care through SCAI is feasible, acceptable, and shows promise in improving spiritual well-being and other important outcomes in advanced-stage cancer patients and family caregivers. Further investigation is warranted.
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Affiliation(s)
- Shelley E Varner Perez
- Indiana University (IU) Health, Indianapolis, IN, USA.,IU Center for Aging Research, Regenstrief Institute, Inc., Indianapolis, IN, USA.,Daniel F. Evans Center for Spiritual and Religious Values in Healthcare, IU Health, Indianapolis, IN, USA
| | - Saneta Maiko
- Indiana University (IU) Health, Indianapolis, IN, USA.,Daniel F. Evans Center for Spiritual and Religious Values in Healthcare, IU Health, Indianapolis, IN, USA
| | - Emily S Burke
- IU Center for Aging Research, Regenstrief Institute, Inc., Indianapolis, IN, USA
| | - James E Slaven
- IU Department of Biostatistics and Health Data Science, IU School of Medicine, Indianapolis, IN, USA
| | - Shelley A Johns
- IU School of Medicine, Indianapolis, IN, USA.,IU Center for Health Services Research, Regenstrief Institute, Inc., Indianapolis, IN, USA.,Charles Warren Fairbanks Center for Medical Ethics, IU Health, Indianapolis, IN, USA
| | | | - Paul R Helft
- IU School of Medicine, Indianapolis, IN, USA.,Charles Warren Fairbanks Center for Medical Ethics, IU Health, Indianapolis, IN, USA.,IU Melvin and Bren Simon Cancer Center, Indianapolis, IN. Maiko is now with Indiana Conference, United Methodist Church, Greenwood, Indiana; Smith is now Wright State Boonshoft School of Medicine, Dayton, OH; Kozinski is now with Trinity Health, Waterville, ME
| | | | - Alexia M Torke
- IU Center for Aging Research, Regenstrief Institute, Inc., Indianapolis, IN, USA.,Daniel F. Evans Center for Spiritual and Religious Values in Healthcare, IU Health, Indianapolis, IN, USA.,IU School of Medicine, Indianapolis, IN, USA
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9
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Boles JC, Jones MT. Legacy perceptions and interventions for adults and children receiving palliative care: A systematic review. Palliat Med 2021; 35:529-551. [PMID: 33487090 DOI: 10.1177/0269216321989565] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
BACKGROUND Legacy has been invoked as a means for strengthening human attachments, continuing bonds, and ensuring that individuals will be remembered; however, little is known about the spectrum of approaches to, outcomes associated with, and best practices for legacy interventions. AIM To systematically review research on legacy perceptions and interventions in pediatric and adult palliative care recipients. DESIGN A systematic mixed studies review synthesizing quantitative, qualitative, and mixed-methods study findings using PRISMA guidelines. DATA SOURCES PubMed, PsycINFO, and CINAHL databases were searched on October 1, 2020. GRADE criteria were used to assess quality of quantitative reports, and the Johns Hopkins Evidence Level and Quality Guide was used to rate qualitative, mixed methods, and review articles. Data were synthesized using integrative thematic analysis. RESULTS The 67 studies reviewed describe a variety of legacy perceptions and interventions with adult and pediatric patients receiving palliative care. Statistically significant improvements in various dimensions of wellbeing are documented, with significant reduction in incidence and symptoms of depression in adults. Studies highlight the utility, feasibility, and perceived benefits of legacy interventions according to adult patients and their caregivers, and parents/caregivers of pediatric patients. CONCLUSIONS Though future research with high-quality, experimental designs is needed, the positive outcomes associated with legacy interventions are documented in adult patient populations; additionally, the application of legacy interventions for children with serious illnesses receiving palliative care is reasonable based on the existing body of evidence. A consistent and operational concept of legacy is still needed for future research and practice.
