Palliative Care
Conditions
Interventions
This is a randomized, exploratory, parallel-group clinical trial with a one-to-one allocation ratio and single blinding. Ninety-six participants with advanced cancer, a life expectancy of up to six mo
Sponsors
Departamento de Enfermagem da Universidade Federal do Ceará
Universidade Federal do Ceará
Hospital Universitário Walter Cantídio da Universidade Federal do Ceará
Eligibility
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Age of eighteen years or older. All genders. Diagnosis of advanced cancer considered incurable, including solid tumors or hematologic malignancies. Life expectancy of six months or less, as determined by a score of three on the Eastern Cooperative Oncology Group performance scale or clinical judgment of the care team. Active participation in inpatient palliative care. Availability and willingness to participate in up to four sessions within a period of up to fourteen days. Functional ability to communicate in Portuguese. Cognitive functioning compatible with participation in the intervention, as assessed by the Mini-Mental State Examination
Exclusion criteria
Exclusion criteria: Severe cognitive impairment, such as dementia or delirium, that interferes with participation in the intervention, identified clinically or by the screening tool. Clinical diagnosis of severe mental disorder. Severe language disturbances that impair comprehension or communication. Evidence of a conspiracy of silence between the care team and the family
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the impact of Dignity Therapy on the sense of dignity in people with advanced cancer receiving palliative care. Using the Patient Dignity Inventory, validated for Brazilian Portuguese. It will be observed whether there is a significant difference between groups over time based on the total score of the instrument, whose variation may indicate preservation or loss of the sense of dignity during follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess the effect of Dignity Therapy on spiritual well-being, hope, symptoms of anxiety and depression, and distress. Through the following instruments validated in Brazilian Portuguese: the FACIT-Sp-12 Spiritual Well-Being Scale, the Herth Hope Index, the Hospital Anxiety and Depression Scale, and the Distress Thermometer. It will be observed whether there are changes in average scores between groups over time, with reductions in negative symptoms and increases in positive indicators after the intervention | — |
Countries
Brazil
Contacts
Public ContactRomel Velasco Yanez
Universidade Federal do Ceará
Outcome results
None listed