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Iannello NM, Inguglia C, Silletti F, Albiero P, Cassibba R, Lo Coco A, Musso P. How Do Religiosity and Spirituality Associate with Health-Related Outcomes of Adolescents with Chronic Illnesses? A Scoping Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192013172. [PMID: 36293751 PMCID: PMC9603522 DOI: 10.3390/ijerph192013172] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 10/07/2022] [Accepted: 10/10/2022] [Indexed: 06/12/2023]
Abstract
The aim of the current scoping review was to explore the associations between religious and spiritual factors and the health-related outcomes of adolescents with chronic illnesses, as well as to investigate possible mechanisms accounting for these relationships. In total, 20 studies meeting the eligibility criteria were reviewed after performing a search of the Scopus, Web of Science, and PubMed databases. The results suggested that religious and spiritual beliefs, thoughts, and practices (e.g., spiritual coping activities) might have both beneficial and deleterious effects on the way adolescents deal with their medical condition, on their psychosocial adjustment, on their mental and physical health, and on their adherence to treatments. Mediating and moderating mechanisms explaining these relations were also evidenced. Suggestions for future research and practical implications for healthcare professionals are provided in the concluding section of this work.
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Affiliation(s)
| | - Cristiano Inguglia
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy
| | - Fabiola Silletti
- Department of Educational Sciences, Psychology, Communication, University of Studies of Bari, 70122 Bari, Italy
| | - Paolo Albiero
- Department of Developmental Psychology and Socialisation, University of Padua, 35121 Padova, Italy
| | - Rosalinda Cassibba
- Department of Educational Sciences, Psychology, Communication, University of Studies of Bari, 70122 Bari, Italy
| | - Alida Lo Coco
- Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy
| | - Pasquale Musso
- Department of Educational Sciences, Psychology, Communication, University of Studies of Bari, 70122 Bari, Italy
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Kripalani S, Gaughan JP, Cerceo E. The Role of Religion in Physician Outlook on Death, Dying, and End of Life Care. JOURNAL OF RELIGION AND HEALTH 2021; 60:2109-2124. [PMID: 33386571 DOI: 10.1007/s10943-020-01126-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 10/27/2020] [Indexed: 06/12/2023]
Abstract
One of the many roles a physician provides to their patients is compassion and comfort, which includes tending to any psychological, spiritual, and religious needs the patient has. The goal of this pilot study was to explore whether religious or spiritual values of physicians at an urban academic hospital affect how physicians care for and communicate with their patients, especially when dealing with death, dying, and end-of-life matters. After surveying 111 inpatient physicians at an academic hospital, we found that 92% of physicians are extremely or somewhat comfortable having end-of-life discussions. We also found that physician religiosity and spirituality are not necessarily required for discussing death and dying and that the religious and spiritual values of the physician do not correlate with their ability to have end-of-life conversations with the patient. We found no difference between years in practice and comfort discussing religion and spirituality, though we did find that, of the physicians who believe they are comfortable talking to patients about religion or belief systems, most of them had more than five end-of-life patients in the past 12 months. Lastly, referrals to Palliative Care or pastoral services were not impacted by the physician's religious or spiritual beliefs. Future studies can explore how religious beliefs may more subtly influence physicians' interactions with patients, patient satisfaction, and physician well-being and resilience.
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A Focus Group Study of Provider and Patient Perceptions of Communicating Advanced Care Planning Wishes Using Digital Storytelling. J Hosp Palliat Nurs 2020; 21:131-138. [PMID: 30688802 DOI: 10.1097/njh.0000000000000503] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Advanced care planning (ACP) and end-of-life discussions are especially difficult among persons living with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) as a result of patients' lack of trust in family and providers, HIV-related stigma, misunderstood spirituality concerns, social isolation, and other factors. Previous research has demonstrated that relatively few persons living with HIV/AIDS engage in ACP, yet developing culturally sensitive methods of ACP is imperative. One such method is digital storytelling, a video narrative that can be used to share ideas or aspects of a life story.The aim of this study was to examine perspectives from providers and persons living with HIV/AIDS about the acceptability, benefits, and technological challenges of and barriers to using digital storytelling for ACP. A qualitative descriptive design was employed using focus groups of 21 participants in South Central Appalachia. Transcribed data were analyzed using qualitative content analysis. Findings revealed patient and provider ideas about ACP, factors related to digital story acceptability, stigma against persons living with HIV/AIDS, and concern for the legality of ACPs expressed in digital story format. Future research should focus on the process of creating digital stories as an intervention to improve ACP in this unique aggregate.
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Smith ST, Dawson-Rose C, Blanchard J, Butler D. Unwelcoming: The Church Experiences of HIV-Infected Adolescents and Emerging Adults. JOURNAL OF RELIGION AND HEALTH 2019; 58:1429-1443. [PMID: 31055688 DOI: 10.1007/s10943-019-00828-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Acceptance among family, friends, and within the community is a critical developmental milestone during adolescence. Having a diagnosis of HIV may hinder or impede one's ability to develop socially. The purpose of our original study was to describe the role spirituality may play in HIV-infected adolescents and emerging adults. We interviewed 21 Christian-identified males using constructivist grounded theory methodology. The theory of the church not embracing HIV-infected youth was generated. The theme "unwelcoming" describes young people's attempts to connect with the church. Embracing adolescents and emerging adults in church may offer support and enhance their ability to cope with HIV.
