Revie ⊕: An intervention promoting the dignity of individuals with advanced cancer: A feasibility study

Abstract

Purpose: The dignity of patients is a major concern among health professionals engaged in the care of individuals with advanced cancer. Although several dignity promoting interventions have been developed, none of them have focused on a positive, resourcebased approach. The aim of our study, entitled Revie ⊕, was to assess the feasibility and acceptability of a theory-guided life-review intervention, focusing on strength and resources, for patients with advanced cancer and for nurses delivering the intervention.Method: Our 2015-2016 study was conducted with patients with advanced cancer in an ambulatory and an inpatient setting of a Swiss university hospital. An embedded concurrent mixed method design was used. The feasibility and acceptability of Revie ⊕ was explored, as were changes in the sense of dignity, posttraumatic growth, and satisfaction with life.Results: A total of 41 patients received the intervention. The level of attrition was low (26%). Administering the Revie ⊕ intervention proved to be feasible. Participants (patients and nurses) considered the intervention helpful with a high level of satisfaction. A merged data analysis highlighted the need to address the patients' existential concerns. The majority of the participants found that the intervention helped them, and they recommend it for other patients.Conclusions: This study indicates that the Revie ⊕ intervention, which focuses on a resource-based approach, was perceived favorably by all of the participants. A change in the nurse-patient relationship was noted and it was deemed to be beneficial.

A scoping review of psychosocial oncology interventions promoting posttraumatic growth

“…Four studies utilized interventions that focused on creating health behavior changes, such as increased physical activity, in the context of recovering from cancer to promote adaptive coping and subsequently PTG. Two studies involved existential life-review interventions with end-of-life cancer patients [39] and patients at various stages of diagnosis, treatment, or recovery [20] . Various other psychosocial treatment approaches were utilized, and a brief description of each intervention is provided in Table 2.…”

“…[32][33][34] Four studies were conducted in the Middle East, specifically in Iran, [35,36] Israel, [14] and Turkey. [37] Six studies were conducted in European countries of Italy, [38] Switzerland, [39] the Netherlands, [40] Spain, [13,41] and Portugal. [42] Finally, there was a notable subset of studies that were conducted in Asian countries [43][44][45][46][47] or implemented psychosocial interventions in a sample of foreign-born Chinese-Americans located in the United States.…”

“…Types of intervention. [39] and patients at various stages of diagnosis, treatment, or recovery. [20] Various other psychosocial treatment approaches were utilized, and a brief description of each intervention is provided in Table 2.…”

Healthcare professionals’ perceptions of dignity-preserving care for older home-dwelling women with incurable cancer in Norway

“…Previous research documented that experiencing love and confirmation, social inclusion and fellowship, humane warmth and understanding within a caring culture are crucial aspects of dignitypreserving care for home-dwelling patients with dementia (Tranvåg et al, 2015). Studies have also described that a patient-centered positive approach and a focus on spirituality are factors leading to dignity within institutional care (Bovero et al, 2018;Da Rocha Rodrigues et al, 2019). As gender influences health throughout people's lifespan, we have documented crucial sources enhancing dignity-preserving care seen from the perspective of older women and their informal caregivers (Staats, Grov, Husebø, Tranvåg, 2020a;2020bblinded).…”

Dignity and loss of dignity: Experiences of older women living with incurable cancer at home

“…Earlier research has highlighted factors leading to dignity and loss of dignity of dying patients in hospitals (da Rocha Rodrigues et al, 2019), in nursing homes (Oosterveld-Vlug et al, 2014) and in hospices (Bovero et al, 2018). However, knowledge concerning experiences that enhances the sense of dignity of older women living at home with incurable cancer, and their experiences leading to dignity loss, is currently insufficient.…”