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Affiliation(s)
- Jessika C Boles
- Child Life Department, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA
| | - Maile T Jones
- Child Life Department, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA
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10
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Tan H, Rumbold B, Gardner F, Snowden A, Glenister D, Forest A, Bossie C, Wyles L. Understanding the outcomes of spiritual care as experienced by patients. J Health Care Chaplain 2020; 28:147-161. [DOI: 10.1080/08854726.2020.1793095] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- Heather Tan
- Spiritual Health Association, Melbourne, Australia
| | - Bruce Rumbold
- School of Psychology and Pastoral Care, La Trobe University, Melbourne, Australia
| | - Fiona Gardner
- School of Social Work, La Trobe University, Bendigo, Australia
| | - Austyn Snowden
- School of Health and Social Care, Edinburgh Napier Universisy, Scotland, UK
| | - David Glenister
- Pastoral Care, Royal Melbourne Hospital, Melbourne, Australia
| | - Annie Forest
- Pastoral Care, St Vincent’s Public Hospital, Melbourne, Australia
| | - Craig Bossie
- Pastoral Care, Central Adelaide Local Health Network, Adelaide, Australia
| | - Lynda Wyles
- Pastoral Care, St John of God Hospital, Bendigo, Australia
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11
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Sytsma TT, Bjork LB, Jenkins SM, Chatterjee K, Piderman KM. "Slowed Down but Not Stopped": A Spiritual Life Review Intervention in Patients with Neurodegenerative Disease. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2020; 74:108-114. [PMID: 32496953 DOI: 10.1177/1542305020913054] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Spiritual health is important in managing and coping with chronic and debilitating illnesses, such as neurodegenerative diseases. However, few spiritual interventions have addressed this population. This article quantitatively and qualitatively evaluates outcomes of a spiritual life review in neurodegenerative diseases patients. The majority of participants improved or maintained quality of life and spiritual/emotional well-being following the intervention. Spiritual life review may be an important intervention in the comprehensive care of patients with neurodegenerative diseases.
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Affiliation(s)
- Terin T Sytsma
- Department of Community Internal Medicine, Mayo Clinic, USA
| | | | - Sarah M Jenkins
- Department of Biomedical Statistics and Informatics, Mayo Clinic, USA
| | | | - Katherine M Piderman
- Department of Chaplain Services and Department of Psychiatry and Psychology, Mayo Clinic, USA
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12
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Piderman KM, Radecki Breitkopf C, Jenkins SM, Ingram C, Sytsma TT, Lapid MI, Tata BS, Chatterjee K, Egginton JS, Jatoi A. Hearing and Heeding the Voices of those With Advanced Illnesses. J Palliat Care 2020; 35:248-255. [PMID: 32466734 DOI: 10.1177/0825859720928623] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES To describe the feasibility of a chaplain-led spiritually focused life review interview and the development of a spiritual legacy document (SLD) for patients with advanced diseases and to describe changes in spiritual well-being (SWB), spiritual coping strategies (SC), and quality of life (QOL) after receiving the SLD. PATIENTS AND METHODS In all, 130 patients and support person (SP) pairs were recruited from July 2012 to January 2019. Following enrollment, demographic information was gathered and baseline questionnaires were administered. Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp-12) and a linear analog scale assessment (LASA) measured SWB. LASAs also measured QOL and emotional well-being (EWB). Positive Religious Coping Scale (RCOPE) measured SC. After completion of baseline forms, participants were interviewed (individually) by a chaplain. Interviews were digitally recorded, transcribed, and verified. Transcripts were edited and participants were given the opportunity to make adaptations. The participant-approved draft was then developed into a professionally printed SLD. Follow-up questionnaires were administered to assess change. RESULTS Significant improvements from baseline to post-SLD follow-up were found for patients on the LASAs: SWB (average 7.7-8.3, P = .01), QOL (average 6.7-7.3, P = .03), EWB (average 6.9-7.5, P = .01), and on the positive RCOPE (average 1.8-2.0, P = .007). Effect sizes were approximately 0.25. Considering any improvement, 61.0% improved their positive RCOPE score, 46.6% improved EWB, and 39.7% improved SWB. No significant changes were found on the FACIT-Sp-12. No significant changes were found for SPs. CONCLUSION The results suggest that the primary participants who completed the study benefited by significantly increasing their QOL, SWB, EWB, and SC.
