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Completed

NCT Number: NCT01432431

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

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.

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Key information

Conditions

Malignant Neoplasm Neoplasms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

City of Hope Medical Center

Duarte, California, 91010, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Spiritual Therapy

Procedure

Undergo palliative spiritual care

Other names: spirituality

Questionnaire Administration

Other

Ancillary studies

Survey Administration

Other

Ancillary studies

counseling intervention

Other

Undergo palliative spiritual care

Other names: counseling and communications studies

Psychosocial Support for Caregiver

Other

Undergo palliative spiritual care

psychosocial assessment and care

Procedure

Undergo palliative spiritual care

Other names: psychosocial assessment, psychosocial assessment/care, psychosocial care, psychosocial care/assessment, psychosocial studies

Primary outcomes

  1. Change over time in number of unduplicated palliative care patients screened for spiritual concerns and spiritual history

    Time frame: At baseline and quarterly for one year

    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.

  2. Change over time in number and type of spiritual issues

    Time frame: At baseline and quarterly for one year

    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.

  3. Change over time in number of referrals to the chaplain and number seen by the chaplain

    Time frame: At baseline and quarterly for one year

    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.

  4. Change over time in number of unduplicated palliative care patients with documented spiritual care plan

    Time frame: At baseline and quarterly for one year

    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.

  5. Change over time in number of staff development sessions offered and topics, attendance per topic, advance directives, and referrals to hospice

    Time frame: At baseline and quarterly for one year

    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.

  6. Identification of common themes and patterns that answer the key evaluation questions

    Time frame: At baseline and quarterly for one year

    Analyzed using Atlas.ti. coding and analysis. Qualitative data, e.g., open ended questions, included narrative responses by staff summarized for reporting purposes.

Sponsors and collaborators

Lead sponsor

City of Hope Medical Center

Other

Collaborators

  • National Cancer Institute (NCI)

Registry information

Official study title

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

Important dates

Study start
2011
Primary completion
2013
Study completion
2013
First posted
Sep 13, 2011
Registry last updated
Sep 5, 2013

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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