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Allicock MA, Suragh T, Ward R, Berry A, Lee S, Bala B. Coping During the COVID-19 Pandemic: Experiences of Complex Cancer Survivors. Clin J Oncol Nurs 2023; 27:681-687. [PMID: 38009888 PMCID: PMC10964933 DOI: 10.1188/23.cjon.681-687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2023]
Abstract
Patients with cancer and multiple chronic conditions (complex cancer survivors) are vulnerable to the negative impacts of COVID-19. However, their experiences and coping strategies during the COVID-19 pandemic have not been e.
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Affiliation(s)
- Marlyn A. Allicock
- UTHealth Houston, School of Public Health; 2777 N Stemmons Fwy, Ste. 8400, Dallas, TX 75207, USA
- Center for Health Promotion and Prevention Research, 7000 Fannin St, Houston, TX, 77030, USA
- Texas Center for Pediatric Population Health, Dallas, TX; 2777 N Stemmons Fwy, Ste. 8400, Dallas, TX 75207, USA
| | - Tiffany Suragh
- UTHealth Houston, School of Public Health; 2777 N Stemmons Fwy, Ste. 8400, Dallas, TX 75207, USA
| | - Rikki Ward
- UTHealth Houston, School of Public Health; 2777 N Stemmons Fwy, Ste. 8400, Dallas, TX 75207, USA
| | - Aiden Berry
- UTHealth Houston, School of Public Health; 2777 N Stemmons Fwy, Ste. 8400, Dallas, TX 75207, USA
| | - Simon Lee
- University of Kansas School of Medicine and University of Kansas Cancer Center; 3901 Rainbow Blvd MSC 1008, Kansas City, KS 66160
| | - Bijal Bala
- UTHealth Houston, School of Public Health; 2777 N Stemmons Fwy, Ste. 8400, Dallas, TX 75207, USA
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2
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Sherman AC, Simonton-Atchley S, O'Brien CE, Campbell D, Reddy RM, Guinee B, Wagner LD, Anderson PJ. Associations Between Religious/Spiritual Coping and Depression Among Adults with Cystic Fibrosis: A 12-Month Longitudinal Study. JOURNAL OF RELIGION AND HEALTH 2021; 60:2646-2661. [PMID: 33575892 DOI: 10.1007/s10943-021-01185-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/16/2021] [Indexed: 06/12/2023]
Abstract
Individuals with cystic fibrosis (CF) face a challenging disease, and depression is a significant concern. Many patients draw on religious/spiritual resources to assist them in managing the demands of chronic illness; however, these coping efforts rarely have been evaluated among adults with CF. This longitudinal study examined relationships between distinct types of positive and negative religious/spiritual coping at baseline (assessed with the RCOPE) and depression screening outcomes 12 month later (assessed with the Hospital Anxiety and Depression Scale). In logistic regression analyses controlling for disease severity (FEV1% predicted), lower likelihood of depression caseness at 12 months was predicted by higher general religiousness at baseline, greater use of benevolent religious reappraisal coping, greater use of spiritual connection coping, and lower spiritual discontent. Results suggest that distinct aspects religious/spiritual coping have differential associations with subsequent depression outcomes. Findings extend prior research to an important, understudied medical population, and address a clinically meaningful outcome.
