Using patient-reported religious/spiritual concerns to identify patients who accept chaplain interventions in an outpatient oncology setting

Sprik, Petra; Walsh, Kendall; Boselli, Danielle; Meadors, Patrick

doi:10.1007/s00520-018-4447-z

Cited by 16 publications

(12 citation statements)

References 41 publications

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“…Forms of telechaplaincy have been used since the mid-1900s, with more formalized programs being developed in the early 2000s [20][21][22][23]. Recent studies have shown that telechaplaincy interventions are feasible and acceptable with caregivers of seriously ill patients, parents of children with cystic fibrosis, advanced illness/palliative care military veterans, and laypeople [21,[24][25][26][27]. Caregivers of seriously ill patients claimed that a telephone-based chaplaincy intervention helped them reflect and process and that they appreciated the anonymity of the phone [24].…”

Section: Introductionmentioning

confidence: 99%

“…To our knowledge, no studies exist on the feasibility and acceptability of telechaplaincy interventions where the intervention is delivered as the first point of contact. Additionally, only one study examines telephonebased chaplaincy with outpatient oncology patients, and it does not address feasibility and acceptability [27]. Chaplains may also experience additional barriers to delivering telechaplaincy.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility and acceptability of a telephone-based chaplaincy intervention in a large, outpatient oncology center

Sprik

Keenan

Boselli

et al. 2020

Support Care Cancer

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Purpose Telechaplaincy (the use of telecommunications and virtual technology to deliver spiritual and religious care by healthcare chaplains or other religious/spiritual leaders) is a relatively novel intervention that has increasingly been used in recent years, and especially during COVID-19. Telephone-based chaplaincy is one mode of telechaplaincy. The purpose of this study was to (1) describe telephone-based chaplaincy interventions delivered as the first point of contact to patients who screen positive for religious/spiritual concern(s) using an electronic data system, and (2) assess the feasibility and acceptability of delivering interventions in an outpatient cancer institute using this methodology. Methods Patients were screened for religious and spiritual (R/S) concern(s) using an electronic data system. Patients indicating R/S concern(s) were offered a telephone-based chaplaincy intervention and asked to complete a survey assessing acceptability of the intervention. Feasibility and acceptability data were collected. Results Thirty percent of screened patients indicated R/S concern(s). Telephone-based chaplaincy interventions were offered to 100% of eligible patients, establishing contact with 61% of eligible patients, and offering chaplaincy interventions to 48% of those patients. Survey participants report high acceptability of the offered intervention. Conclusion This is the first study examining feasibility and acceptability of telephone-based chaplaincy with oncology patients. Telephone-based chaplaincy is feasible and acceptable within an outpatient oncology setting, supporting the promise of this interventional strategy. Further research is needed to refine practices.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Feasibility and acceptability of a telephone-based chaplaincy intervention in a large, outpatient oncology center

Sprik

Keenan

Boselli

et al. 2020

Support Care Cancer

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“…30,31 However, spiritual care by phone is becoming increasingly acceptable in chaplaincy practice—especially given recent experiences with the COVID-19 pandemic. 17,20,32,33 Spiritual care delivered by phone has notable benefits similar to virtual visits for clinical care: the care recipient is able to engage with a chaplain in a meaningful way without having to travel long distances, arrange childcare, or take extended time off from work, thus removing some barriers associated with healthcare access. Secondary benefits to tele-chaplaincy include the conservation of time and resources on the part of both participants and chaplains.…”

Section: Discussionmentioning

confidence: 99%

“…[14][15][16] Specifically, religious and spiritual needs of adult outpatients with advanced cancer have received little attention. [17][18][19] This lack of knowledge is an obstacle to delivering holistic, patient-centered palliative care that provides relief from the symptoms and stress of advanced cancer.…”

Section: Introductionmentioning

confidence: 99%

Spiritual Care Assessment and Intervention (SCAI) for Adult Outpatients With Advanced Cancer and Caregivers: A Pilot Trial to Assess Feasibility, Acceptability, and Preliminary Effects

