Association between dyadic interventions and outcomes in cancer patients: a meta-analysis

Hu, Yanli; Liu, Tao; Li, Fan

doi:10.1007/s00520-018-4556-8

Cited by 48 publications

(54 citation statements)

References 49 publications

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“…Concerning the structure of MCPC, many participants preferred sessions in which the patient and caregiver jointly participate; however, some also noted that joint sessions would not be feasible, and a few did not have a caregiver. It is important to consider that a dyadic approach would focus on the shared needs of the patient-caregiver dyad (Hu et al, 2019), which may not always be appropriate. Based on our clinical experience, involving caregivers can at times reduce a patient's openness to discussing existential topics.…”

Section: Discussionmentioning

confidence: 99%

Enhancing meaning in the face of advanced cancer and pain: Qualitative evaluation of a meaning-centered psychosocial pain management intervention

et al. 2020

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AbstractObjectivesThe objectives of this study were to obtain patient evaluations of the content, structure, and delivery modality of Meaning-Centered Pain Coping Skills Training (MCPC), a novel psychosocial intervention for patients with advanced cancer and pain. MCPC aims to help patients connect with valued sources of meaning in their lives (e.g., family relationships), while providing training in evidence-based cognitive and behavioral skills (e.g., guided imagery) to reduce pain.MethodsSemi-structured interviews were conducted with 12 patients with stage IV solid tumor cancers and persistent pain. Transcripts were analyzed using methods from applied thematic analysis.ResultsWhen evaluating MCPC's educational information and skills training descriptions, participants described ways in which this content resonated with their experience. Many coped with their pain and poor prognosis by relying on frameworks that provided them with a sense of meaning, often involving their personally held religious or spiritual beliefs. They also expressed a need for learning ways to cope with pain in addition to taking medication. A few participants offered helpful suggestions for refining MCPC's content, such as addressing common co-occurring symptoms of sleep disturbance and fatigue. Concerning MCPC's structure and delivery modality, most participants preferred that sessions include their family caregiver and described remote delivery (i.e., telephone or videoconference) as being more feasible than attending in-person sessions.Significance of resultsParticipants were interested in an intervention that concurrently focuses on learning pain coping skills and enhancing a sense of meaning. Using remote delivery modalities may reduce access barriers (e.g., travel) that would otherwise prevent many patients from utilizing psychosocial services.

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Section: Discussionmentioning

confidence: 99%

Enhancing meaning in the face of advanced cancer and pain: Qualitative evaluation of a meaning-centered psychosocial pain management intervention

et al. 2020

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“…Although the debate on the definition of spiritual care is long-standing, spiritual care in the present study refers to ‘ recognising and responding to the needs of the human spirit when the individual is facing trauma, illness or sadness, and addressing individuals’ need for satisfactory meaning, self-worth, self-expression, the support of faith, the practice of rituals, prayers or sacraments and conversation with sensitive listeners’ 1–11. Spiritual care is viewed as an essential and core element of holistic nursing care and has been integrated into nursing education and nursing practice,12–16 as it can improve patients’ quality of life and health outcomes 6–18. Optimal spiritual care relies largely on nurses’ adequate preparedness to provide it, because nurses are thought to be competent in caring for the spiritual needs of patients19 and are the chief providers of spiritual care to patients.…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Chinese version of the spiritual care competency scale in nursing practice: a methodological study

Leeuwen

2019

BMJ Open

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ObjectivesTo determine the validity and reliability of the Spiritual Care Competency Scale (SCCS) among nurses in China.DesignMethodological research.MethodsAfter the SCCS was translated into Chinese, the validity and reliability of the Chinese version of the SCCS (C-SCCS) were evaluated using a convenience sample of 800 nurses recruited from different healthcare centres. The construct validity of the C-SCCS was determined by an exploratory factor analysis (EFA) with promax rotation. Pearson’s correlation coefficients of the C-SCCS and the Palliative Care Spiritual Care Competency Scale (PCSCCS-M) were computed to assess the concurrent validity and construct validity of the C-SCCS. To verify the quality of the component structure, we conducted a confirmatory factor analysis (CFA). We tested the internal consistency and stability of the measure using Cronbach’s alpha coefficient and the Guttman split-half coefficient, respectively, and a factorial analysis was performed.ResultsA total of 709 participants completed the questionnaire (response rate: 88.63%), and all completed questionnaires were suitable for analysis. Three factors were abstracted from the EFA and explained 58.19% of the total variance. The Cronbach’s alpha coefficients of the three subscales were .93, .92, and .89, and the Guttman split-half coefficient for the C-SCCS was .84. The CFA indicated a well-fitting model, and the significant correlations between the C-SCCS and the PCSCCS-M (r=0.67, p<0.01) showed adequate concurrent validity. Nurses’ education and income level showed a significant association with the C-SCCS score.ConclusionThe C-SCCS was shown to be a psychometrically sound instrument for evaluating Chinese nurses’ spiritual care competencies.

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“…The spiritual care training protocol was drafted based on a literature review, expert recommendations, and the results of a current status survey. This study's preliminary examination of the literature [43,45,50,51] with clinical nurses revealed that nurses have great need for spiritual care training, which was reflected in the fact that the nurses realized that their spiritual health and self-perceptions of spirituality must be improved and that the long-term clinical care of patients with cancer had made the nurses aware that although these patients tend to have high spiritual care needs, the nurses' own spiritual care competencies and experience were insufficient, which was (importantly) due to inadequate training. Using the nurses' spiritual health and growth as a point of entry, we designed a spiritual care training protocol that focused on nurses' spiritual health and spiritual care competencies.…”

Section: Drafting Of the Intervention Protocolmentioning

confidence: 99%

Effectiveness of spiritual care training to enhance spiritual health and spiritual care competency among oncology nurses

Jiao

2019

Preprint

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Background: Although spiritual care is a basic element of holistic nursing, nurses' spiritual care knowledge and abilities are often unable to satisfy patients' spiritual care needs. Therefore, nurses are in urgent need of relevant training to enhance their abilities to provide patients with spiritual care. Design: A nonrandomized controlled trial. Objective: To establish a spiritual care training protocol and verify its effectiveness. Methods: This study recruited 92 nurses at a cancer treatment hospital in a single province via voluntary sign-up. The nurses were divided into two groups—the study group (45 people) and the control (wait-listed) group (47 people)—using a coin-toss method. The study group received one spiritual care group training session every six months based on their routine nursing education; this training chiefly consisted of lectures by experts, group interventions, clinical practice, and case sharing. The control group participated in monthly nursing education sessions organized by the hospital for 12 continuous months. Results: After 12 months of intervention, the nurses in the study group had significantly higher overall spiritual health and spiritual care competency scores as well as significantly higher scores on all individual dimensions compared with those in the control group (P<0.01). Conclusions: A spiritual care training protocol for nurses based on the concept of mutual growth with patients enhances nurses' spiritual well-being and spiritual care competencies.

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Association between dyadic interventions and outcomes in cancer patients: a meta-analysis

Cited by 48 publications

References 49 publications

Enhancing meaning in the face of advanced cancer and pain: Qualitative evaluation of a meaning-centered psychosocial pain management intervention

Enhancing meaning in the face of advanced cancer and pain: Qualitative evaluation of a meaning-centered psychosocial pain management intervention

Psychometric properties of the Chinese version of the spiritual care competency scale in nursing practice: a methodological study

Effectiveness of spiritual care training to enhance spiritual health and spiritual care competency among oncology nurses

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