Evidence map›Paper›PMID 41963902›Full record

ArticleBMC palliative care2026

Development of a personalized, modular intervention to promote dignity, meaning and mindfulness in palliative patients in a swiss acute-care hospital.

Katharina Klatte, Annina Seiler, Reka Schweighoffer, Gunther Meinlschmidt, Silke Walter, Sandra Stephanie Mai, Josef Jenewein, Harvey M Chochinov, Gary Rodin, Rainer Schaefert and 1 more

Abstract read
In one paragraph

Article in BMC palliative care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Katharina Klatte *Division of Palliative Care, University Hospital Basel, Petersgraben 4, Basel, CH-4031, Switzerland.
Annina Seiler *Department of Radiation Oncology, Competence Center Palliative Care, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Reka Schweighoffer *Division of Palliative Care, University Hospital Basel, Petersgraben 4, Basel, CH-4031, Switzerland.
Gunther MeinlschmidtDepartment of Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.
Silke WalterDivision of Palliative Care, Kantonsspital Baselland, Liestal, Switzerland.
Sandra Stephanie MaiInterdisciplinary Palliative Care Unit, III. Department of Medicine, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany.
Josef JeneweinPrivate Clinic Hohenegg, University of Zurich, Meilen, Switzerland.
Harvey M ChochinovUniversity of Mannitoba, Toronto, Canada.
Gary RodinThe Princess Margaret Cancer Centre, University of Toronto, Toronto, Canada.
Rainer Schaefert *Department of Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.
Sandra Eckstein *Division of Palliative Care, University Hospital Basel, Petersgraben 4, Basel, CH-4031, Switzerland. sandra.eckstein@usb.ch.

Funding

The Stanley Thomas Johnson Stiftung, the Gottfried and Julia Bangerter-Rhyner-Stiftung and the SAMW PC28/17, PC 05/18
6 · The paper itself

Abstract

backgroundPatients with serious, life-limiting diseases often experience substantial emotional and spiritual distress, death anxiety, depressive symptoms, and loss of dignity. Fostering dignity and meaning and relieving psychological distress have been identified as core objectives of palliative care. To address the individual needs of palliative patients, a personalized, modular intervention approach may be advantageous.

aimBased on previous work, we aimed to develop a personalized, modular approach to improve dignity, meaning, and mindfulness in palliative care patients.

methodsAn expert panel of international specialists in palliative care, dignity therapy, psychotherapy, clinical psychology, psychiatry, and psychosomatic medicine was convened to develop the proposed modular approach. Intervention development is described following the “Template for Intervention Description and Replication” TIDieR guidance and is based on results from a literature search on previous work on dignity, meaning-centered therapy, and mindfulness-based interventions, as well as on in-depth needs assessments.

resultsBased on the expert consensus, a three-modular approach was formulated, with evidence-based modules providing Dignity Therapy, Managing Cancer and Living Meaningfully (CALM) therapy, and mindfulness-based interventions, each addressing complementary aspects.

conclusionA personalized, modular intervention to promote dignity, meaning, and mindfulness in palliative care patients was developed by a panel of international experts using existing dignity-fostering end-of-life interventions. The resulting modular approach was designed with the aim to address patients’ individual needs.

Indexed as

MindfulnessPalliative CarePersonhoodDignity TherapyHumansSwitzerlandDignityEnd-of-lifeLife-threatening diseasesMeaningMindfulnessPalliative care

Identifiers

PMID41963902
PMCPMC13173893

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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.