Use of Theoretical Frameworks in the Development and Testing of Palliative Care Interventions

Ingle, M Pilar; Check, Devon K.; Slack, Daniel; Cross, Sarah H.; Ernecoff, Natalie C.; Matlock, Daniel D.; Kavalieratos, Dio

doi:10.1016/j.jpainsymman.2021.10.011

Cited by 2 publications

(6 citation statements)

References 76 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Incorporation of theory into symptom science, especially intervention design, can provide scaffolding for mapping out intervention content and delivery, as well as for understanding relationships between constructs and relevant outcomes, and strengthening fidelity of the study. 25 This scoping review offers details on 11 possible frameworks for adoption in future cancer-related symptom science, 4 of which consider a spiritual dimension of cancer-related symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…Guided by a biopsychosocial-spiritual framework, research may examine how dimensions of spirituality, such as transcendence, meaning, and connection to a higher power, may impact how symptoms are experienced and expressed. Ingle et al 25 have noted that most supportive care interventions have not been explicitly guided by theoretical frameworks. Incorporating a biopsychosocial-spiritual framework into intervention design could support investigators in addressing spiritual needs as part of holistic symptom management.…”

Section: Discussionmentioning

confidence: 99%

“…Future research may include continued refining of existing frameworks based on new evidence, and as recently noted, development and validation of additional biopsychosocial-spiritual frameworks for supportive care research may be needed. 25 Researchers and clinicians are also encouraged to modify frameworks as needed, or to apply multiple frameworks each addressing different aspects of a symptom management study rather than attempting to use a “one size fits all” approach. 25 Exploring frameworks across disciplines can be especially valuable, as well as modifying and testing frameworks for their applicability across different contexts.…”

Section: Discussionmentioning

confidence: 99%

“…25 Researchers and clinicians are also encouraged to modify frameworks as needed, or to apply multiple frameworks each addressing different aspects of a symptom management study rather than attempting to use a “one size fits all” approach. 25 Exploring frameworks across disciplines can be especially valuable, as well as modifying and testing frameworks for their applicability across different contexts. Overall, this scoping review offers a starting point for researchers and practitioners to carefully and explicitly adopt frameworks, with a focus on the ongoing need to more fully integrate spirituality into symptom science.…”

Section: Discussionmentioning

confidence: 99%

“…Yet a recent review of systematic reviews reveals that most supportive care trials across disciplines have not included a theoretical foundation for their intervention design and testing. 25 Applying frameworks to explicitly shape intervention development and outcome selection can enhance researchers' ability to identify mechanisms, derive structured hypotheses, and test theoretical pathways which are identified a priori. 25,26 Therefore, adopting biopsychosocial-spiritual frameworks to guide cancer symptom research has the potential to advance the science toward high-quality evidence that explores the multiple interconnected aspects of complex symptom experiences.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Cancer-Related Symptom Frameworks Using a Biopsychosocial-Spiritual Perspective: A Scoping Review

Miller,

Vachon,

Kwekkeboom

2023

West J Nurs Res

View full text Add to dashboard Cite

Background: Research to understand and manage cancer-related symptoms continues to advance, yet work that more fully adopts a biopsychosocial-spiritual view of symptoms is needed. Objective: The purpose of this article is to review existing frameworks that have the potential to guide research on cancer-related symptoms, to explore the characteristics of each framework, and to appraise each using a biopsychosocial-spiritual lens. Methods: A scoping review was conducted to identify available frameworks that could be applied to guide cancer-related symptom research and to assess their characteristics. Research questions and criteria were formulated at the outset, followed by identifying relevant publications detailing novel frameworks, charting data, and collating results. Upon identification of available frameworks, each was appraised for alignment with a standard definition of “biopsychosocial-spiritual.” Results: Eleven frameworks were identified to guide cancer-related symptom research. All were developed in the United States, led by nurse scientists, including symptom experiences as well as their antecedents and outcomes, and could be applied to one or more concurrent cancer-related symptoms. While all 11 frameworks included biopsychosocial dimensions, only 4 included spirituality. Conclusions: Four biopsychosocial-spiritual frameworks offer unique insight to support advancement of cancer-related symptom research and practice from a holistic perspective. This foundational work could lead to development and validation of new frameworks and modification of existing frameworks to more closely align with a biopsychosocial-spiritual view of cancer-related symptoms. This review offers a starting point to carefully and explicitly adopt frameworks in research and practice with increased emphasis on considering spiritual dimensions of symptoms.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Cancer-Related Symptom Frameworks Using a Biopsychosocial-Spiritual Perspective: A Scoping Review

Miller,

Vachon,

Kwekkeboom

2023

West J Nurs Res

View full text Add to dashboard Cite

show abstract

Advancing Methodological Rigor for Psychosocial Aspects of Neuropalliative Care Interventions

Plys,

Grunberg,

Vranceanu

2024

J Palliat Care

View full text Add to dashboard Cite

Background: Neurological disorders (NDs) have unique biopsychosocial-spiritual features that impact patients and their families. As a result, the subspeciality of neuropalliative care (NPC) emerged within the past decade and has grown exponentially in research and practice. Given the cognitive, emotional, and behavioral changes associated with NDs, psychosocial components (eg, coping skills) of NPC interventions are essential for improving the quality of life for patients and families. However, psychosocial components of NPC interventions warrant more rigorous testing to improve their evidence base and their likelihood of implementation and dissemination. Aim: In this commentary, we provide methodological recommendations with the goal of improving scientific knowledge and rigor for psychosocial components of multicomponent NPC interventions in clinical trials. Results: We emphasize the need for transparent reporting of psychosocial intervention components; using established models of intervention development to guide the development and testing of multicomponent NPC interventions; identifying mechanisms of action for psychosocial outcomes; and choosing psychometrically sound measures for mechanisms and outcomes. Conclusions: Given the importance of psychosocial care to the holistic NPC model, rigorous testing of psychosocial components of NPC interventions is a high priority for clinical investigators to advance the evidence base and practice of NPC.

show abstract

Use of Theoretical Frameworks in the Development and Testing of Palliative Care Interventions

Cited by 2 publications

References 76 publications

Cancer-Related Symptom Frameworks Using a Biopsychosocial-Spiritual Perspective: A Scoping Review

Cancer-Related Symptom Frameworks Using a Biopsychosocial-Spiritual Perspective: A Scoping Review

Advancing Methodological Rigor for Psychosocial Aspects of Neuropalliative Care Interventions

Contact Info

Product

Resources

About