Lymphoma, Multiple Myeloma
Conditions
Brief summary
This clinical trial tests the feasibility, implementation and acceptability of chaplain delivered compassion meditation in order to improve spiritual care for patients receiving stem cell transplantation. Hospital chaplains play a vital role in delivering emotional and spiritual care to a broad range of both religious and non-religious patients for a wide variety of stressors, and extensive research indicates that spiritual consults impact patient outcomes and satisfaction. Compassion meditation is a secularized, research-based mindfulness and compassion meditation program designed to expand and strengthen compassion for self and others. Practices include training in attentional stability and increased emotional awareness, as well as targeted reflections to appreciate one's relationship with self and others. By centering the mind, controlling debilitating ruminative thoughts, and cultivating personal resiliency and an inclusive and more accurate understanding of others. Engaging in chaplain delivered compassion meditation may improve the spiritual care for patients receiving stem cell transplantation.
Detailed description
PRIMARY OBJECTIVE: I. To examine the feasibility, adoption, extent of implementation, acceptability and fidelity of chaplain-delivered compassion-centered spiritual health (CCSH). OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Patients receive chaplain-led compassionate centered spiritual health sessions over 30 minutes, twice per week for up to 2 weeks. ARM II: Patients receive a traditional chaplain consultation and care upon request, per standard of care. After completion of study treatment, patients are followed up at 80-100 days and 6 months post treatment.
Interventions
PROCEDURESpiritual Therapy
Undergo chaplain led compassionate centered spiritual health sessions
OTHERBest Practice
Receive a traditional chaplain consultation and will receive care upon request
Sponsors
National Cancer Institute (NCI)
National Center for Complementary and Integrative Health (NCCIH)
Emory University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* PATIENT: Within 6 weeks of scheduled hematopoietic stem cell transplant (HSCT) * PATIENT: \> 18 years of age * PATIENT: Speak and read English * CHAPLAIN: Emory Healthcare chaplain
Exclusion criteria
* PATIENT: Patients will be excluded if they are cognitively impaired, on a ventilator, or are in a room requiring enteric precautions or airborne precautions (e.g., use of an N-95 mask requiring fit-testing) to enter * CHAPLAIN: There will be no
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility - patient enrollment and treatment-specific retention rates | Up to 8 months | Will measure and characterize the proportion of eligible patient screens who enroll and treatment-specific retention rates. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Characteristics Affecting Acceptability - Chaplain Satisfaction Survey | Up to 8 months | We will examine whether scores on the chaplain satisfaction survey vary based on patient sociodemographic variables (biological sex, race) |
| Functional Assessment of Cancer Therapy-Bone Marrow Transplant [FACT-BMT] | Up to 8 months | Impact of chaplain-delivered compassion-centered spiritual health on quality of life |
| Acceptability - Chaplain Satisfaction Survey | Up to 8 months | Will administer a post- chaplain-based compassion treatment (CBCT) intervention using chaplain satisfaction survey and will ask patients after each session if they would like to continue receiving CBCT sessions. |
Countries
United States
Outcome results
None listed