Spiritual history taking in palliative home care: A cluster randomized controlled trial

Mieke Vermandere · Franca C. Warmenhoven · Evie Van Severen · Jan De Lepeleire · Bert Aertgeerts

67 citations0/0 files storedPalliative Medicine

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Religion, Spirituality, and Psychology Palliative Care and End-of-Life Issues Palliative and Oncologic Care

Abstract

BACKGROUND: Many health-care providers experience barriers to addressing spiritual needs, such as not having the right vocabulary. The ars moriendi model might be a feasible tool for spiritual history taking in palliative care. AIM: To investigate the effect of a structured spiritual history taking on the spiritual well-being of palliative patients in home care. DESIGN: Cluster randomized controlled trial, conducted between February and October 2013. PATIENTS AND METHODS: Registered nurses and general practitioners approached eligible patients with an incurable, life-threatening disease for study participation. Health-care providers allocated to the intervention arm of the study took a spiritual history on the basis of the ars moriendi model. Health-care providers in the control arm provided care as usual. Patient-reported outcomes on spiritual well-being, quality of life, pain, and patient-provider trust were assessed at two points in time. RESULTS: A total of 245 health-care providers participated in the study (204 nurses and 41 physicians). In all, 49 patient-provider dyads completed the entire study protocol. The median age of the patients was 75 years (range: 41-95 years), and 55% of the patients were female. There were no significant differences at any point in time in the scores on spiritual well-being, quality of life, pain, or patient-provider trust between the intervention and the control group. CONCLUSION: This cluster randomized controlled trial showed no demonstrable effect of spiritual history taking on patient scores for spiritual well-being, quality of life, health-care relationship trust, or pain. Further research is needed to develop instruments that accurately assess the effectiveness of spiritual interventions in palliative care populations.

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References

2002Measuring spiritual well-being in people with cancer: The functional assessment of chronic illness therapy—spiritual well-being scale (FACIT-Sp)2013Reporting of Patient-Reported Outcomes in Randomized Trials 2000Taking a Spiritual History Allows Clinicians to Understand Patients More Fully 2001Spirituality and medical practice: Using the HOPE questions as a practical tool for spiritual assessment 2011Instruments Measuring Spirituality in Clinical Research: A Systematic Review 2010Efficacy of Short-Term Life-Review Interviews on the Spiritual Well-Being of Terminally Ill Cancer Patients 2011The multidimensionality of spiritual wellbeing: peace, meaning, and faith and their association with quality of life and coping in oncology 2012Palliative care and spiritual care

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2023Spiritual Care in Palliative Care 2018The Psychological and Spiritual Dimensions of Palliative Care: A Descriptive Systematic Review 2020Are the MORECare guidelines on reporting of attrition in palliative care research populations appropriate? A systematic review and meta-analysis of randomised controlled trials 2017Expert Discussion on Taking a Spiritual History

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