Perez

Maiko

Burke

et al. 2021

Am J Hosp Palliat Care

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Background: Although religion and spirituality are important to adults with cancer and their family caregivers, few studies have tested spiritual care interventions in the outpatient setting. Aim: To determine the feasibility, acceptability, and preliminary effects of chaplain-delivered, semi-structured spiritual care to adult outpatients with advanced cancer and their caregivers. Design: In this pre/post pilot intervention study, board-certified chaplains utilized the Spiritual Care Assessment and Intervention (SCAI) framework during 4 individual sessions. Surveys at baseline and at 1, 6, and 12 weeks post-intervention assessed spiritual well-being, quality of life, depression, anxiety, and religious coping. Setting/Participants: We enrolled U.S. adult outpatients with or without an eligible family caregiver. Eligible patients were at least 18 years old and at least 2 weeks post-diagnosis of incurable and advanced-stage lung or gastrointestinal (GI) cancer. Results: Of 82 eligible patients, 24 enrolled (29.3%); of 22 eligible caregivers, 18 enrolled (81.8%). Four planned chaplain visits were completed by 87.5% of patients and 77.8% of caregivers. All enrolled participants completed baseline surveys, and more than 75% completed follow-up surveys at 2 of 3 time points. More than 80% of patients and caregivers reported they would recommend the sessions to a friend or family member. Patients’ spiritual well-being improved significantly at all timepoints compared to baseline: 1-week post (p < .006), 6-weeks post (p < .001), and 12-weeks post (p < .004). Conclusions: Spiritual care through SCAI is feasible, acceptable, and shows promise in improving spiritual well-being and other important outcomes in advanced-stage cancer patients and family caregivers. Further investigation is warranted.

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“…20,21 Active areas of research within the chaplaincy profession involve screening for spiritual distress, including the use of patient-reported measurements of distress. 22 Further research is needed to determine outcomes of chaplain interventions.…”

Section: Discussionmentioning

confidence: 99%

Chaplain care in pediatric oncology: Insight for interprofessional collaboration

Lion

Skiles

Watson³

et al. 2019

Pediatric Blood & Cancer

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Background Although attending to spiritual and religious needs is part of high quality care of pediatric cancer patients, oncology clinicians may not understand the role of the chaplain, resulting in underutilization of resources and failure to fully integrate the chaplain into the clinical team. We provide a description of what the chaplain does in the care of pediatric oncology patients. Methods We conducted a qualitative content analysis of chaplain chart notes over a one‐year period on the pediatric oncology service at a freestanding children's hospital. Using criteria designed to capture multiple potential factors in chaplain referral, we selected 30 patients for thematic analysis. Results In 2016, 166 pediatric patients were diagnosed with cancer and received ongoing care at our institution. From the 30 patients selected, 230 chaplain encounters were documented in the medical chart. Three major themes emerged. (1) The chaplains provided a rich description of spiritual and psychosocial aspects of the patient and family's experience; (2) chaplains provided diverse interventions, both religious and secular in nature; and (3) chaplains provided care within a longitudinal relationship. All three themes depend on the empathic listening by a chaplain. Conclusions The chaplains’ observations about patient and family beliefs, experiences, and emotional/spiritual states have the potential to inform the interdisciplinary care of the patient. Chaplain documentation provides insight into how spiritual care interventions and close relationships may promote patient and family well‐being. In future work, we will explore how to give voice to their insights in caring for pediatric oncology patients.

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Using patient-reported religious/spiritual concerns to identify patients who accept chaplain interventions in an outpatient oncology setting

Cited by 16 publications

References 41 publications

Feasibility and acceptability of a telephone-based chaplaincy intervention in a large, outpatient oncology center

Feasibility and acceptability of a telephone-based chaplaincy intervention in a large, outpatient oncology center

Spiritual Care Assessment and Intervention (SCAI) for Adult Outpatients With Advanced Cancer and Caregivers: A Pilot Trial to Assess Feasibility, Acceptability, and Preliminary Effects

Chaplain care in pediatric oncology: Insight for interprofessional collaboration

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