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Affiliation(s)
- Allen C Sherman
- Behavioral Medicine Division, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
| | | | - Catherine E O'Brien
- Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Dianne Campbell
- Cystic Fibrosis Clinic, University of Arkansas for Medical Sciences, Little Rock, AR, USA
- Department of Social Work, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA
| | - Raghu M Reddy
- Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
- St. Vincent's Hospital, Little Rock, AR, USA
| | - Bethany Guinee
- Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR, USA
- Pharmacy Department, Select Specialty Hospital, Orlando, FL, USA
| | - Laura D Wagner
- Department of Pharmacy Practice, University of Arkansas for Medical Sciences, Little Rock, AR, USA
- Primary Care Clinic, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Paula J Anderson
- Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
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3
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Borges M, Lucchetti G, Leão FC, Vallada H, Peres MFP. Religious Affiliations Influence Health-Related and General Decision Making: A Brazilian Nationwide Survey. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:2873. [PMID: 33799740 PMCID: PMC8001914 DOI: 10.3390/ijerph18062873] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 03/04/2021] [Accepted: 03/05/2021] [Indexed: 11/16/2022]
Abstract
Approximately 90% of the world's population is involved in some spiritual/religious practice, and this dimension has a relevant role in life. Many studies demonstrate the associations between spirituality/religiosity (S/R), and physical, mental, and social health. Systematic reviews have indicated positive associations; however, the mechanisms behind religious coping are not fully understood. The present study aimed to examine the role of religious affiliation in general (ordinary) and health-related decisions. A nationwide, population-based, cross-sectional study was conducted in Brazil using a self-administered online survey. How much religious affiliation influences decision making was investigated. A total of 1133 participants were included, who were classified as Catholics (43.9%), Evangelicals (18.7%), spiritualists (12.8%), non-religious (11.9%), and others (12.7%). Most participants (66.5%) believed that their religious affiliations had moderate to high influences on their decisions. Participants rated the influence as high in marriage (62.7%), in donations (60.1%), in volunteering (55%), in friendships (53.9%), and in work (50.5%). Concerning health-related decisions, the influence was rated as high in drug use (45.2%), in accepting medical recommendations (45%), and in smoking (43.2%). The influence of religious affiliation on general decision making was significantly correlated for dietary restrictions (r = 0.462), alcohol consumption (r = 0.458), drug use (r = 0.441), tobacco consumption (r = 0.456), and refusal of medical recommendations (r = 0.314). Improving the understanding of how a patient's beliefs, practices, and experiences affect their health may help healthcare practitioners to take into account religious considerations, not only regarding influences on habits but also regarding adherence to medical treatment advice.
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Affiliation(s)
- Marcelo Borges
- PROSER, Programa de Espiritualidade e Religiosidade, Instituto de Psiquiatra, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo 05403-903, Brazil; (F.C.L.); (H.V.); (M.F.P.P.)
| | - Giancarlo Lucchetti
- School of Medicine, Federal University of Juiz de Fora, Juiz de Fora 36038-330, Brazil;
| | - Frederico C. Leão
- PROSER, Programa de Espiritualidade e Religiosidade, Instituto de Psiquiatra, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo 05403-903, Brazil; (F.C.L.); (H.V.); (M.F.P.P.)
| | - Homero Vallada
- PROSER, Programa de Espiritualidade e Religiosidade, Instituto de Psiquiatra, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo 05403-903, Brazil; (F.C.L.); (H.V.); (M.F.P.P.)
- Departamento & Instituto de Psiquiatria (LIM-23) HCFMUSP, Sao Paulo 05403-903, Brazil
- Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo 05403-903, Brazil
| | - Mario F. P. Peres
- PROSER, Programa de Espiritualidade e Religiosidade, Instituto de Psiquiatra, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo 05403-903, Brazil; (F.C.L.); (H.V.); (M.F.P.P.)
- Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo 05403-903, Brazil
- Hospital Israelita Albert Einstein, São Paulo 05403-903, Brazil
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4
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Del Corral T, La Touche R, Cebrià I Iranzo MÀ, Olmos R, Blanco-Royano F, López-de-Uralde-Villanueva I. Development and Validation of the AdT-Physio Scale: A Tool to Assess Adherence and Perception of Physical Therapist Intervention in Patients With Cystic Fibrosis. Phys Ther 2020; 100:2063-2074. [PMID: 32754747 DOI: 10.1093/ptj/pzaa136] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Revised: 09/28/2019] [Accepted: 06/22/2020] [Indexed: 11/13/2022]
Abstract
OBJECTIVE The purpose of this study was to develop a scale to measure patient adherence to physical therapist intervention and to report psychometric properties in patients with cystic fibrosis (CF). METHODS This observational, multicenter, qualitative, and cross-sectional study was divided into 2 phases: development of scale items (content validity) and assessment of psychometric properties (construct validity, reliability, and convergent/discriminant validity). Recruited were 121 patients with CF (aged ≥16 years). Sociodemographic characteristics, lung function testing, Coping with Stress Self-Efficacy, brief Coping Orientation to Problems Experienced inventory, and the scale of Adherence to Treatment of Physiotherapy (AdT-Physio) scale were evaluated. RESULTS The final version of the AdT-Physio scale consists of 15 items distributed across 2 subscales: compliance and beliefs about treatment/therapist. The scale showed high internal consistency (Cronbach α = .897; 95% CI = 0.868-0.922) and subscales above 0.800. The 2-factor confirmatory factor analysis model fitted the data reasonably well: χ2 (76) = 111.96, comparative fit index = 0.982, Tucker-Lewis index = 0.978, root mean square error of approximation = 0.063, 95% CI = 0.036 to 0.086, and weighted root mean square residual = 0.720. No floor or ceiling effects were identified. There was a positive, significant, and moderate-low magnitude correlation with the total Coping Orientation to Problems Experienced inventory (r = .360) and Coping with Stress Self-Efficacy subscale efficacy expectations scores (r = .304). For discriminant validity, there was a positive, significant, and moderate correlation between the total and the age of the patients (r = .354). CONCLUSIONS The AdT-Physio scale is psychometrically valid and reliable for use in the clinic for the assessment of adherence to physical therapy in patients with CF. IMPACT Ultimately, the authors propose this documentary instrument to assess the evaluation of the therapeutic alliance in a valid and objective manner. The AdT-Physio scale provides us with a greater degree of understanding of the problems behind noncompliance with treatment to advance person-centered decisions in physical therapy and thereby enhance the effectiveness of care.
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Affiliation(s)
- Tamara Del Corral
- Department of Physiotherapy, Faculty of Health Sciences; and Motion in Brains Research Group, Institute of Neurosciences and Movement Sciences, Centre for Advanced University Studies La Salle, Autonomous University of Madrid, Madrid, Spain
| | - Roy La Touche
- Department of Physiotherapy, Faculty of Health Sciences, Center for Advanced Studies, LaSalle University, Madrid, Autonomous University of Madrid, Calle la Salle, 10, 28023, Madrid, Spain; and Motion in Brains Research Group, Institute of Neurosciences and Movement Sciences, Centre for Advanced University Studies La Salle, Autonomous University of Madrid
| | - Maria Àngels Cebrià I Iranzo
- Department of Physiotherapy, University of Valencia, and University and Polytechnic Hospital La Fe, Valencia, Spain
| | - Ricardo Olmos
- Department of Social Psychology and Methodology, Autonomous University of Madrid, Madrid, Spain
| | - Fernando Blanco-Royano
- Training Institute of Masseur-Kinesitherapists, the Health Renaissance, Hôpital de la Musse, Saint Sébastien de Morsent, France. At the time of the study, Mr Blanco-Royano was affiliated with Department of Nursing and Physiotherapy, Faculty of Medicine, CEU-San Pablo University, Madrid, Spain
| | - Ibai López-de-Uralde-Villanueva
- Department of Radiology, Rehabilitation and Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, Madrid, Spain
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5
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Thienprayoon R, Grossoehme D, Humphrey L, Pestian T, Frimpong-Manso M, Malcolm H, Kitamura E, Jenkins R, Friebert S. “There's Just No Way to Help, and They Did.” Parents Name Compassionate Care as a New Domain of Quality in Pediatric Home-Based Hospice and Palliative Care. J Palliat Med 2020; 23:767-776. [DOI: 10.1089/jpm.2019.0418] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Affiliation(s)
