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What Impact Do Chaplains Have? A Pilot Study of Spiritual AIM for Advanced Cancer Patients in Outpatient Palliative Care
| Content Provider | Scilit |
|---|---|
| Author | Kestenbaum, Allison Shields, Michele James, Jennifer Hocker, Will Morgan, Stefana Karve, Shweta Rabow, Michael W. Dunn, Laura B. |
| Copyright Year | 2017 |
| Description | Journal: Journal of pain and symptom management Context Spiritual care is integral to quality palliative care. Although chaplains are uniquely trained to provide spiritual care, studies evaluating chaplains' work in palliative care are scarce. Objectives The goals of this pre-post study, conducted among patients with advanced cancer receiving outpatient palliative care, were to evaluate the feasibility and acceptability of chaplain-delivered spiritual care, utilizing the Spiritual Assessment and Intervention Model ("Spiritual AIM"), and to gather pilot data on Spiritual AIM's effects on spiritual well-being, religious and cancer-specific coping, and physical and psychological symptoms. Methods Patients with advanced cancer (N = 31) who were receiving outpatient palliative care were assigned based on chaplains' and patients' outpatient schedules, to one of three professional chaplains for three individual Spiritual AIM sessions, conducted over the course of approximately six to eight weeks. Patients completed the following measures at baseline and post-intervention: Edmonton Symptom Assessment Scale, Steinhauser Spirituality, Brief RCOPE, Functional Assessment of Chronic Illness Therapy—Spiritual (FACIT-Sp-12), Mini-Mental Adjustment to Cancer (Mini-MAC), Patient Dignity Inventory, Center for Epidemiological Studies–Depression (10 items), and Spielberger State Anxiety Inventory. Results From baseline to post-Spiritual AIM, significant increases were found on the FACIT-Sp-12 Faith subscale, the Mini-MAC Fighting Spirit subscale, and Mini-MAC Adaptive Coping factor. Two trends were observed, i.e., an increase in Positive religious coping on the Brief RCOPE and an increase in Fatalism (a subscale of the Mini-MAC). Conclusion Spiritual AIM, a brief chaplain-led intervention, holds potential to address spiritual needs and religious and general coping in patients with serious illnesses. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5650916/pdf http://www.jpsmjournal.com/article/S0885392417302919/pdf |
| Ending Page | 714 |
| Page Count | 8 |
| Starting Page | 707 |
| ISSN | 08853924 |
| e-ISSN | 18736513 |
| DOI | 10.1016/j.jpainsymman.2017.07.027 |
| Journal | Journal of pain and symptom management |
| Issue Number | 5 |
| Volume Number | 54 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2017-07-20 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of pain and symptom management Spiritual Care Palliative Care Spiritual Distress Religious Coping |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nursing Neurology (clinical) Anesthesiology and Pain Medicine |
