Advanced Cancer, Dignity
Conditions
Keywords
Hospital palliative care unit
Brief summary
Aim of the study was to asses feasibility and acceptability of a nurse delivered Dignity Therapy (DT) intervention on advanced cancer patients referring to an Hospital palliative care unit. To achieve this aim a mixed-method approach using before and after evaluation and semi-structured interviews has been used.
Interventions
OTHERDignity Therapy
The Italian version Dignity Therapy intervention (Chochinov HM 2015) has been delivered. Intervention questions were not previously delivered to patients. DT interview was provided to patients by Specifically trained Nurses. Interviews were audio-recorded and transcribed then revised by the patients to develop the final Generativity Document. Generativity Document was delivered to patients that could share it with their loved ones.
Sponsors
Azienda USL Reggio Emilia - IRCCS
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* advanced cancer patients * over 3 months life expectancy * referring to hospital palliative care unit * performance status (Eastern Cooperative Oncology Group - ECOG) between 0 and 2 * awareness of being affected by an incurable cancer * cognitive ability to read, understand and fill in a questionnaire in Italian * willing and able to give written informed consent
Exclusion criteria
* \< 18 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Enrollment rate | 1 year | The number of participants who sign the informed consent form divided by the number who are asked to participate in the study |
| Retention rate | 1 year | The number of participants who performed the post intervention assesment divided by the number of enrolled one. |
| Professionals' experience in implementing DT | 12-18 months | Semi-structured interviews administered to the three nurses that implemented the higher number of DT interventions. Interview were performed after the last patient completed the post intervention assessment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient dignity-related | Baseline; day 62 | Patient Dignity Inventory (Italian version). Scale range 25-125, higher value means higher dignity-related distress. |
| Patient feedback | day 62 | The acceptability of Dignity Therapy was assessed by the Italian version of Dignity Therapy Patient Feedback Questionnaire survey. |
Countries
Italy
Outcome results
None listed