Revie ⊕: the influence of a life review intervention including a positive, patient-centered approach towards enhancing the personal dignity of patients with advanced cancer—a study protocol for a feasibility study using a mixed method investigation

Abstract

BackgroundIt is generally recognized that existential concerns must be addressed to promote the dignity of patients with advanced cancer. A number of interventions have been developed in this regard, such as dignity therapy and other life review interventions (LRI). However, so far, none have focused on a positive approach or evaluated its effects on dignity and personal growth. This study aims to explore the feasibility of Revie ⊕, a life review intervention comprising a positive, patient-centered approach, and to determine potential changes of patients’ sense of dignity, posttraumatic growth, and satisfaction with life.MethodsA mixed method study will be performed, which includes specialized nurses and 40 patients with advanced cancer in an ambulatory and in-patient setting of a Swiss university hospital. Quantitative methods involve a single group, pre- and post-intervention, and outcome measurements include the Patient Dignity Inventory, the Posttraumatic Growth Inventory, and the Satisfaction with Life Scale. Feasibility data relating to process, resource, and scientific elements of the trial will also be collected. A semi-directed interview will be used to collect qualitative data about the process and the participants’ experiences of the intervention. In this way, enhanced quantitative-qualitative evidence can be drawn from outcome measures as well as individual, contextualized personal views, to help inform researchers about the plausibility of this complex intervention before testing its effectiveness in a subsequent full trial.DiscussionPatient dignity is a goal of quality end-of-life care. To our knowledge, this is the first trial to evaluate the role of a life review intervention that is focused on personal growth and on changes relating to the experience of having cancer.This study will evaluate the feasibility of a novel intervention, Revie ⊕, which we hope will contribute to promote the dignity, personal growth, and overall life satisfaction of patients with advanced cancer.Trial registrationISRCTN, ISRCTN12497093 Electronic supplementary materialThe online version of this article (doi:10.1186/s40814-016-0101-z) contains supplementary material, which is available to authorized users.

Psychosocial interventions on the posttraumatic growth of adults with cancer: A systematic review and meta‐analysis of clinical trials

“…The remaining five each included people with colorectal cancer, 47 liver cancer, 50 bladder cancer, 60 lung cancer, 64 or hematological malignancies 70 . Notably, nine studies included a category of “other” in the cancer types, without specification 37,40,43,44,51,52,58,65,71 …”

“…A strength of the present review pertains to the examination of databases dedicated to gray literature, as well as the lack of language restrictions. Indeed, of the 37 included studies, 11 are unique to the present review 33,38–40,43,50,60,64,68,70,75 as they had not been included in either previous reviews 16,18 . Moreover, the present meta‐analysis was the first to undertake subgroup analyses on practical aspects of the interventions (e.g., mode of delivery, intensity of interventions) as factors that could influence the interventions' effectiveness.…”

“…They were published between 2005 and 2022 (19 of which were published since 2018) across 13 countries. Eight studies were conducted in China, 46,50,55,64,68,70,75,76 seven in the USA, 24,39,42,43,52,60,69 four in Australia, 37,47,51,63 four in Canada, 34,44,53,73 three in South Korea, 38,71,72 three in Spain, [56][57][58] two in Iran, 33,45 one in the Netherlands, 65 one in Portugal, 61 one in Israel, 59 one in Germany, 49 one in Switzerland, 40 and one in Turkey. 32 Notably, one of the included studies was a dissertation 53 with the remaining being peer-reviewed publications.…”

“…17 studies examined people with cancer of any type or at any stage, 32,37,40,43,44,46,[51][52][53][56][57][58]63,65,[71][72][73] 15 studies with people with breast cancer. 24,33,34,38,39,42,45,49,55,59,61,68,69,75,76 The remaining five each included people with colorectal cancer, 47 liver cancer, 50 bladder cancer, 60 lung cancer, 64 or hematological malignancies.…”

“…49 Twelve studies with 13 interventions had a total duration of 66-540 min (up to 9 h) and were considered lowintensity. 24,33,37,40,42,43,45,47,[49][50][51]68 Fifteen studies with 18 interventions had a medium-intensity ranging from 720 to 1800 min (up to 30 h). 32,34,38,39,44,53,[56][57][58][59]61,63,65,69,73 Two interventions were of high-intensity and had a total contact time of 2400 and 2880 min (up to 48 h).…”