- Rachel Thienprayoon
- Division of Palliative Care, Department of Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
| | - Daniel Grossoehme
- Haslinger Family Pediatric Palliative Care Division and Rebecca C. Considine Research Institute, Akron Children's Hospital, Akron, Ohio, USA
| | - Lisa Humphrey
- Division of Palliative Care, Department of Pediatrics, Nationwide Children's Hospital, Columbus, Ohio, USA
| | - Teresa Pestian
- Division of Adolescent Medicine, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA
| | - Millicent Frimpong-Manso
- Division of Pharmacy Practice and Administrative Sciences, College of Pharmacy, University of Cincinnati, Cincinnati, Ohio, USA
| | - Hailey Malcolm
- Department of Pastoral Care, Cincinnati Children's Hospital, Cincinnati, Ohio, USA
| | - Elizabeth Kitamura
- Department of Spiritual Care, NYU Langone Health, New York, New York, USA
| | - Rachel Jenkins
- Haslinger Family Pediatric Palliative Care Division and Rebecca C. Considine Research Institute, Akron Children's Hospital, Akron, Ohio, USA
| | - Sarah Friebert
- Haslinger Family Pediatric Palliative Care Division and Rebecca C. Considine Research Institute, Akron Children's Hospital, Akron, Ohio, USA
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Grossoehme DH, Cole AG, Lewis K, Stamper SM, Teeters A, Joseph PM. Adults with cystic fibrosis: spiritual coping with lifelong disease. J Health Care Chaplain 2020; 26:45-57. [PMID: 32172686 DOI: 10.1080/08854726.2020.1713647] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Cystic fibrosis (CF) is a chronic life-shortening disease requiring significant coping. Spiritual belief relates to treatment behaviors. Little is known about spirituality's role in adults diagnosed as children, nor how it compares with adults diagnosed as adults. Adults over 18 years, diagnosed as children completed a questionnaire; some were randomized to also participate in an interview or daily phone diary to measure adherence. Qualitative analyses of 25 adults are presented. Participants reframed their disease as part of a Divine Plan, in which Divine assistance was conditional upon adherence. Linear regression models of spiritual constructs on airway clearance, nebulized medication, and exercise are presented. Adults diagnosed as children related spirituality to CF in ways both consistent and different from adults diagnosed as adults. Spiritual beliefs were related to adherence determinants and intentions. Increased understanding of the relationship between spirituality and health behaviors is important to providing person-centered care.
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Affiliation(s)
- Daniel H Grossoehme
- Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.,Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Adam G Cole
- Department of Internal Medicine, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.,Department of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati Medical Center, Cincinnati, OH, USA
| | - Katrina Lewis
- Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Sophia M Stamper
- Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Alexis Teeters
- Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Patricia M Joseph
- Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.,Department of Internal Medicine, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.,Department of Pulmonary, Critical Care and Sleep Medicine, University of Cincinnati Medical Center, Cincinnati, OH, USA
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7
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Betz J, Szczesniak R, Lewis K, Pestian T, Bennethum AS, McBride J, Grossoehme DH. Feasibility and Acceptability of a Telephone-Based Chaplaincy Intervention to Decrease Parental Spiritual Struggle. JOURNAL OF RELIGION AND HEALTH 2019; 58:2065-2085. [PMID: 31584149 DOI: 10.1007/s10943-019-00921-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Spiritual struggles (SSs) are distressing spiritual thoughts associated with poorer health outcomes. This study's purpose was to test feasibility, acceptability, and fidelity of an intervention to decrease SS of parents of children with CF. Parents screening positive for SS were enrolled and were randomized to intervention or attention-control condition. Intervention focused on intra-, inter-, and divine SS. Mixed linear modeling examined between-group differences. We present analyses of N = 23, and participants all showed decreased levels of SS. Acceptability was high; feasibility was higher in the intervention arm. GuideSS_CF is acceptable and feasible and warrants development as a potentially efficacious intervention.
