Comparing counseling and dignity therapies in home care patients: A pilot study

Rudilla, David; Galiana, Laura; Oliver, Amparo; Barreto, Pilar

doi:10.1017/s1478951515001182

Cited by 36 publications

(59 citation statements)

References 45 publications

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“…The studies included for analysis in the review were grouped according to the location in which the patients were approached for the application of the interventions, and were listed from A1 to A10 for better organization of the results. In other words, group 1 gathered studies in which the patients were hospitalized (A1 and A2) (6,15) , group 2 studies include outpatients (A3 to A7) (16)(17)(18)(19)(20) , and group 3 studies included inpatients and outpatients (A8 to A10) (5,(21)(22) . th day -p = 0.054).…”

Section: Resultsmentioning

confidence: 99%

“…In this case, a significant difference was observed between interventions only for the variable anxiety (p = 0.022), in favor of TC (effect = 0.65, considered moderate). For the variables: peace of mind (DT p<0.001/effect = 1.11; TC p<0.001/effect = 1.15), anxiety (DT p = 0.001/ effect = 0.58; TC p = 0.001/effect = 0.65), intrapersonal spirituality (DT p<0.001/effect = 1.12; TC p<0.001/effect = 1.31) and transpersonal spirituality (DT p<0.001/effect = 0.83; TC p<0.001/effect = 1.49), a significant difference with a large effect size was also observed, but in favor of TC (20) . Spirituality is defined as the human quest to transcend the self to find meaning and purpose through connection with others, with nature and/or "a Supreme Being," which may or may not include religious institutions.…”

Section: Group 2 -Outpatients/patients In Palliative Carementioning

confidence: 88%

“…An analysis of the selected study designs showed: five randomized controlled trials (50%), three with a moderate level of evidence and two with a high level of evidence (6,(15)(16)19,21) , one controlled clinical trial (10%) with a moderate level of evidence (20) , four quasi-experimental studies (40%), being two with low and two very low levels of evidence (5,(17)(18)22) . Chart 3 shows the detail of the scores of the studies included in the review, according to the GRADE system (14) .…”

Section: Wwweeuspbr/reeuspmentioning

confidence: 99%

“…with advanced/terminal disease In this group, five studies were included: a randomized controlled trial with a high level of evidence (16) , a randomized controlled trial with a moderate level (16) , a controlled clinical trial (20) with a moderate level of evidence, and two quasiexperimental studies with very low levels of evidence (17)(18) . The profile of the patients included in these studies was: outpatients who attended the services for performing procedures and consultations and/or those followed by multiprofessional home visiting teams and/or nursing homes, with oncological and non-oncological diseases (unspecified) (16)(17)(18)(19)(20) .…”

Section: Group 2 -Outpatients/patients In Palliative Carementioning

confidence: 99%

“…The profile of the patients included in these studies was: outpatients who attended the services for performing procedures and consultations and/or those followed by multiprofessional home visiting teams and/or nursing homes, with oncological and non-oncological diseases (unspecified) (16)(17)(18)(19)(20) . In A3, patients were allocated to the intervention group (DT) and to the control group, in which they received the institution's standard palliative care therapy.…”

Section: Group 2 -Outpatients/patients In Palliative Carementioning

confidence: 99%

See 4 more Smart Citations

Effects of dignity therapy on terminally ill patients: a systematic review

Donato

Matuoka

Yamashita

et al. 2016

Rev. esc. enferm. USP

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OBJECTIVE Analyzing the evidence of the effects of dignity therapy onterminally ill patients. METHOD A Systematic review of the literature conducted using the search strategy in six databases. Inclusion criteria were primary studies, excluding literature reviews (systematic or not) and conceptual articles. RESULTS Ten articles were analyzed regarding method, results and evidence level. Dignity therapy improved the sense of meaning andpurpose, will to live, utility, quality of life, dignity and family appreciationin studies with a higher level of evidence. The effects are not well established in relation to depression, anxiety, spirituality and physical symptoms. CONCLUSION Studies with a moderate to high level of evidence have shown increased sense of dignity, will to live and sense of purpose. Further studies should be developed to increase knowledge about dignity therapy.

