An assisted structured reflection on life events and life goals in advanced cancer patients: Outcomes of a randomized controlled trial (Life InSight Application (LISA) study)

Renske Kruizinga; Michael Scherer-Rath; Johannes Bam Schilderman; Iris D Hartog; Jacoba Pm Van Der Loos; Hantie P Kotzé; Anneke M Westermann; Heinz-Josef Klümpen; Francesco Kortekaas; Cecile Grootscholten; Frans Bossink; Jolanda Schrama; Willem Van De Vrande; Natascha Awp Schrama; Willem Blokland; Filip Yfl De Vos; Annemieke Kuin; Wim G Meijer; Martijn Gh Van Oijen; Mirjam Ag Sprangers; Hanneke Wm Van Laarhoven

doi:10.1177/0269216318816005

An assisted structured reflection on life events and life goals in advanced cancer patients: Outcomes of a randomized controlled trial (Life InSight Application (LISA) study)

Renske Kruizinga, Michael Scherer-Rath, Johannes Bam Schilderman, Iris D Hartog, Jacoba Pm Van Der Loos, Hantie P Kotzé, Anneke M Westermann, Heinz-Josef Klümpen, Francesco Kortekaas, Cecile Grootscholten, Frans Bossink, Jolanda Schrama, Willem Van De Vrande, Natascha Awp Schrama, Willem Blokland, Filip Yfl De Vos, Annemieke Kuin, Wim G Meijer, Martijn Gh Van Oijen, Mirjam Ag SprangersHanneke Wm Van Laarhoven

Research output: Contribution to journal › Article › Scientific › peer-review

11 Citations (Scopus)

Abstract

BACKGROUND:: Diagnosis and treatment of incurable cancer as a life-changing experience evokes difficult existential questions.

AIM:: A structured reflection could improve patients' quality of life and spiritual well-being. We developed an interview model on life events and ultimate life goals and performed a randomized controlled trial to evaluate the effect thereof on quality of life and spiritual well-being.

DESIGN:: The intervention group had two consultations with a spiritual counselor. The control group received care as usual. EORTC QLQ-C15-PAL and the FACIT-sp were administered at baseline and 2 and 4 months after baseline. Linear mixed model analysis was performed to test between-group differences over time.

PARTICIPANTS:: Adult patients with incurable cancer and a life expectancy ⩾6 months were randomized in a 1:1 ratio to the intervention or control group.

RESULTS:: A total of 153 patients from six different hospitals were included: 77 in the intervention group and 76 in the control group. Quality of life and spiritual well-being did not significantly change over time between groups. The experience of Meaning/Peace was found to significantly influence quality of life ( β = 0.52, adj. R2 = 0.26) and satisfaction with life ( β = 0.61, adj. R2 = 0.37).

CONCLUSION:: Although our newly developed interview model was well perceived by patients, we were not able to demonstrate a significant difference in quality of life and spiritual well-being between groups. Future interventions by spiritual counselors aimed at improving quality of life, and spiritual well-being should focus on the provision of sources of meaning and peace.

Original language	English
Pages (from-to)	221-231
Number of pages	11
Journal	Palliative Medicine
Volume	33
Issue number	2
DOIs	https://doi.org/10.1177/0269216318816005
Publication status	Published - Feb 2019

Keywords

ANXIETY
CONTINGENCY
DEPRESSION
EXPERIENCE
NETHERLANDS
Oncology
PALLIATIVE CARE
QUALITY-OF-LIFE
RELIGION
SPIRITUAL CARE
SUPPORTIVE CARE
palliative care
randomized controlled trials
spiritual care
spiritual care givers
spirituality

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10.1177/0269216318816005

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Kruizinga, R., Scherer-Rath, M., Schilderman, J. B., Hartog, I. D., Van Der Loos, J. P., Kotzé, H. P., Westermann, A. M., Klümpen, H.-J., Kortekaas, F., Grootscholten, C., Bossink, F., Schrama, J., Van De Vrande, W., Schrama, N. A., Blokland, W., De Vos, F. Y., Kuin, A., Meijer, W. G., Van Oijen, M. G., ... Van Laarhoven, H. W. (2019). An assisted structured reflection on life events and life goals in advanced cancer patients: Outcomes of a randomized controlled trial (Life InSight Application (LISA) study). Palliative Medicine, 33(2), 221-231. https://doi.org/10.1177/0269216318816005

