Spiritual Care in Improving Quality of Life of Patients, Caregivers, and Hospital Staff

Malignant Neoplasm Clinical Trial

Official title:

Archstone Spiritual Care Demonstration Project: Outcomes for Patients, Families, and Staff

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01432431
• Other study ID #: 11110
• Secondary ID: NCI-2011-02730
• Status: Completed
• Phase: N/A
• First received: September 8, 2011
• Last updated: September 4, 2013
• Start date: October 2011
• Est. completion date: September 2013

Study information

• Verified date: September 2013
• Source: City of Hope Medical Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

This clinical trial studies spiritual care in improving quality of life of patients, caregivers, and hospital staff. Spiritual care may help understand the impact cancer and its treatment has on patients, caregivers and hospital staff.

Description:

OBJECTIVES:

I. To improve the quality of spiritual care provided by palliative care teams. II. To measure the effectiveness of integrating spiritual care recommendations in palliative care at City of Hope (COH) and the impact it has on cancer patients, families, and hospital staff.

OUTLINE:

The expanded psychosocial/spiritual assessment administered by social workers includes a spiritual history and a spiritual needs screening. Social worker knowledge and competence is surveyed at baseline, immediately after the course, and after a bedside chaplain-mentoring process. Inpatient cancer patients' and their caregivers' perceptions about spiritual care is surveyed at baseline prior to the social work curriculum and after the course has been completed and the new psychosocial/spiritual assessment has been implemented. Data collected from patients, family members, and staff includes number of unduplicated palliative care patients screened for spiritual concerns, spiritual history, number and type of spiritual issues, number of referrals to the chaplain, number seen by the chaplain, number of unduplicated palliative care patients with documented spiritual care plan, number of staff development sessions offered and topics, attendance per topic, advance directives, and referrals to hospice.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 100
• Est. completion date: September 2013
• Est. primary completion date: September 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Admitted during the study quarter

• Admitted >= 5 days

• English speaking

• Alert and able to answer questions

Exclusion Criteria:

• Non-cancer diagnosis

• Previously accrued to study

Study Design

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Related Conditions & MeSH terms

• Malignant Neoplasm
• Neoplasms

Intervention

Procedure:
• spiritual therapy
Undergo palliative spiritual care

Other:
• questionnaire administration
Ancillary studies
• survey administration
Ancillary studies
• counseling intervention
Undergo palliative spiritual care
• psychosocial support for caregiver
Undergo palliative spiritual care

Procedure:
• psychosocial assessment and care
Undergo palliative spiritual care

Locations

Country	Name	City	State
United States	City of Hope Medical Center	Duarte	California

Sponsors (2)

Lead Sponsor	Collaborator
City of Hope Medical Center	National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change over time in number of unduplicated palliative care patients screened for spiritual concerns and spiritual history	Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.	At baseline and quarterly for one year	No
Primary	Change over time in number and type of spiritual issues	Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.	At baseline and quarterly for one year	No
Primary	Change over time in number of referrals to the chaplain and number seen by the chaplain	Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.	At baseline and quarterly for one year	No
Primary	Change over time in number of unduplicated palliative care patients with documented spiritual care plan	Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.	At baseline and quarterly for one year	No
Primary	Change over time in number of staff development sessions offered and topics, attendance per topic, advance directives, and referrals to hospice	Nonparametric Mann-Whitney University test will be used to test for differences between cohorts of patients and of families at the two different measurement points. The Wilcoxon paired nonparametric test will be used to test for change over time for staff survey results.	At baseline and quarterly for one year	No
Primary	Identification of common themes and patterns that answer the key evaluation questions	Analyzed using Atlas.ti. coding and analysis. Qualitative data, e.g., open ended questions, included narrative responses by staff summarized for reporting purposes.	At baseline and quarterly for one year	No