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Affiliation(s)
- John Betz
- Department of Pastoral Care, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Rhonda Szczesniak
- Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, OH, USA
- Division of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Katrina Lewis
- Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC2021, Cincinnati, OH, 45229, USA
| | - Teresa Pestian
- Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC2021, Cincinnati, OH, 45229, USA
| | - Amy Simpson Bennethum
- Department of Pastoral Care, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Judith McBride
- Department of Pastoral Care, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Daniel H Grossoehme
- Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, OH, USA.
- Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC2021, Cincinnati, OH, 45229, USA.
- Department of Pastoral Care, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
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8
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Silva AN, Moratelli L, Tavares PL, Marsicano EDO, Pinhati RR, Colugnati FAB, Lucchetti G, Sanders-Pinheiro H. Self-efficacy beliefs, locus of control, religiosity and non-adherence to immunosuppressive medications in kidney transplant patients. Nephrology (Carlton) 2016; 21:938-943. [DOI: 10.1111/nep.12695] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Revised: 11/24/2015] [Accepted: 11/30/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Andresa Nascimento Silva
- Renal Transplantation Unit; Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN); Juiz de Fora Brazil
| | - Lucas Moratelli
- Renal Transplantation Unit; Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN); Juiz de Fora Brazil
| | - Paula Liziero Tavares
- Renal Transplantation Unit; Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN); Juiz de Fora Brazil
| | - Elisa De Oliveira Marsicano
- Renal Transplantation Unit; Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN); Juiz de Fora Brazil
| | - Renata Romanholi Pinhati
- Renal Transplantation Unit; Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN); Juiz de Fora Brazil
| | - Fernando Antonio Basile Colugnati
- Renal Transplantation Unit; Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN); Juiz de Fora Brazil
| | - Giancarlo Lucchetti
- Department of Medicine; Núcleo de Pesquisas em Espiritualidade e Saúde (NUPES) Federal University of Juiz de Fora; Juiz de Fora Brazil
| | - Helady Sanders-Pinheiro
- Renal Transplantation Unit; Division of Nephrology, University Hospital - Federal University of Juiz de Fora, Minas Gerais, Brazil. Núcleo Interdisciplinar de Estudos e Pesquisas em Nefrologia (NIEPEN); Juiz de Fora Brazil
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9
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Macdonald M, Martin-Misener R, Helwig M, Smith LJ, Godfrey CM, Curran J, Murphy A. Experiences of adults with cystic fibrosis in adhering to medication regimens. ACTA ACUST UNITED AC 2016; 14:258-85. [DOI: 10.11124/jbisrir-2016-002362] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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11
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Ragsdale JR, Orme-Rogers C, Bush JC, Stowman SL, Seeger RW. Behavioral Outcomes of Supervisory Education in the Association for Clinical Pastoral Education: A Qualitative Research Study. THE JOURNAL OF PASTORAL CARE & COUNSELING : JPCC 2016; 70:5-15. [PMID: 26956745 DOI: 10.1177/1542305015619885] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
This study advances the work of developing a theory for educating Clinical Pastoral Education (CPE) Supervisors by describing the behaviors which result from the successful completion of CPE supervisory education. Twenty-eight Association for Clinical Pastoral Education (ACPE) Certification Commissioners were interviewed to identify the behaviors demonstrated by Supervisory Education Students (Candidates) which influenced the decision to certify them at the level of Associate Supervisor. Specific behavioral descriptors are listed for each ACPE supervisory competency.
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12
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Hamilton JB, Galbraith KV, Best NC, Worthy VC, Moore LTCAD. African-American Cancer Survivors' Use of Religious Beliefs to Positively Influence the Utilization of Cancer Care. JOURNAL OF RELIGION AND HEALTH 2015; 54:1856-69. [PMID: 25269756 DOI: 10.1007/s10943-014-9948-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
Among African-Americans, religion impacts health-seeking behaviors. This qualitative study used criterion purposeful sampling and thematic analysis in analysis of data from 31 African-American cancer patients to understand the influence of religion on the utilization of cancer care services. Our findings suggest that religious beliefs and practices positively influenced attitudes toward their illness and ability to endure treatment. God's ability to heal and cure, God's control over survival, God's will over their lives, and God's promise for health and prosperity were examples of survivor's religious beliefs. Religious practices such as prayer promoted a trusting relationship with healthcare providers and were a source of strength and encouragement.