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title = "An assisted structured reflection on life events and life goals in advanced cancer patients: Outcomes of a randomized controlled trial (Life InSight Application (LISA) study)",

abstract = "BACKGROUND:: Diagnosis and treatment of incurable cancer as a life-changing experience evokes difficult existential questions.AIM:: A structured reflection could improve patients' quality of life and spiritual well-being. We developed an interview model on life events and ultimate life goals and performed a randomized controlled trial to evaluate the effect thereof on quality of life and spiritual well-being.DESIGN:: The intervention group had two consultations with a spiritual counselor. The control group received care as usual. EORTC QLQ-C15-PAL and the FACIT-sp were administered at baseline and 2 and 4 months after baseline. Linear mixed model analysis was performed to test between-group differences over time.PARTICIPANTS:: Adult patients with incurable cancer and a life expectancy ⩾6 months were randomized in a 1:1 ratio to the intervention or control group.RESULTS:: A total of 153 patients from six different hospitals were included: 77 in the intervention group and 76 in the control group. Quality of life and spiritual well-being did not significantly change over time between groups. The experience of Meaning/Peace was found to significantly influence quality of life ( β = 0.52, adj. R2 = 0.26) and satisfaction with life ( β = 0.61, adj. R2 = 0.37).CONCLUSION:: Although our newly developed interview model was well perceived by patients, we were not able to demonstrate a significant difference in quality of life and spiritual well-being between groups. Future interventions by spiritual counselors aimed at improving quality of life, and spiritual well-being should focus on the provision of sources of meaning and peace.",

keywords = "ANXIETY, CONTINGENCY, DEPRESSION, EXPERIENCE, NETHERLANDS, Oncology, PALLIATIVE CARE, QUALITY-OF-LIFE, RELIGION, SPIRITUAL CARE, SUPPORTIVE CARE, palliative care, randomized controlled trials, spiritual care, spiritual care givers, spirituality",

author = "Renske Kruizinga and Michael Scherer-Rath and Schilderman, {Johannes Bam} and Hartog, {Iris D} and {Van Der Loos}, {Jacoba Pm} and Kotz{\'e}, {Hantie P} and Westermann, {Anneke M} and Heinz-Josef Kl{\"u}mpen and Francesco Kortekaas and Cecile Grootscholten and Frans Bossink and Jolanda Schrama and {Van De Vrande}, Willem and Schrama, {Natascha Awp} and Willem Blokland and {De Vos}, {Filip Yfl} and Annemieke Kuin and Meijer, {Wim G} and {Van Oijen}, {Martijn Gh} and Sprangers, {Mirjam Ag} and {Van Laarhoven}, {Hanneke Wm}",

year = "2019",

month = feb,

doi = "10.1177/0269216318816005",

language = "English",

volume = "33",

pages = "221--231",

journal = "Palliative Medicine",

issn = "1477-030X",

publisher = "Sage Publications Ltd",

number = "2",

}

Kruizinga, R, Scherer-Rath, M, Schilderman, JB, Hartog, ID, Van Der Loos, JP, Kotzé, HP, Westermann, AM, Klümpen, H-J, Kortekaas, F, Grootscholten, C, Bossink, F, Schrama, J, Van De Vrande, W, Schrama, NA, Blokland, W, De Vos, FY, Kuin, A, Meijer, WG, Van Oijen, MG, Sprangers, MA & Van Laarhoven, HW 2019, 'An assisted structured reflection on life events and life goals in advanced cancer patients: Outcomes of a randomized controlled trial (Life InSight Application (LISA) study)', Palliative Medicine, vol. 33, no. 2, pp. 221-231. https://doi.org/10.1177/0269216318816005

An assisted structured reflection on life events and life goals in advanced cancer patients: Outcomes of a randomized controlled trial (Life InSight Application (LISA) study). / Kruizinga, Renske; Scherer-Rath, Michael; Schilderman, Johannes Bam et al.
In: Palliative Medicine, Vol. 33, No. 2, 02.2019, p. 221-231.

