An assisted structured reflection on life events and life goals in advanced cancer patients: Outcomes of a randomized controlled trial (Life InSight Application (LISA) study)
Kruizinga,Renske Scherer-Rath,Michael Schilderman,Johannes Bam Hartog,Iris D Van Der Loos,Jacoba Pm Kotzé,Hantie P Westermann,Anneke M Klümpen,Heinz-Josef Kortekaas,Francesco Grootscholten,Cecile
Kruizinga,Renske
Scherer-Rath,Michael
Schilderman,Johannes Bam
Hartog,Iris D
Van Der Loos,Jacoba Pm
Kotzé,Hantie P
Westermann,Anneke M
Klümpen,Heinz-Josef
Kortekaas,Francesco
Grootscholten,Cecile
Abstract
BACKGROUND:: Diagnosis and treatment of incurable cancer as a life-changing experience evokes difficult existential questions. AIM:: A structured reflection could improve patients' quality of life and spiritual well-being. We developed an interview model on life events and ultimate life goals and performed a randomized controlled trial to evaluate the effect thereof on quality of life and spiritual well-being. DESIGN:: The intervention group had two consultations with a spiritual counselor. The control group received care as usual. EORTC QLQ-C15-PAL and the FACIT-sp were administered at baseline and 2 and 4 months after baseline. Linear mixed model analysis was performed to test between-group differences over time. PARTICIPANTS:: Adult patients with incurable cancer and a life expectancy ⩾6 months were randomized in a 1:1 ratio to the intervention or control group. RESULTS:: A total of 153 patients from six different hospitals were included: 77 in the intervention group and 76 in the control group. Quality of life and spiritual well-being did not significantly change over time between groups. The experience of Meaning/Peace was found to significantly influence quality of life ( β = 0.52, adj. R2 = 0.26) and satisfaction with life ( β = 0.61, adj. R2 = 0.37). CONCLUSION:: Although our newly developed interview model was well perceived by patients, we were not able to demonstrate a significant difference in quality of life and spiritual well-being between groups. Future interventions by spiritual counselors aimed at improving quality of life, and spiritual well-being should focus on the provision of sources of meaning and peace.
Description
Date
2019-02
Journal Title
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Volume Title
Publisher
Research Projects
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Journal Issue
Keywords
ANXIETY, CONTINGENCY, DEPRESSION, EXPERIENCE, NETHERLANDS, Oncology, PALLIATIVE CARE, QUALITY-OF-LIFE, RELIGION, SPIRITUAL CARE, SUPPORTIVE CARE, palliative care, randomized controlled trials, spiritual care, spiritual care givers, spirituality, SDG 3 - Good Health and Well-being
Citation
Kruizinga, R, Scherer-Rath, M, Schilderman, J B, Hartog, I D, Van Der Loos, J P, Kotzé, H P, Westermann, A M, Klümpen, H-J, Kortekaas, F, Grootscholten, C, Bossink, F, Schrama, J, Van De Vrande, W, Schrama, N A, Blokland, W, De Vos, F Y, Kuin, A, Meijer, W G, Van Oijen, M G, Sprangers, M A & Van Laarhoven, H W 2019, 'An assisted structured reflection on life events and life goals in advanced cancer patients : Outcomes of a randomized controlled trial (Life InSight Application (LISA) study)', Palliative Medicine, vol. 33, no. 2, pp. 221-231. https://doi.org/10.1177/0269216318816005