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Affiliation(s)
- Katherine M Piderman
- Department of Chaplain Services, 4352Mayo Clinic, Rochester, MN, USA.,Department of Psychiatry and Psychology, 4352Mayo Clinic, Rochester, MN, USA
| | | | - Sarah M Jenkins
- Statistician III, Division of Biostatistics and Informatics, 4352Mayo Clinic, Rochester, MN, USA
| | - Cory Ingram
- Department of Family Medicine, 4352Mayo Clinic, Rochester, MN, USA
| | - Terin T Sytsma
- Community Internal Medicine, Instructor in Medicine, 4352Mayo Clinic, Rochester, MN, USA
| | - Maria I Lapid
- Department of Psychiatry and Psychology, 4352Mayo Clinic, Rochester, MN, USA
| | - Beba S Tata
- Department of Chaplain Services, 4352Mayo Clinic, Rochester, MN, USA
| | | | - Jason S Egginton
- Center for Science of Health Care Delivery, 4352Mayo Clinic, Rochester, MN, USA
| | - Aminah Jatoi
- Department of Medical Oncology, 4352Mayo Clinic, Rochester, MN, USA
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13
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Ting A, Lucette A, Carver CS, Cannady RS, Kim Y. Preloss Spirituality Predicts Postloss Distress of Bereaved Cancer Caregivers. Ann Behav Med 2020; 53:150-157. [PMID: 30052710 DOI: 10.1093/abm/kay024] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Background Although spirituality has been identified as a psychological resource relevant to coping with caregiving stress, little is known about the differential roles of spirituality's facets in bereaved caregivers' adjustment. Purpose This study examined this question with regard to bereavement-specific and general distress in cancer caregivers. Methods Cancer caregivers provided data at 2 years after their relative's diagnosis when all the patients were alive (Time 1, preloss) and 3 years later, after the patient had died (Time 2, postloss: N = 128). Demographics and three facets of spirituality (meaning, peace, and faith) were measured at Time 1. Psychological distress and time since the death were measured at Time 2. Results Younger age, less education, and being a spousal caregiver of the patient related to greater bereavement-specific and general distress (ts ≥ 2.02, ps < .05, partial η2 ≥ .15). Above and beyond these demographic factors, two preloss spirituality facets related to postloss distress. Specifically, a greater sense of inner peace at preloss was prospectively associated with less bereavement-specific distress (both intrusive thoughts and hyperarousal, ts ≥ 2.24, ps < .05, partial η2 ≥ .41). Greater reliance on faith at preloss was also prospectively associated with lower intrusive thoughts (t = 2.24, p < .05, partial η2 = .34). Conclusion Findings highlight the importance of preloss sense of peace as a predictor of psychological distress during bereavement. Programs and interventions might be designed to help caregivers find inner peace while caregiving, in an effort to augment their resiliency against psychological distress when facing the loss of the patient.
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Affiliation(s)
- Amanda Ting
- Department of Psychology, University of Miami, Coral Gables, FL, USA
| | - Aurelie Lucette
- Department of Psychology, University of Miami, Coral Gables, FL, USA
| | - Charles S Carver
- Department of Psychology, University of Miami, Coral Gables, FL, USA
| | | | - Youngmee Kim
- Department of Psychology, University of Miami, Coral Gables, FL, USA
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14
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Piderman KM. On These Holy Mountains. J Health Care Chaplain 2020; 28:63-68. [PMID: 32251607 DOI: 10.1080/08854726.2020.1745488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Chaplains are charged with the essential task of reflecting on their experiences and developing their insights into formats that can be shared with others. This brief report summarizes the spiritual distress and coping of four participants in the Hear My Voice pilot study for patients with advanced diseases, and includes questions for reflection on spiritual care and further research. It emphasizes the importance of taking time to listen deeply to one's experiences and the work of others to gain insight and perspective, contribute to the knowledge of others in writing, teaching and research, and advance best practices in spiritual care.
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Affiliation(s)
- Katherine M Piderman
- Departments of Chaplain Services and Pschiatry and Psychology, Mayo Clinic, Rochester, MN, USA
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15
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Marterre B, Clayville K. Navigating the Murky Waters of Hope, Fear, and Spiritual Suffering: An Expert Co-Captain's Guide. Surg Clin North Am 2019; 99:991-1018. [PMID: 31446923 DOI: 10.1016/j.suc.2019.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
How can surgeons deliver compassionate, holistic care to patients who are beyond cure? Interacting emotionally and understanding hope, fear, and spiritual suffering is key. Responsibly reframing hope to underlying meanings, and away from specific outcomes, is critical. Facilitating moves from cure to comfort to a peaceful dying process requires some retooling of the surgical toolbox. Surgeons possess a unique set of skills, including imagination and an undying sense of hope. Surgeons who have the courage to delve into their emotions and sustain realistic hope for their patients, all the way to the end, will reap deep personal and professional rewards.
