Evidence map›Paper›PMID 37565429›Full record

ArticlePalliative & supportive care2023

Cost considerations for implementing dignity therapy in palliative care: Insights and implications.

Raed Al Yacoub, Andrea P Rangel, Adriana Shum-Jimenez, Amelia Greenlee, Yingwei Yao, Tasha M Schoppee, George Fitchett, George Handzo, Harvey Max Chochinov, Linda L Emanuel and 2 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Palliative & supportive care, 2023. 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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

12 authors.

Raed Al YacoubDepartment of Medicine, College of Medicine, University of Florida, Gainesville, FLUSA.ORCID https://orcid.org/0009-0009-2423-7516
Andrea P RangelDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FLUSA.
Adriana Shum-JimenezDepartment of Medicine, College of Medicine, University of Florida, Gainesville, FLUSA.
Amelia GreenleeDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FLUSA.
Yingwei YaoDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FLUSA.
Tasha M SchoppeeDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FLUSA.ORCID https://orcid.org/0000-0003-4502-691X
George FitchettDepartment of Religion, Health and Human Values, College of Health Sciences, Rush University Medical Center, Chicago, ILUSA.
George HandzoHealthCare Chaplaincy Network, New York, NYUSA.
Harvey Max ChochinovDepartment of Psychiatry and Cancer Care Manitoba Research Institute, University of Manitoba, Winnipeg, MB, Canada.
Linda L EmanuelMongan Institute, Harvard University, Boston, MAUSA.
Sheri KittelsonDepartment of Medicine, College of Medicine, University of Florida, Gainesville, FLUSA.
Diana J WilkieDepartment of Biobehavioral Nursing Science, College of Nursing, University of Florida, Gainesville, FLUSA.ORCID https://orcid.org/0000-0002-3954-8933

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

objectivesDespite the clinical use of dignity therapy (DT) to enhance end-of-life experiences and promote an increased sense of meaning and purpose, little is known about the cost in practice settings. The aim is to examine the costs of implementing DT, including transcriptions, editing of legacy document, and dignity-therapists' time for interviews/patient's validation.

methodsAnalysis of a prior six-site, randomized controlled trial with a stepped-wedge design and chaplains or nurses delivering the DT.

resultsThe mean cost per transcript was $84.30 (SD = 24.0), and the mean time required for transcription was 52.3 minutes (SD = 14.7). Chaplain interviews were more expensive and longer than nurse interviews. The mean cost and time required for transcription varied across the study sites. The typical total cost for each DT protocol was $331-$356. SIGNIFICANCE OF

resultsDT implementation costs varied by provider type and study site. The study's findings will be useful for translating DT in clinical practice and future research.

Indexed as

CostDignity therapyPalliative careSpiritual support

Identifiers

PMID37565429
PMCPMC10858976

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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.