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Affiliation(s)
- Sharon T Smith
- Point Loma Nazarene University School of Nursing, 3900 Lomaland Dr., San Diego, CA, 92106, USA.
| | - Carol Dawson-Rose
- University of California San Francisco School of Nursing, San Francisco, CA, USA
| | - Jennifer Blanchard
- Department of Adolescent and Young Adult Medicine, University of California San Diego Medical Center, San Diego, CA, USA
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Damsma Bakker AA, van Leeuwen RRR, Roodbol PFP. The Spirituality of Children with Chronic Conditions: A Qualitative Meta-synthesis. J Pediatr Nurs 2018; 43:e106-e113. [PMID: 30122453 DOI: 10.1016/j.pedn.2018.08.003] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/16/2018] [Revised: 07/13/2018] [Accepted: 08/02/2018] [Indexed: 01/29/2023]
Affiliation(s)
| | - R R René van Leeuwen
- School of Nursing, Viaa University of Applied Science, EN, Zwolle, the Netherlands.
| | - P F Petrie Roodbol
- GZW, Nursing Research, University Medical Center, GZ, Groningen, the Netherlands.
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Smith ST, Blanchard J, Kools S, Butler D. Reconnecting to Spirituality: Christian-Identified Adolescents and Emerging Adult Young Men's Journey from Diagnosis of HIV to Coping. JOURNAL OF RELIGION AND HEALTH 2017; 56:188-204. [PMID: 27216031 DOI: 10.1007/s10943-016-0245-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Spirituality is important to holistic health, yet little is known about its impact on young people with HIV. To address this knowledge deficit, a grounded theory study used semi-structured interviews of 20 Christian-identified adolescent and emerging adult gay males and one perinatally infected male. This study revealed that, to cope with HIV health issues, participants used a process of reconnecting with their spirituality. In order to successfully reconnect with their spirituality, study participants reported a need to re-embrace and re-engage in spiritual practices, hold onto hope, believe they are normal, and commit to beliefs and practices despite rejection from the church.
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Affiliation(s)
- Sharon T Smith
- Hahn School of Nursing, University of San Diego, 10146 Challenger Circle, Spring Valley, San Diego, CA, 91978-2016, USA.
| | - Jennifer Blanchard
- Department of Adolescent and Young Adult Medicine, University of California San Diego Medical Center, San Diego, CA, USA
| | - Susan Kools
- Madge M. Jones Professor, University of Virginia School of Nursing, Charlottesville, VA, USA
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Lyon ME, Garvie P, He J, Malow R, McCarter R, D'Angelo LJ. Spiritual well-being among HIV-infected adolescents and their families. JOURNAL OF RELIGION AND HEALTH 2014; 53:637-53. [PMID: 23104266 PMCID: PMC3568454 DOI: 10.1007/s10943-012-9657-y] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Congruence in spirituality between HIV+ adolescent (n = 40)/family (n = 40) dyads and psychological adjustment and quality of life were assessed, using the Spiritual Well-Being Scale of the Functional Assessment of Chronic Illness Therapy, Beck Depression Inventory-II, Beck Anxiety Inventory and Pediatric Quality of Life Inventory at baseline and 3-month post-intervention. Adolescents were 60 % female and 92 % African American. Congruence in spirituality between adolescent/surrogate dyads remained unchanged at 3 months. High congruence existed for "having a reason for living"; rejection of "life lacks meaning/purpose" and "HIV is a punishment from God." Adolescents were less likely to forgive the harm others caused them than their families.
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Affiliation(s)
- Maureen E Lyon
- Center for Translational Research, Children's Research Institute, Children's National Medical Center, Room M7658, 111 Michigan Avenue, N.W., Washington, DC, 20010-2970, USA,
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Cotton S, Grossoehme DH, Bignall WR, Weekes-Kanu JC. Should my provider pray with me? Perspectives of urban adolescents with asthma on addressing religious and spiritual issues in hypothetical clinical settings. JOURNAL OF RELIGION AND HEALTH 2014; 53:604-613. [PMID: 24173602 PMCID: PMC4609438 DOI: 10.1007/s10943-013-9790-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
This qualitative study examined the preferences of urban adolescents with asthma for including religious/spiritual (R/S) inquiry in a variety of hypothetical clinical encounters. Twenty-one urban adolescents (M(age) = 15.6 years, 52 % female, 81 % African American) with asthma participated in a semi-structured interview. Interviews were transcribed and underwent a thematic analysis. R/S preferences were contextual rather than personal, driven by: (1) acuity of the hypothetical clinical context; (2) nature of the patient-provider relationship; and (3) level of R/S intervention/inquiry. Most adolescents welcomed prayer if near death, but did not see the relevance of R/S in a routine office visit.
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Affiliation(s)
- Sian Cotton
- Department of Family and Community Medicine, University of Cincinnati College of Medicine, P.O. Box 670566, Cincinnati, OH, 45267-0840, USA,
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