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Section: Resultsmentioning

confidence: 99%

Section: Group 2 -Outpatients/patients In Palliative Carementioning

confidence: 88%

Section: Wwweeuspbr/reeuspmentioning

confidence: 99%

Section: Group 2 -Outpatients/patients In Palliative Carementioning

confidence: 99%

Section: Group 2 -Outpatients/patients In Palliative Carementioning

confidence: 99%

See 3 more Smart Citations

Effects of dignity therapy on terminally ill patients: a systematic review

Donato

Matuoka

Yamashita

et al. 2016

Rev. esc. enferm. USP

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Health, social care and technological interventions to improve functional ability of older adults living at home: An evidence and gap map

Welch

Mathew

Babelmorad

et al. 2021

Campbell Systematic Reviews

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Background By 2030, the global population of people older than 60 years is expected to be higher than the number of children under 10 years, resulting in major health and social care system implications worldwide. Without a supportive environment, whether social or built, diminished functional ability may arise in older people. Functional ability comprises an individual's intrinsic capacity and people's interaction with their environment enabling them to be and do what they value. Objectives This evidence and gap map aims to identify primary studies and systematic reviews of health and social support services as well as assistive devices designed to support functional ability among older adults living at home or in other places of residence. Search Methods We systematically searched from inception to August 2018 in: MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, CENTRAL, CINAHL, PsycINFO, AgeLine, Campbell Library, ASSIA, Social Science Citation Index and Social Policy & Practice. We conducted a focused search for grey literature and protocols of studies (e.g., ProQuest Theses and Dissertation Global, conference abstract databases, Help Age, PROSPERO, Cochrane and Campbell libraries and http://ClinicalTrials.gov). Selection Criteria Screening and data extraction were performed independently in duplicate according to our intervention and outcome framework. We included completed and on‐going systematic reviews and randomized controlled trials of effectiveness on health and social support services provided at home, assistive products and technology for personal indoor and outdoor mobility and transportation as well as design, construction and building products and technology of buildings for private use such as wheelchairs, and ramps. Data Collection and Analysis We coded interventions and outcomes, and the number of studies that assessed health inequities across equity factors. We mapped outcomes based on the International Classification of Function, Disability and Health (ICF) adapted categories: intrinsic capacities (body function and structures) and functional abilities (activities). We assessed methodological quality of systematic reviews using the AMSTAR II checklist. Main Results After de‐duplication, 10,783 records were screened. The map includes 548 studies (120 systematic reviews and 428 randomized controlled trials). Interventions and outcomes were classified using domains from the International Classification of Function, Disability and Health (ICF) framework. Most systematic reviews (n = 71, 59%) were rated low or critically low for methodological quality. The most common interventions were home‐based rehabilitation for older adults (n = 276) and home‐based health services for disease prevention (n = 233), mostly delivered by visiting healthcare professionals (n = 474). There was a relative paucity of studies on personal mobility, building adaptations, family support, personal support and befriending or friendly visits. The most measured intrinsic capacity domains were mental functio...

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Piloting the Acceptability, Practicality and Potential Benefits of Telehealth Dignity Therapy for Community-dwelling Older Adults

Fallon

Bhar

Elphinstone

2023

Int J Appl Posit Psychol

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Older adults appear to experience high levels of sub-clinical emotional distress. Past literature has predominantly focussed on ameliorating suffering in individuals with diagnosed mental illnesses, while neglecting research investigating online therapies for enhancing wellbeing in community-dwelling older adults. A potential therapy might be Dignity Therapy, a brief psychotherapy originally designed to be delivered face-to-face for terminally ill patients. We piloted a Telehealth Dignity Therapy (TDT) program and tested its acceptability (e.g., satisfaction), practicality (e.g., time spent completing TDT), and the potential benefits for participants. Five community-dwelling older adults were recruited and completed TDT. Participants completed surveys on their satisfaction with TDT. Time spent completing TDT was recorded. We interviewed participants to identify the potential benefits of TDT; their responses were analysed with qualitative methods. All five participants successfully completed the study and reported high levels of satisfaction with TDT. Levels of acceptability and practicality were similar to another online Dignity Therapy study. Participants reported several benefits including: a chance to inscribe their legacy, a deeper connection with others, triggering new self-insight, a strengthened view of self, and heightened acceptance and self-compassion. TDT appears to be acceptable and practical, and provided numerous qualitative benefits for participants. These findings suggest that Dignity Therapy is suitable is suitable to be conducted online and advantageous for community-dwelling older adults without life-limiting illnesses. Further larger-scale, quantitative research on TDT needs to be completed to better ascertain its effectiveness and feasibility.

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Comparing counseling and dignity therapies in home care patients: A pilot study

Abstract: Our study provided evidence for the efficacy of dignity therapy and counseling in improving the well-being of palliative home care patients, and it found better results in the counseling therapy group with respect to depression, resilience, and anxiety.

Cited by 36 publications

References 45 publications

Effects of dignity therapy on terminally ill patients: a systematic review

Effects of dignity therapy on terminally ill patients: a systematic review

Health, social care and technological interventions to improve functional ability of older adults living at home: An evidence and gap map

Piloting the Acceptability, Practicality and Potential Benefits of Telehealth Dignity Therapy for Community-dwelling Older Adults

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