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Affiliation(s)
- Jill B Hamilton
- Department of Community-Public Health, School of Nursing, Johns Hopkins University, 525 N. Wolfe Street, Baltimore, MD, 21205, USA,
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13
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Purcell HN, Whisenhunt A, Cheng J, Dimitriou S, Young LR, Grossoehme DH. "A remarkable experience of god, shaping us as a family": parents' use of faith following child's rare disease diagnosis. J Health Care Chaplain 2015; 21:25-38. [PMID: 25569780 DOI: 10.1080/08854726.2014.988525] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
A child's chronic illness can lead parents to utilize different types of coping, including religious beliefs and practices. Previous studies have generally focused on life-shortening diagnoses. The present study explored parental use of faith when the diagnosis was not life-shortening, using grounded-theory qualitative methodology. Data were collected using semi-structured telephone interviews with N = 12 parents of children diagnosed with Neuroendocrine Hyperplasia of Infancy (NEHI); approximately 50% of the diagnosed population in the United States at the time of the interview. Participants used faith to cope and make meaning in five ways: parents believed NEHI happened for a reason; beliefs provided resilience; parents were sustained by faith communities; beliefs affected parents' behavior; and beliefs developed over time. The results suggest that chaplains develop means for universal screening for spiritual struggle; educating congregational clergy how to support families in which a child has a chronic illness; and assisting parents construct meaning of their experience.
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Affiliation(s)
- Hillary N Purcell
- a Division of Pulmonary Medicine , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA
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14
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Grossoehme DH, Filigno SS, Bishop M. Parent routines for managing cystic fibrosis in children. J Clin Psychol Med Settings 2015; 21:125-35. [PMID: 24838648 DOI: 10.1007/s10880-014-9396-1] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Management of cystic fibrosis (CF) is burdensome and adherence is often suboptimal. Family routines are associated with adherence and health outcomes in other disease populations. Few studies have examined routines in CF. The study's aim was to describe parent experiences developing and utilizing CF care routines. Semi-structured interviews with a convenience sample of 25 parents of children under 13 years of age with CF were analyzed using phenomenological analysis. Three domains emerged: parent experiences developing a routine, support systems facilitating maintenance of routines, and challenges with maintaining care routines. Parents found routines difficult to establish, used trial and error, encountered barriers, and found support helpful to manage care demands. Some parents chose to deviate from their routine. Providing anticipatory guidance to promote the use of care routines and strategies to manage potential challenges may facilitate use of routines and improve CF management.
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Affiliation(s)
- Daniel H Grossoehme
- Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue MLC2021, Cincinnati, OH, 45229, USA,
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15
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Parameshwaran R. Theory and practice of chaplain's spiritual care process: A psychiatrist's experiences of chaplaincy and conceptualizing trans-personal model of mindfulness. Indian J Psychiatry 2015; 57:21-9. [PMID: 25657453 PMCID: PMC4314912 DOI: 10.4103/0019-5545.148511] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Of various spiritual care methods, mindfulness meditation has found consistent application in clinical intervention and research. "Listening presence," a chaplain's model of mindfulness and its trans-personal application in spiritual care is least understood and studied. AIM The aim was to develop a conceptualized understanding of chaplain's spiritual care process based on neuro-physiological principles of mindfulness and interpersonal empathy. MATERIALS AND METHODS Current understandings on neuro-physiological mechanisms of mindfulness-based interventions (MBI) and interpersonal empathy such as theory of mind and mirror neuron system are used to build a theoretical framework for chaplain's spiritual care process. Practical application of this theoretical model is illustrated using a carefully recorded clinical interaction, in verbatim, between chaplain and his patient. Qualitative findings from this verbatim are systematically analyzed using neuro-physiological principles. RESULTS AND DISCUSSION Chaplain's deep listening skills to experience patient's pain and suffering, awareness of his emotions/memories triggered by patient's story and ability to set aside personal emotions, and judgmental thoughts formed intra-personal mindfulness. Chaplain's insights on and ability to remain mindfully aware of possible emotions/thoughts in the patient, and facilitating patient to return and re-return to become aware of internal emotions/thoughts helps the patient develop own intra-personal mindfulness leading to self-healing. This form of care involving chaplain's mindfulness of emotions/thoughts of another individual, that is, patient, may be conceptualized as trans-personal model of MBI. CONCLUSION Chaplain's approach may be a legitimate form of psychological therapy that includes inter and intra-personal mindfulness. Neuro-physiological mechanisms of empathy that underlie Chaplain's spiritual care process may establish it as an evidence-based clinical method of care.
