Evidence map›Paper›PMID 33926243›Full record

ArticleThe American journal of hospice & palliative care2022

Quality of Life for Older Cancer Patients: Relation of Psychospiritual Distress to Meaning-Making During Dignity Therapy.

Susan Bluck, Emily L Mroz, Diana J Wilkie, Linda Emanuel, George Handzo, George Fitchett, Harvey Max Chochinov, Carma L Bylund

Registry-linked trialAbstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03209440 (Palliative Care for Elderly Outpatients), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03209440 nacompletednot on this map

Palliative Care for Elderly Outpatients

TypeinterventionalSponsorUniversity of FloridaRan2017 to 2022Enrolled579ConditionsCancer TerminalArmsDignity Therapy - Nurse Led, Usual care, Dignity Therapy - Chaplain Led
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Susan BluckDepartment of Psychology, 3463University of Florida, Gainesville, FL, USA.
Emily L MrozDepartment of Psychology, 3463University of Florida, Gainesville, FL, USA.ORCID https://orcid.org/0000-0003-4539-0252
Diana J WilkieDepartment of Biobehavioral Nursing Science, 3463University of Florida, Gainesville, FL, USA.ORCID https://orcid.org/0000-0002-3954-8933
Linda EmanuelDivision of General Internal Medicine, 3270Northwestern University, Chicago, IL, USA.
George Handzo101595Health Care Chaplaincy Network, NY, USA.ORCID https://orcid.org/0000-0001-6683-7303
George FitchettDepartment of Religion, Health and Human Values, 2468Rush University Medical Center, Chicago, IL, USA.
Harvey Max ChochinovResearch Institute of Oncology and Hematology CancerCare Manitoba, , Winnipeg, Manitoba, Canada.
Carma L BylundCollege of Journalism and Communications, University of Florida, Gainesville, FL, USA.

Funding

Dignity Therapy RCT led by Nurses or Chaplains for Elderly Cancer OutpatientsR01CA200867 · NCI · UNIVERSITY OF FLORIDA · PI EMANUEL, LINDA LEAH, FITCHETT, GEORGE · 2016 to 2020
$3.2M
NCI NIH HHS R01 CA200867
6 · The paper itself

Abstract

backgroundNearly 500,000 older Americans die a cancer-related death annually. Best practices for seriously ill patients include palliative care that aids in promoting personal dignity. Dignity Therapy is an internationally recognized therapeutic intervention designed to enhance dignity for the seriously ill. Theoretically, Dignity Therapy provides opportunity for patients to make meaning by contextualizing their illness within their larger life story. The extent to which Dignity Therapy actually elicits meaning-making from patients, however, has not been tested.

aimThe current study examines (i) extent of patient meaning-making during Dignity Therapy, and (ii) whether baseline psychospiritual distress relates to subsequent meaning-making during Dignity Therapy.

designParticipants completed baseline self-report measures of psychospiritual distress (i.e., dignity-related distress, spiritual distress, quality of life), before participating in Dignity Therapy. Narrative analysis identified the extent of meaning-making during Dignity Therapy sessions.

participantsTwenty-five outpatients (

resultsNarrative analysis revealed all patients made meaning during Dignity Therapy but there was wide variation (i.e., 1-12 occurrences). Patients who made greater meaning were those who, at baseline, reported significantly higher psychospiritual distress, including greater dignity-related distress (

conclusionMeaning-making was found to be a central component of Dignity Therapy. Particularly, patients experiencing greater distress in facing their illness use the Dignity Therapy session to express how they have made meaning in their lives.

Indexed as

NeoplasmsQuality of LifeAgedHumansMiddle AgedPalliative CareRespectdignitylife storynarrative analysispalliative carespiritual distress

Identifiers

PMID33926243
PMCPMC8553819

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.