Spiritual Care Assessment and Intervention (SCAI) for Adult Outpatients With Advanced Cancer and Caregivers: A Pilot Trial to Assess Feasibility, Acceptability, and Preliminary Effects.

Autor:	Perez SEV; Indiana University (IU) Health, Indianapolis, IN, USA.; IU Center for Aging Research, Regenstrief Institute, Inc., Indianapolis, IN, USA.; Daniel F. Evans Center for Spiritual and Religious Values in Healthcare, IU Health, Indianapolis, IN, USA., Maiko S; Indiana University (IU) Health, Indianapolis, IN, USA.; Daniel F. Evans Center for Spiritual and Religious Values in Healthcare, IU Health, Indianapolis, IN, USA., Burke ES; IU Center for Aging Research, Regenstrief Institute, Inc., Indianapolis, IN, USA., Slaven JE; IU Department of Biostatistics and Health Data Science, IU School of Medicine, Indianapolis, IN, USA., Johns SA; IU School of Medicine, Indianapolis, IN, USA.; IU Center for Health Services Research, Regenstrief Institute, Inc., Indianapolis, IN, USA.; Charles Warren Fairbanks Center for Medical Ethics, IU Health, Indianapolis, IN, USA., Smith OJ; IU School of Medicine, Indianapolis, IN, USA., Helft PR; IU School of Medicine, Indianapolis, IN, USA.; Charles Warren Fairbanks Center for Medical Ethics, IU Health, Indianapolis, IN, USA.; IU Melvin and Bren Simon Cancer Center, Indianapolis, IN. Maiko is now with Indiana Conference, United Methodist Church, Greenwood, Indiana; Smith is now Wright State Boonshoft School of Medicine, Dayton, OH; Kozinski is now with Trinity Health, Waterville, ME., Kozinski K; Indiana University (IU) Health, Indianapolis, IN, USA., Torke AM; IU Center for Aging Research, Regenstrief Institute, Inc., Indianapolis, IN, USA.; Daniel F. Evans Center for Spiritual and Religious Values in Healthcare, IU Health, Indianapolis, IN, USA.; IU School of Medicine, Indianapolis, IN, USA.
Jazyk:	angličtina
Zdroj:	The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2022 Aug; Vol. 39 (8), pp. 895-906. Date of Electronic Publication: 2021 Sep 01.
DOI:	10.1177/10499091211042860
Abstrakt:	Background: Although religion and spirituality are important to adults with cancer and their family caregivers, few studies have tested spiritual care interventions in the outpatient setting. Aim: To determine the feasibility, acceptability, and preliminary effects of chaplain-delivered, semi-structured spiritual care to adult outpatients with advanced cancer and their caregivers. Design: In this pre/post pilot intervention study, board-certified chaplains utilized the Spiritual Care Assessment and Intervention (SCAI) framework during 4 individual sessions. Surveys at baseline and at 1, 6, and 12 weeks post-intervention assessed spiritual well-being, quality of life, depression, anxiety, and religious coping. Setting/participants: We enrolled U.S. adult outpatients with or without an eligible family caregiver. Eligible patients were at least 18 years old and at least 2 weeks post-diagnosis of incurable and advanced-stage lung or gastrointestinal (GI) cancer. Results: Of 82 eligible patients, 24 enrolled (29.3%); of 22 eligible caregivers, 18 enrolled (81.8%). Four planned chaplain visits were completed by 87.5% of patients and 77.8% of caregivers. All enrolled participants completed baseline surveys, and more than 75% completed follow-up surveys at 2 of 3 time points. More than 80% of patients and caregivers reported they would recommend the sessions to a friend or family member. Patients' spiritual well-being improved significantly at all timepoints compared to baseline: 1-week post (p < .006), 6-weeks post (p < .001), and 12-weeks post (p < .004). Conclusions: Spiritual care through SCAI is feasible, acceptable, and shows promise in improving spiritual well-being and other important outcomes in advanced-stage cancer patients and family caregivers. Further investigation is warranted.
Databáze:	MEDLINE
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