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Affiliation(s)
- Ramakrishnan Parameshwaran
- Harvard Divinity School, Harvard University, Cambridge, MA 02138, USA, Adibhat Foundation for Integrating Medicine and Spirituality, Greater Kailash-I, New Delhi, India
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Abstract
Qualitative research methods are a robust tool for chaplaincy research questions. Similar to much of chaplaincy clinical care, qualitative research generally works with written texts, often transcriptions of individual interviews or focus group conversations and seeks to understand the meaning of experience in a study sample. This article describes three common methodologies: ethnography, grounded theory, and phenomenology. Issues to consider relating to the study sample, design, and analysis are discussed. Enhancing the validity of the data, as well reliability and ethical issues in qualitative research are described. Qualitative research is an accessible way for chaplains to contribute new knowledge about the sacred dimension of people's lived experience.
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Affiliation(s)
- Daniel H Grossoehme
- a Division of Pulmonary Medicine, Department of Pastoral Care , Cincinnati Children's Hospital Medical Center , Cincinnati , Ohio , USA
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Grossoehme DH. Chaplaincy and narrative theory: a response to Risk's case study. J Health Care Chaplain 2013; 19:99-111. [PMID: 23844843 DOI: 10.1080/08854726.2013.806119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
The response of a clinical chaplain to a case study of chaplaincy with an elderly African-American male with Parkinson's disease is presented. The case study offers two novel aspects: first, it explicitly describes interventions by the chaplain, and second, the chaplain's clinical approach was guided throughout by an underlying theory (narrative theory). The case study seeks to shift the paradigm from chaplains as "agenda-less" companions to clinicians with a repertoire of interventions which they should claim. The chaplain's use of narrative theory is examined. Future case studies may draw on narrative theory in chaplaincy with older males with different chronic disease, with women who have Parkinson's, and may seek to develop a theory of chaplaincy from within the profession.
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Affiliation(s)
- Daniel H Grossoehme
- Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45150, USA.
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Grossoehme DH, Cotton S, Ragsdale J, Quittner AL, McPhail G, Seid M. "I honestly believe god keeps me healthy so i can take care of my child": parental use of faith related to treatment adherence. J Health Care Chaplain 2013; 19:66-78. [PMID: 23593948 PMCID: PMC3658107 DOI: 10.1080/08854726.2013.779540] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
A limited number of studies address parental faith and its relationship to their children's health. Using cystic fibrosis as a disease exemplar in which religion/spirituality have been shown to play a role and parental health behaviors (adherence to their child's daily recommended home treatments) are important, this study explored whether parents with different levels of adherence would describe use of faith differently. Twenty-five interviews were completed and analyzed using grounded theory methodology. Some parents described no relationship between faith and treatment adherence. However, of those who did, higher-adherence parents believed God empowered them to care for their child and they used prayer to change themselves, while lower-adherence parents described trusting God to care for their child and used prayer to change God. Clinical implications for chaplains' differential engagement with parents are presented.
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Affiliation(s)
- Daniel H Grossoehme
- Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, and Department of Family and Community Medicine, University of Cincinnati, College of Medicine, Cincinnati, Ohio 45229, USA.
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