Feasibility and Acceptability of a Dignity Therapy/Life Plan Intervention for Patients With Advanced Cancer

Dose, Ann Marie; Hubbard, Joleen M.; Mansfield, Aaron S.; McCabe, Pamela J.; Krecke, Catherine; Sloan, Jeff A.

doi:10.1188/17.onf.e194-e202

Cited by 14 publications

(29 citation statements)

References 29 publications

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“…We included them in these results, though, as they completed the first two DT sessions. [23] Slightly more than half (55%) were female, with more females with pancreatic cancer than with lung cancer. Most were married and with greater than a high school education.…”

Section: Resultsmentioning

confidence: 99%

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Perspectives of newly diagnosed advanced cancer patients receiving dignity therapy during cancer treatment

Dose

Rhudy

2017

Support Care Cancer

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This study adds unique insight into the use of dignity therapy for those still receiving active cancer treatment, different from work by others in which it was offered only at end of life. As part of supportive care, clinicians need to validate the importance of family to those with advanced cancer and to provide opportunities for patients to share what they have learned throughout life and to impart messages of hope to those closest to them.

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Section: Resultsmentioning

confidence: 99%

“…As a part of a larger mixed methods pilot study, [23] we used a qualitative descriptive approach. The study was approved by the Mayo Clinic institutional review board.…”

Section: Methodsmentioning

confidence: 99%

Perspectives of newly diagnosed advanced cancer patients receiving dignity therapy during cancer treatment

Dose

Rhudy

2017

Support Care Cancer

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“…We performed this phase I/II pilot study to determine the feasibility and acceptability of the DT/LP intervention and to evaluate initial patient-reported outcomes (distress, spirituality, QOL, dignity, and purpose in life) among patients with advanced pancreatic or lung cancer undergoing treatment. Feasibility and acceptability have already been reported 15 ; the current paper focuses on the patient-reported outcomes. This study was approved by our institutional review board and adhered to all guidelines for the ethical conduct of research, consistent with our institution’s human research protection program.…”

Section: Methodsmentioning

confidence: 97%

“…18 Full study procedures have been described previously. 15 Briefly, DT consisted of 3 interviews, each 2 to 3 weeks apart, scheduled to coincide with patients’ cancer treatment appointments. In the first session, participants related a brief life history and identified events and people important to them in a semistructured audiotaped interview.…”

Section: Methodsmentioning

confidence: 99%

“…9 DT has been shown to be feasible for patients with advanced colorectal cancer undergoing second-line chemotherapy 14 and for patients with advanced pancreatic or lung cancer receiving outpatient chemotherapy. 15 Although results have been mixed in previous studies of persons with life-limiting illness at the end of life, it is important to examine outcomes for those with advanced cancer experiencing DT while undergoing active treatment.…”

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confidence: 99%

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Outcomes of a Dignity Therapy/Life Plan Intervention for Patients With Advanced Cancer Undergoing Chemotherapy

Dose

McCabe

Krecke

et al. 2018

J Hosp Palliat Nurs

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Dignity therapy is a psychosocial intervention provided at the end of life to improve patient outcomes, but many persons cannot complete it because of health decline. Patients also reprioritize their life plans as death becomes imminent. As part of meeting standards to provide psychosocial palliative care simultaneously with cancer treatment, we provided a dignity therapy/life plan intervention to 18 patients with advanced pancreatic or lung cancer receiving cancer treatment. The study aim was to evaluate patient-reported outcomes of dignity therapy/life plan. Dignity therapy entailed interviews during 3 outpatient oncology encounters, which then became a legacy document for family. Participants documented life goals as their life plan. Distress, quality of life, spirituality, dignity, and purpose in life were measured at baseline, immediately post intervention, and 3 months later. No variables were significantly different from baseline to post intervention and 3 months later, except for less distress between baseline and 3 months (P=.04). Although this intervention did not show improvements in outcomes, patients with advanced disease receiving active treatment typically experience worsening symptoms overall. Maintaining psychosocial outcomes may be preventing further morbidity in an advanced cancer population during treatment and bears further exploration. Given our small sample size, further research is warranted.

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How dignity‐related distress interacts with quality of life in young adult patients with cancer during the active treatment stage: A network analysis

et al. 2022

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Objective Young adult patients with cancer are a growing concern. By means of network analysis, this study aimed to explore the interplay between dignity‐related distress and quality of life (QoL) in young adult patients with cancer when they undergo active treatments. Methods In this cross‐sectional study, 309 young adults aged 18–39 and diagnosed with malignant tumors were recruited from an oncology center in China between September 2020 and August 2021. Participants completed the Patient Dignity Inventory and SF‐36 questionnaires. Network analysis was applied to examine the network structure. Results Overall, the core facets of dignity‐related distress were negatively related to QoL and its corresponding domains, either directly or indirectly. Developmental distress played a central role among estimated networks and strongly interplayed with most QoL domains, especially the mental domains. Symptom distress was the only facet consistently interplayed with the physical domains of QoL (i.e., physical function and bodily pain). The social aspects were also revealed in the association between limited social support and vitality. Conclusions Early attention must be paid to guarantee the need of preserving dignity and enhancing QoL for young adult patients.

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Feasibility and Acceptability of a Dignity Therapy/Life Plan Intervention for Patients With Advanced Cancer

Abstract: Nurses may be in an ideal position to offer a dignity therapy/life plan intervention to patients with advanced cancer during treatment.

Cited by 14 publications

References 29 publications

Perspectives of newly diagnosed advanced cancer patients receiving dignity therapy during cancer treatment

Perspectives of newly diagnosed advanced cancer patients receiving dignity therapy during cancer treatment

Outcomes of a Dignity Therapy/Life Plan Intervention for Patients With Advanced Cancer Undergoing Chemotherapy

How dignity‐related distress interacts with quality of life in young adult patients with cancer during the active treatment stage: A network analysis

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