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Affiliation(s)
- Buddy Marterre
- Surgical Palliative Care, Department of General Surgery, Wake Forest Baptist Health, 5th Floor, Watlington Hall, Medical Center Boulevard, Winston-Salem, NC 27157, USA.
| | - Kristel Clayville
- Zygon Center for Religion and Science, MacLean Center for Clinical Medical Ethics, 1100 East 55th Street, Chicago, IL 60615, USA
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16
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Damen A, Schuhmann C, Leget C, Fitchett G. Can Outcome Research Respect the Integrity of Chaplaincy? A Review of Outcome Studies. J Health Care Chaplain 2019; 26:131-158. [PMID: 31017043 DOI: 10.1080/08854726.2019.1599258] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
In recent years, some within chaplaincy have advocated for a stronger focus on outcomes, including outcome research, whereas others in the field have questioned an outcome-oriented perspective. In this article, existing outcome studies are reviewed in relation to the ongoing discussion about a process- or outcome-oriented approach to chaplaincy. A central question emerges from this discussion: how can outcome research be designed that respects the integrity of the profession of chaplaincy? A literature search in MEDLINE/Pubmed produced twenty-two chaplaincy outcome studies that met the inclusion criteria. A review of these studies shows that thus far most have focused on secondary chaplaincy outcomes (e.g., satisfaction) using quantitative designs. To respect the integrity of chaplaincy, it is recommended that future studies should also focus on characteristic chaplaincy outcomes, use mixed methods designs, and articulate more clearly how their chosen outcomes, outcome measures, and interventions relate to the work of chaplaincy.
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Affiliation(s)
- Annelieke Damen
- PhD Student Outcomes of Chaplaincy, University of Humanistic Studies, Utrecht, The Netherlands
| | | | - Carlo Leget
- University of Humanistic Studies, Utrecht, The Netherlands
| | - George Fitchett
- Department of Religion, Health, and Human Values, Rush University Medical Center, Chicago, IL, USA
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17
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Puchalski CM, Sbrana A, Ferrell B, Jafari N, King S, Balboni T, Miccinesi G, Vandenhoeck A, Silbermann M, Balducci L, Yong J, Antonuzzo A, Falcone A, Ripamonti CI. Interprofessional spiritual care in oncology: a literature review. ESMO Open 2019; 4:e000465. [PMID: 30962955 PMCID: PMC6435249 DOI: 10.1136/esmoopen-2018-000465] [Citation(s) in RCA: 53] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2018] [Revised: 12/10/2018] [Accepted: 12/11/2018] [Indexed: 01/08/2023] Open
Abstract
Spiritual care is recognised as an essential element of the care of patients with serious illness such as cancer. Spiritual distress can result in poorer health outcomes including quality of life. The American Society of Clinical Oncology and other organisations recommend addressing spiritual needs in the clinical setting. This paper reviews the literature findings and proposes recommendations for interprofessional spiritual care.
