Evidence map›Paper›PMID 36526251›Full record

Trial reportJournal of pain and symptom management2023

Effects of Spiritual Care on Well-Being of Intensive Care Family Surrogates: A Clinical Trial.

Alexia M Torke, Shelley E Varner-Perez, Emily S Burke, Tracy A Taylor, James E Slaven, Kathryn L Kozinski, Saneta M Maiko, Bruce J Pfeffer, Sarah K Banks

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of pain and symptom management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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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

9 authors at 3 institutions in 1 country.

Alexia M TorkeIndiana University School of Medicine (A.M.T., S.M.M., S.K.B.), Indianapolis, Indiana; Daniel F. Evans Center (A.M.T., S.E.V.P., S.M.M., B.J.P.), Indiana University Health, Indianapolis, Indiana; IU Center for Aging Research (A.M.T., S.E.V.P., E.S.B., T.A.T.), Regenstrief Institute, Indianapolis, Indiana. Electronic address: atorke@iu.edu.
Shelley E Varner-PerezDaniel F. Evans Center (A.M.T., S.E.V.P., S.M.M., B.J.P.), Indiana University Health, Indianapolis, Indiana; IU Center for Aging Research (A.M.T., S.E.V.P., E.S.B., T.A.T.), Regenstrief Institute, Indianapolis, Indiana; Spiritual Care and Chaplaincy Department (S.E.V.P., B.J.P.), Indiana University Health, Indianapolis, Indiana.
Emily S BurkeIU Center for Aging Research (A.M.T., S.E.V.P., E.S.B., T.A.T.), Regenstrief Institute, Indianapolis, Indiana.
Tracy A TaylorIU Center for Aging Research (A.M.T., S.E.V.P., E.S.B., T.A.T.), Regenstrief Institute, Indianapolis, Indiana.
James E SlavenDepartment of Biostatistics and Health Data Science (J.E.S.), Indiana University School of Medicine, Indianapolis, Indiana.
Kathryn L KozinskiMaine General Health (K.L.K.), Augusta, Maine.
Saneta M MaikoIndiana University School of Medicine (A.M.T., S.M.M., S.K.B.), Indianapolis, Indiana; Daniel F. Evans Center (A.M.T., S.E.V.P., S.M.M., B.J.P.), Indiana University Health, Indianapolis, Indiana.
Bruce J PfefferDaniel F. Evans Center (A.M.T., S.E.V.P., S.M.M., B.J.P.), Indiana University Health, Indianapolis, Indiana; Spiritual Care and Chaplaincy Department (S.E.V.P., B.J.P.), Indiana University Health, Indianapolis, Indiana.
Sarah K BanksIndiana University School of Medicine (A.M.T., S.M.M., S.K.B.), Indianapolis, Indiana.
Indiana University Health · USIndiana University School of MedicineRegenstrief Institute · US

Funding

Understanding the needs and experiences of surrogate decision makers caring for SGM individuals with Alzheimer's Disease and Related Dementias.K24AG053794 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI TORKE, ALEXIA MARY · 2016 to 2025
$1.8M
NIA NIH HHS K24 AG053794
6 · The paper itself

Abstract

contextCritical illness of a family member is associated with high emotional and spiritual distress and difficult medical decisions.

objectivesTo determine if a semistructured spiritual care intervention improves the well-being of family surrogate decision makers in intensive care (ICU) settings.

methodsThis study is a randomized, allocation-concealed, parallel group, usual care-controlled, single-blind trial of patient/surrogate dyads in five ICUs in one Midwest, academic medical center. Patients were 18 and older admitted to the ICU and unable to make medical decisions. The intervention involved proactive contact from the chaplain, scheduled, semi-structured visits, weekly follow-up, and bereavement calls. The control group received usual care. The primary endpoint was the surrogate's anxiety (Generalized Anxiety Disorders-7 scale), six to eight weeks after discharge.

resultsOf 192 patient/surrogate dyads enrolled, 128 completed outcome assessments. At follow-up, anxiety in the intervention group was lower than control (median score 1 (interquartile range 0,6) vs. 4 (1,9), P = 0.0057). The proportion of patients with a minimal clinically important difference (MCID) in anxiety of 2+ was 65.2% in the intervention group vs. 49.2% in control. The odds of an MCID remained higher in adjusted analysis (Odds Ratio 3.11, 95% confidence interval 1.18, 8.21; P = 0.0218) The adjusted odds of an MCID were higher for spiritual well-being (OR 3.79, CI 1.41,10.17; P = 0.0081). Satisfaction with spiritual care was also higher (adjusted mean 3.5 ± 0.4 vs. 2.9 ± 0.1); P < .0001).

conclusionsProactive, semistructured spiritual care delivered by chaplains improves well-being for ICU surrogates. Results provide evidence for inclusion of chaplains in palliative and intensive care teams.

Indexed as

Decision MakingSpiritual TherapiesCritical CareFamilyHumansIntensive Care UnitsSingle-Blind MethodSpiritualityanxietychaplainintensive careproxy decision makingReligionspiritual carespiritualitysurrogate decision making

Identifiers

PMID36526251
PMCPMC10129066
OpenAlexW4311823690

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.