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| Name | Class |
|---|---|
| Calvary Hospital, Bronx, NY | OTHER |
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This randomized, controlled trial evaluates the effectiveness of an adaptation of a well-established brief, structured existential psychotherapy (Meaning Centered Psychotherapy) specifically tailored to the needs of palliative care patients (MCP-PC). Terminally ill patients with cancer who have been hospitalized in a palliative care hospital will be randomly assigned to either MCP-PC or enhanced usual care. Patients will complete a very short battery of self-report measures before the 3-session intervention, and again 2 and 4 weeks later to determine whether treatment has bolstered spiritual and psychological well-being and improved quality of life.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enhanced Usual Care | Placebo Comparator | facilitate any clinical interventions |
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| Meaning Centered Psychotherapy | Experimental | raise patients' sense of meaning/purpose |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Meaning Centered Psychotherapy | Behavioral | Manualized, 3-session existential psychotherapy (30-45 minutes/session) with an optional 4th "booster" session. Content focuses on enhancing patients sense of meaning and purpose in life. |
| Measure | Description | Time Frame |
|---|---|---|
| Spiritual Well Being | Overall spiritual well-being as measured through the self-report FACIT Spiritual Well Being scale | Through study completion (approx 6 weeks) |
| Measure | Description | Time Frame |
|---|---|---|
| Hopelessness | Self-report rating scale, the Hopelessness Assessment in Illness scale | Through study completion (approx 6 weeks) |
| Acceptance of Death | Subscale derived from the Life Attitude Profile, a self-report measure of meaning and purpose |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Barry D Rosenfeld, PhD | Contact | 718-817-3794 | rosenfeld@fordham.edu |
| Name | Affiliation | Role |
|---|---|---|
| Barry Rosenfeld, PhD | Fordham University | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27435603 | Background | Rosenfeld B, Saracino R, Tobias K, Masterson M, Pessin H, Applebaum A, Brescia R, Breitbart W. Adapting Meaning-Centered Psychotherapy for the palliative care setting: Results of a pilot study. Palliat Med. 2017 Feb;31(2):140-146. doi: 10.1177/0269216316651570. Epub 2016 Jul 21. |
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Data will be made available upon request following completion of the study.
One year after completion of data collection.
Affiliation with medical or university-based research institute
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Randomized controlled trial
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| Through study completion (approx 6 weeks) |
| Health related Quality of life | Single item rating of overall quality of life derived from the McGill Quality of Life Questionnaire | Through study completion (approx 6 weeks) |
| Desire for hastened death | Abbreviated version of the Schedule of Attitudes towards Hastened Death, a measure of desire for hastened death | Through study completion (approx 6 weeks) |