Evidence map›Paper›PMID 39439081›Full record

ArticlePalliative & supportive care2024

Communion supports dignity for older adults with serious cancer: Quantitative findings from dignity therapy intervention.

Mary Kate Koch, Sophia Maggiore, Carma L Bylund, Harvey Max Chochinov, Sheri Kittlelson, Diana Wilkie, Susan Bluck

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Palliative & supportive care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  2. Review
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

7 authors.

Mary Kate KochDepartment of Psychology, University of Florida, Gainesville, FL, USA.ORCID https://orcid.org/0000-0003-3003-8715
Sophia MaggioreDepartment of Psychology, University of Florida, Gainesville, FL, USA.
Carma L BylundDepartment of Psychology, University of Florida, Gainesville, FL, USA.ORCID https://orcid.org/0000-0002-9335-1496
Harvey Max ChochinovUniversity of Manitoba, Canada.
Sheri KittlelsonDepartment of Psychology, University of Florida, Gainesville, FL, USA.
Diana WilkieDepartment of Psychology, University of Florida, Gainesville, FL, USA.ORCID https://orcid.org/0000-0002-3954-8933
Susan BluckDepartment of Psychology, 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
Dignity Therapy for Older Cancer Patients: Identifying Mechanisms and ModeratorsR01CA253330 · NCI · UNIVERSITY OF FLORIDA · PI BLUCK, SUSAN, BYLUND, CARMA L. · 2021 to 2023
$1.0M
NCI NIH HHS R01 CA200867NCI NIH HHS R01 CA253330
6 · The paper itself

Abstract

objectivesPatient dignity is a key concern during end-of-life care. Dignity Therapy is a person-centered intervention that has been found to support patient dignity interviews focused on narrating patients' life stories and legacies. However, mechanisms that may affect utility of the Dignity Therapy have been little studied. In this study, we evaluate whether the extent to which patients are more communal in their interviews acts as a mechanism for increased patient dignity.

methodsWe analyzed the written transcripts from Dignity Therapy interviews with 203 patients with cancer over the age of 55 receiving outpatient palliative care (

resultsMediation analyses indicated that the extent to which patients narrated communion in their interview had a significant direct effect on post-test Dignity Impact. Communion partially mediated the effect of pre-test on post-test Dignity Impact. For both the life story and legacy segments of the session, narrating communion had a direct effect on post-test Dignity Impact. SIGNIFICANCE OF

resultsNarrating communion serves as a mechanism for enhancing patient dignity during Dignity Therapy. Providers may consider explicitly guiding patients to engage in, elaborate on, communal narration to enhance therapeutic utility. In addition, encouraging patients with advanced illness to positively reflect on relationships in life may improve patient dignity outcomes in palliative and end-of-life care.

Indexed as

Dignity therapynarrationpalliative carepsychosocial interventionterminal care

Identifiers

PMID39439081
PMCPMC12306687

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.