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| ID | Type | Description | Link |
|---|---|---|---|
| NCI-2011-02730 | Registry Identifier | CTRP (Clinical Trial Reporting Program) |
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| Name | Class |
|---|---|
| National Cancer Institute (NCI) | NIH |
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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Supportive care (spiritual care) | Experimental | See Detailed Description. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| spiritual therapy | Procedure | Undergo palliative spiritual care |
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| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 |
| Change over time in number of staff development sessions offered and topics, attendance per topic, advance directives, and referrals to hospice |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jay Thomas | City of Hope Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope Medical Center | Duarte | California | 91010 | United States |
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| questionnaire administration | Other | Ancillary studies |
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| survey administration | Other | Ancillary studies |
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| counseling intervention | Other | Undergo palliative spiritual care |
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| psychosocial support for caregiver | Other | Undergo palliative spiritual care |
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| psychosocial assessment and care | Procedure | Undergo palliative spiritual care |
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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 |
| 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 |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D026443 | Spiritual Therapies |
| D003376 | Counseling |
| D000067250 | Psychiatric Rehabilitation |
| D017028 | Caregivers |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D012046 | Rehabilitation |
| D006282 | Health Personnel |
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