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Affiliation(s)
- Christina M Puchalski
- George Washington Institute for Spirituality and Health, School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA
| | - Andrea Sbrana
- Department of Translational Research, Polo Oncologico, Azienda Ospedaliero-Universitaria Pisana, University of Pisa, Pisa, Italy
| | - Betty Ferrell
- Division of Nursing Research and Education City of Hope, Duarte, California, USA
| | - Najmeh Jafari
- George Washington Institute for Spirituality and Health, School of Medicine and Health Sciences, The George Washington University, Washington, DC, USA
| | - Stephen King
- Spiritual Health, Child Life, and Clinical Patient Navigators, Seattle Cancer Care Alliance, Seattle, Washington, USA
| | - Tracy Balboni
- Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Initiative on Health, Religion, and Spirituality–Harvard University, Boston, Massachusetts, USA
| | - Guido Miccinesi
- Clinical Epidemiology Unit, Cancer Network, Prevention and Research Institute-ISPRO, Florence, Italy
| | - Anna Vandenhoeck
- European Research Institute for Chaplains in Healthcare, Theology and Religious Studies KU Leuven, Leuven, Belgium
| | | | - Lodovico Balducci
- Moffitt Cancer Center, University of South Florida College of Medicine, Tampa, Florida, USA
| | - Julianna Yong
- College of Nursing, WHO Collaborating Centre for Training in Hospice and Palliative Care, The Catholic University of Korea, Seoul, Korea
| | - Andrea Antonuzzo
- Polo Oncologico, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy
| | - Alfredo Falcone
- Department of Translational Research, Polo Oncologico, Azienda Ospedaliero-Universitaria Pisana, University of Pisa, Pisa, Italy
| | - Carla Ida Ripamonti
- Oncology-Supportive Care Unit, Department of Oncology-Haematology, Fondazione IRCCS, Istituto Nazionale dei Tumori, Milan, Italy
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18
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D'Angelo CM, Mrug S, Grossoehme D, Schwebel DC, Reynolds N, Guion Reynolds K. Coping, Attributions, and Health Functioning Among Adolescents with Chronic Illness and Their Parents: Reciprocal Relations Over Time. J Clin Psychol Med Settings 2019; 26:495-506. [PMID: 30612251 DOI: 10.1007/s10880-018-9597-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
The purpose of the study was to identify bidirectional and longitudinal links between attributions, coping, and health functioning among adolescents with chronic illness and their parents. Religious/spiritual coping, attributional styles, and health functioning were assessed among adolescents with chronic illness at two time points approximately 21 months apart. Parental coping and attributions at both time points were also measured. Longitudinal links between variables were tested using an autoregressive cross-lagged path model; adolescent age and disease differences were evaluated via multigroup modeling. Poorer adolescent health functioning at baseline predicted higher use of parent optimistic attributional style at follow-up. Adolescent optimistic attributional style at baseline predicted more positive and less negative religious/spiritual coping at follow-up; adolescent negative religious/spiritual coping at baseline predicted more positive religious/spiritual coping at follow-up. Parent optimistic attributional style and positive religious/spiritual coping at baseline predicted the same constructs among adolescents at follow-up. With respect to age differences, parental negative religious/spiritual coping at baseline was associated with poorer health functioning among younger, but not older, adolescents at follow-up. There were no disease differences in the model. Important links were identified in this family-based model of coping, attributions, and health functioning. The results highlight specific targets for interventions to improve health functioning and coping among adolescents with chronic illness, including parental religious/spiritual coping and adolescent attributional style.
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Affiliation(s)
- Christina M D'Angelo
- Department of Psychology, University of Alabama at Birmingham, 1720 Second Avenue South, HMB 195, Birmingham, AL, 35294, USA.
| | - Sylvie Mrug
- Department of Psychology, University of Alabama at Birmingham, 1720 Second Avenue South, HMB 195, Birmingham, AL, 35294, USA
| | - Daniel Grossoehme
- Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - David C Schwebel
- Department of Psychology, University of Alabama at Birmingham, 1720 Second Avenue South, HMB 195, Birmingham, AL, 35294, USA
| | - Nina Reynolds
- Children's Behavioral Health Ireland Center, Children's of Alabama, Birmingham, AL, USA
| | - Kimberly Guion Reynolds
- Child Development and Rehabilitation Center, Oregon Health and Science University, Portland, OR, USA
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19
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Sytsma TT, Schmelkin LA, Jenkins SM, Lovejoy LA, Lapid MI, Piderman KM. “Keep the faith”: Spirituality as a contributor to resiliency in five elderly people. JOURNAL OF RELIGION, SPIRITUALITY & AGING 2018. [DOI: 10.1080/15528030.2018.1441095] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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20
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Piderman KM, Egginton JS, Ingram C, Dose AM, Yoder TJ, Lovejoy LA, Swanson SW, Hogg JT, Lapid MI, Jatoi A, Remtema MS, Tata BS, Breitkopf CR. I’m Still Me: Inspiration and Instruction from Individuals with Brain Cancer. J Health Care Chaplain 2016; 23:15-33. [DOI: 10.1080/08854726.2016.1196975] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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