Pilot Randomized Clinical Trial of Informational Support Versus Spiritual Care

Percentage of participants 1) enrolling; 2) completing 3 or more intervention sessions; 3) completing all study interviews

Acceptability Intervention Measure (AIM) This 4-item scale was developed as part of the Consolidated Framework for Implementation Research (CFIR) to evaluate intervention acceptability. Each item is rated on a 5-point scale, ranging from 1 (completely disagree) to 5 (completely agree). Responses are averaged to create a scale score. Higher scores indicate greater acceptability. This is a primary outcome for patients.

Measured by the Functional Assessment of Chronic Illness Therapy - Spirituality (FACIT-Sp): Spiritual wellbeing will be assessed using the Functional Assessment of Chronic Illness Therapy-Spirituality (FACIT-Sp) 12-item measure. Each item is rated when considering the past week on a scale from 0 (not at all) to 4 (very much). Scores are the sum of individual items with total scores ranging from 0 to 48. Higher scores indicate higher spiritual well-being. This is a primary outcome for patients.

Generalized Anxiety Disorder - 7 (GAD-7): Anxiety will be measured by the Generalized Anxiety Disorder-7 item survey. Each item is rated when considering the past two weeks on a scale from 0 (not at all) to 3 (nearly every day). Scores are the sum of individual items with total scores ranging from 0 to 21. Scores of 5-9, 10-14, and 15 and above indicate mild, moderate, and severe anxiety, respectively. This is a secondary outcome for patients.

Patient Health Questionnaire-8 (PHQ-8): Depressive symptoms will be measured using the Patient Health Questionnaire-8 item survey. Each item is rated when considering the past two weeks on a scale from 0 (not at all) to 3 (nearly every day). Scores are the sum of individual items with total scores ranging from 0 to 24. Scores of 5-9, 10-14, and 15 and above indicate mild, moderate, and severe depression, respectively. This is a secondary outcome for patients.

Client Satisfaction Questionnaire (CSQ):

Satisfaction will be assessed using the 8-item Client Satisfaction Questionnaire. Each item is rated on a scale from 1 to 4. Items # 1, 3, 6, and 7 are reverse-scored and then the 8 items are summed with higher total scores indicating greater satisfaction. This is a secondary outcome for patients.

Patient-Reported Outcomes Measurement Information System (PROMIS) Meaning & Purpose Short Form: Meaning and purpose will be assessed using this 7-item PROMIS measure. Each item is rated when considering the past week on a scale from 1 (not at all) to 5 (very much). The 7 items are summed with higher total scores indicating greater meaning and purpose. This is a secondary outcome for patients.

Brief Religious Coping Scale (RCOPE): Religious coping will be measured using the 14-item Brief Religious Coping Scale, which includes two subscales of 7 items each: positive religious coping and negative religious coping. Each item is rated on a scale from 0 (not at all) to 3 (a great deal). Subscale scores are calculated separately as sum scores. Scores range from 0 to 21 for each subscale, with higher scores indicating higher usage. The subscale scores are analyzed independently, as they are often uncorrelated. This is a secondary outcome for patients.

Patient-Reported Outcomes Measurement Information System (PROMIS) Positive Affect Short Form: Positive affect will be assessed using this 15-item PROMIS measure. Each item is rated when considering the past week on a scale from 1 (not at al) to 5 (very much). The 15 items are summed with higher total scores indicating greater positive affect. This is a secondary outcome for patients.