Research output: Contribution to journal › Article › Scientific › peer-review

TY - JOUR

T1 - An assisted structured reflection on life events and life goals in advanced cancer patients

T2 - Outcomes of a randomized controlled trial (Life InSight Application (LISA) study)

AU - Kruizinga, Renske

AU - Scherer-Rath, Michael

AU - Schilderman, Johannes Bam

AU - Hartog, Iris D

AU - Van Der Loos, Jacoba Pm

AU - Kotzé, Hantie P

AU - Westermann, Anneke M

AU - Klümpen, Heinz-Josef

AU - Kortekaas, Francesco

AU - Grootscholten, Cecile

AU - Bossink, Frans

AU - Schrama, Jolanda

AU - Van De Vrande, Willem

AU - Schrama, Natascha Awp

AU - Blokland, Willem

AU - De Vos, Filip Yfl

AU - Kuin, Annemieke

AU - Meijer, Wim G

AU - Van Oijen, Martijn Gh

AU - Sprangers, Mirjam Ag

AU - Van Laarhoven, Hanneke Wm

PY - 2019/2

Y1 - 2019/2

N2 - BACKGROUND:: Diagnosis and treatment of incurable cancer as a life-changing experience evokes difficult existential questions.AIM:: A structured reflection could improve patients' quality of life and spiritual well-being. We developed an interview model on life events and ultimate life goals and performed a randomized controlled trial to evaluate the effect thereof on quality of life and spiritual well-being.DESIGN:: The intervention group had two consultations with a spiritual counselor. The control group received care as usual. EORTC QLQ-C15-PAL and the FACIT-sp were administered at baseline and 2 and 4 months after baseline. Linear mixed model analysis was performed to test between-group differences over time.PARTICIPANTS:: Adult patients with incurable cancer and a life expectancy ⩾6 months were randomized in a 1:1 ratio to the intervention or control group.RESULTS:: A total of 153 patients from six different hospitals were included: 77 in the intervention group and 76 in the control group. Quality of life and spiritual well-being did not significantly change over time between groups. The experience of Meaning/Peace was found to significantly influence quality of life ( β = 0.52, adj. R2 = 0.26) and satisfaction with life ( β = 0.61, adj. R2 = 0.37).CONCLUSION:: Although our newly developed interview model was well perceived by patients, we were not able to demonstrate a significant difference in quality of life and spiritual well-being between groups. Future interventions by spiritual counselors aimed at improving quality of life, and spiritual well-being should focus on the provision of sources of meaning and peace.

AB - BACKGROUND:: Diagnosis and treatment of incurable cancer as a life-changing experience evokes difficult existential questions.AIM:: A structured reflection could improve patients' quality of life and spiritual well-being. We developed an interview model on life events and ultimate life goals and performed a randomized controlled trial to evaluate the effect thereof on quality of life and spiritual well-being.DESIGN:: The intervention group had two consultations with a spiritual counselor. The control group received care as usual. EORTC QLQ-C15-PAL and the FACIT-sp were administered at baseline and 2 and 4 months after baseline. Linear mixed model analysis was performed to test between-group differences over time.PARTICIPANTS:: Adult patients with incurable cancer and a life expectancy ⩾6 months were randomized in a 1:1 ratio to the intervention or control group.RESULTS:: A total of 153 patients from six different hospitals were included: 77 in the intervention group and 76 in the control group. Quality of life and spiritual well-being did not significantly change over time between groups. The experience of Meaning/Peace was found to significantly influence quality of life ( β = 0.52, adj. R2 = 0.26) and satisfaction with life ( β = 0.61, adj. R2 = 0.37).CONCLUSION:: Although our newly developed interview model was well perceived by patients, we were not able to demonstrate a significant difference in quality of life and spiritual well-being between groups. Future interventions by spiritual counselors aimed at improving quality of life, and spiritual well-being should focus on the provision of sources of meaning and peace.

KW - ANXIETY

KW - CONTINGENCY

KW - DEPRESSION

KW - EXPERIENCE

KW - NETHERLANDS

KW - Oncology

KW - PALLIATIVE CARE

KW - QUALITY-OF-LIFE

KW - RELIGION

KW - SPIRITUAL CARE

KW - SUPPORTIVE CARE

KW - palliative care

KW - randomized controlled trials

KW - spiritual care

KW - spiritual care givers

KW - spirituality

U2 - 10.1177/0269216318816005

DO - 10.1177/0269216318816005

M3 - Article

C2 - 30516096

SN - 1477-030X

VL - 33

SP - 221

EP - 231

JO - Palliative Medicine

JF - Palliative Medicine

IS - 2

ER -

An assisted structured reflection on life events and life goals in advanced cancer patients: Outcomes of a randomized controlled trial (Life InSight Application (LISA) study)

Abstract

Keywords

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