The effect of spiritual interventions addressing existential themes using a narrative approach on quality of life of cancer patients: a systematic review and meta‐analysis

Kruizinga, Renske; Hartog, Iris D.; Jacobs, M.; Daams, Joost G.; Scherer-Rath, Michael; Schilderman, J.B.A.M.; Sprangers, Mirjam A. G.; Laarhoven, Hanneke W. M. van

doi:10.1002/pon.3910

Cited by 76 publications

(66 citation statements)

References 50 publications

(53 reference statements)

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“…However, in 2016, Kruizinga et al evaluated the effect of spiritual interventions on the quality of life in patients with cancer, focusing on literature published up to 2014. Based on 12 clinical trials, the researchers found that narrative spiritual interventions can improve the quality of life in cancer patients in the short term, but no evidence was found that this effect was maintained in the long term, up to three–six months [29]. …”

Section: Introductionmentioning

confidence: 99%

Spiritual Care in Palliative Care: A Systematic Review of the Recent European Literature

et al. 2019

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Many studies on spiritual care in palliative care are performed in the US, leaving other continents unexplored. The objective of this systematic review is to map the recent studies on spiritual care in palliative care in Europe. PubMed, CINAHL, ATLA, PsycINFO, ERIC, IBSS, Web of Science, EMBASE, and other databases were searched. Included were European studies published in a peer-reviewed journal in 2015, 2016, or 2017. The characteristics of the included studies were analyzed and a narrative synthesis of the extracted data was performed. 53 articles were included. Spiritual care was seen as attention for spirituality, presence, empowerment, and bringing peace. It implied creative, narrative, and ritual work. Though several studies reported positive effects of spiritual care, like the easing of discomfort, the evidence for spiritual care is low. Requirements for implementation of spiritual care in (palliative) care were: Developing spiritual competency, including self-reflection, and visibility of spirituality and spiritual care, which are required from spiritual counselors that they participated in existing organizational structures. This study has provided insight into spiritual care in palliative care in Europe. Future studies are necessary to develop appropriate patient outcomes and to investigate the effects of spiritual care more fully.

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Section: Introductionmentioning

confidence: 99%

Spiritual Care in Palliative Care: A Systematic Review of the Recent European Literature

et al. 2019

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“…However, since the existential and moral questions caused by a life-threatening disease such as cancer go to the very subject matter of philosophy, a different approach to cancer survivor care is intriguing to explore on its own. This different approach is supported by studies showing how both advanced cancer patients and long-term survivors report that their existential needs are insufficiently met (Kruizinga et al, 2016;Hodgkinson et al, 2006). Philosophy, particularly in its ancient form, is concerned with the art of living (Hadot, 1995;Nehamas, 2000;Sellars, 2003) and the attainment of flourishing human lives (Nussbaum, 1994).…”

Section: Introductionmentioning

confidence: 85%

“…Thirdly, participation in SDG punctured the solitude felt by most of the cancer patients. Though other interventions that involve groups (Kroenke et al, 2014;Kruizinga et al, 2016) can address the last point, the other two features define what distinguishes a philosophical approach. The first two points corresponds to the overall benefit asked in question 1 but they are visible throughout most of the responses to the other questions in the questionnaire.…”

Section: The Potential Of Sdg In Cancer Survivor Carementioning

confidence: 99%

Cancer Survivor Responses to Socratic Dialogue: An Explorative Study of the Experiences with Participation in an Innovative Intervention

Knox¹

2018

TFSS

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Objective: By use of an anonymous, open-ended written questionnaire, this study evaluates the experience of having participated in a Socratic Dialogue Group (SDG) that philosophically addresses the fundamental life questions triggered by a cancer experience. The responses aim to cast light on whether SDG is suitable and beneficial for cancer survivors. Methods: The study is based on two similar interventions: a pilot project from 2008-2010 and a research project from 2012-2015 involving a total of 50 participants divided into 9 SDGs. The projects included a questionnaire filled out by 26 out of 50 rehabilitating cancer patients aged 36 to 72 who had just completed participation in a SDG. The questionnaire consisted of seven questions. The seven questions were identical in the two projects. The projects were carried out at the Center for Cancer and Health in Copenhagen, Denmark. Results: All participants responded favorably to SDG as a way to philosophically address life questions. It was found both suitable for cancer survivors and beneficial for the process of returning to an everyday life. Participants found the particular thought process joyful, enriching and existentially sharpening their awareness in terms of life orientation post cancer. The study suggests a novel theoretical approach to cancer survivor care. Conclusion: Responses from the questionnaire illuminate the relevance of a philosophical approach to cancer care by implementing a method of Socratic dialogue among survivors.

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“…Integrating advanced cancer in one's narrative of life, however, is challenging, and feelings of hopelessness, depression, and even the desire for a hastened death were found to be common among patients with advanced cancer . Therefore, care for patients with advanced cancer needs to address psychosocial, spiritual and existential health in addition to physical health . Despite improvements in cancer care in developed countries, these nonphysical domains remain largely unattended …”

Section: Introductionmentioning

confidence: 99%

Living with advanced cancer: Rich Pictures as a means for health care providers to explore the experiences of advanced cancer patients

et al. 2019

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Background To provide holistic care to patients with advanced cancer, health care professionals need to gain insight in patients’ experiences across the different domains of health. However, describing such complex experiences verbally may be difficult for patients. The use of a visual tool, such as Rich Pictures (RPs) could be helpful. We explore the use of RPs to gain insight in the experiences of patients with advanced cancer. Methods Eighteen patients with advanced cancer were asked to draw a RP expressing how they experienced living with cancer, followed by a semi‐structured interview. Qualitative content analysis, including the examination of all elements in the drawings and their interrelationships, was used to analyze the RPs, which was further informed by the interviews. Results The RPs clearly showed what was most important to an individual patient and made relations between elements visible at a glance. Themes identified included: medical aspects, the experience of loss, feelings related to loss, support from others and meaningful activities, and integration of cancer in one's life. The added value of RPs lies in the ability to represent these themes in one single snapshot. Conclusions RPs allow for a complementary view on the experiences of advanced cancer patients, as they show and relate different aspects of patients’ lives. A RP can provide health care professionals a visual summary of the experiences of a patient. For patients, telling their story to health care professionals might be facilitated when using RPs.

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The effect of spiritual interventions addressing existential themes using a narrative approach on quality of life of cancer patients: a systematic review and meta‐analysis

Cited by 76 publications

References 50 publications

Spiritual Care in Palliative Care: A Systematic Review of the Recent European Literature

Spiritual Care in Palliative Care: A Systematic Review of the Recent European Literature

Cancer Survivor Responses to Socratic Dialogue: An Explorative Study of the Experiences with Participation in an Innovative Intervention

Living with advanced cancer: Rich Pictures as a means for health care providers to explore the experiences of advanced cancer patients

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