Pilot Trial of a "Divine Intervention" to Improve End-of-Life Cancer Care for Black Patients
改善黑人癌症临终护理的“神圣干预”试点试验
基本信息
- 批准号:10747114
- 负责人:
- 金额:$ 28.63万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-08-21 至 2025-06-30
- 项目状态:未结题
- 来源:
- 关键词:AddressAdvance Care PlanningAdvance DirectivesAdvanced Malignant NeoplasmAffectAfrican AmericanAgreementAmbulatory CareBeliefBlack raceCancer PatientCaringCessation of lifeChaplainClinicComparison armDataDecision MakingDistantDistressDo Not Resuscitate OrderDoseEligibility DeterminationFailureHealthcareIndividualInpatientsIntensive CareInterventionMalignant NeoplasmsMedicalOncologyOutcomeOutpatientsPalliative CarePatient-Focused OutcomesPatientsPersonal SatisfactionPrayersProviderQuality of lifeRandomizedRandomized, Controlled TrialsReadinessReligionReligion and SpiritualityReportingServicesSpiritual careSpiritualitySystemTerminal DiseaseVisitWorkarmblack patientblack/white disparitycancer carecare outcomescommunecopingend of lifeend of life careexperienceimprovednoveloncology serviceoncology trialpilot trialpost interventionprimary outcomeskills
项目摘要
Project Summary
Most advanced cancer patients report that religiousness and/or spirituality (R/S) are important to them, yet
most also say that the medical system has not met their R/S needs. Support of dying patients' R/S needs may
prove especially beneficial to those who are religious, including African American (hereafter, “black”) patients
who often rely heavily on religion to cope with cancer. Healthcare chaplains work within medical systems to
provide R/S care. Among advanced cancer patients, visits with healthcare chaplains are associated with
patients' peaceful acceptance of terminal illness, which is associated with higher rates of advance care
planning (ACP), which in turn has proved an effective way to enhance a dying patient's quality of life and
receipt of value-concordant end-of-life (EoL) care. Additionally, preliminary data suggest that healthcare
chaplain visits are associated with higher rates of completing do-not-resuscitate (DNR) orders among black
advanced cancer patients. At present, healthcare chaplains work predominantly in inpatient settings. Thus,
advanced cancer patients in outpatient settings have not benefited from the many positive effects of healthcare
chaplaincy, including having unmet spiritual needs addressed and the benefits of incorporating spiritual care
into EoL decision-making and the cancer care experience. To date, there has not been a randomized
controlled trial (RCT) of effects of early integration of healthcare chaplain-led spiritual care on EoL cancer care.
We propose here to determine the feasibility of conducting such a trial and to explore potential effects of
healthcare chaplain-led spiritual care on spiritual well-being and readiness to engage in ACP among black
advanced cancer patients in outpatient settings. Specifically, we propose: Aim #1: Will determine the
feasibility of conducting an RCT of effects of early integration of healthcare chaplain-led spiritual care into
outpatient oncology care on EoL care. Aim #2: Will explore potential effects of healthcare chaplain-led
spiritual care on spiritual well-being and ACP among black advanced cancer patients in outpatient settings.
Aim #3: Will explore potential mechanisms by which healthcare chaplain-led spiritual care in outpatient
settings affect black advanced cancer patients' EoL care outcomes. Impact: Results will provide evidence of
the feasibility of conducting an RCT of the effects of early outpatient (in advance of a terminal inpatient)
healthcare chaplain-led spiritual care on spiritual well-being and ACP among black advanced cancer patients.
Integration of healthcare chaplain-led spiritual care into outpatient oncology services for advanced cancer
patients may be an impactful, scalable way to improve the EoL cancer care experience among black patients
with advanced cancer.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Paul K Maciejewski其他文献
Paul K Maciejewski的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Paul K Maciejewski', 18)}}的其他基金
Automated Detection of Suicide Attempt Risk among Bereaved Individuals
自动检测丧亲者的自杀未遂风险
- 批准号:
9885577 - 财政年份:2020
- 资助金额:
$ 28.63万 - 项目类别:
Latino vs. Non-Latino Disparities in Advance Care Planning & End-of-Life Care
拉丁裔与非拉丁裔在预先护理计划方面的差异
- 批准号:
8773681 - 财政年份:2014
- 资助金额:
$ 28.63万 - 项目类别:
Latino vs. Non-Latino Disparities in Advance Care Planning & End-of-Life Care
拉丁裔与非拉丁裔在预先护理计划方面的差异
- 批准号:
8934132 - 财政年份:2014
- 资助金额:
$ 28.63万 - 项目类别:
相似海外基金
Understanding communication about advance care planning across the lifespan
了解有关整个生命周期预先护理计划的沟通
- 批准号:
DP240100072 - 财政年份:2024
- 资助金额:
$ 28.63万 - 项目类别:
Discovery Projects
International research on advance care planning and palliative care approach for persons with dementia and family caregivers
关于痴呆症患者和家庭护理人员的预先护理计划和姑息治疗方法的国际研究
- 批准号:
22KK0258 - 财政年份:2023
- 资助金额:
$ 28.63万 - 项目类别:
Fund for the Promotion of Joint International Research (Fostering Joint International Research (A))
Meeting the Challenges of COVID-19 by Expanding the Reach of Palliative Care: Proactive Advance Care Planning with Videos for the Elderly and all Patients with Dementia
通过扩大姑息治疗的范围来应对 COVID-19 的挑战:为老年人和所有痴呆症患者提供视频的主动预先护理计划
- 批准号:
10784057 - 财政年份:2023
- 资助金额:
$ 28.63万 - 项目类别:
心不全 Advance Care Planning外来の有効性の検討
检查心力衰竭预先护理计划门诊服务的有效性
- 批准号:
23K09926 - 财政年份:2023
- 资助金额:
$ 28.63万 - 项目类别:
Grant-in-Aid for Scientific Research (C)
Implementing Advance Care Planning as a Healthy Aging Activity in Rural Primary Care
在农村初级保健中实施预先护理计划作为健康老龄化活动
- 批准号:
10557515 - 财政年份:2023
- 资助金额:
$ 28.63万 - 项目类别:
Mentoring Researchers in Advance Care Planning for Underrepresented Older Adults at Risk for Alzheimer’s Disease and Related Dementias and Their Caregivers
指导研究人员为面临阿尔茨海默病和相关痴呆症风险的代表性不足的老年人及其护理人员进行预先护理计划
- 批准号:
10587383 - 财政年份:2023
- 资助金额:
$ 28.63万 - 项目类别:
Facilitating Advance Care Planning Discussions Between Patients with Advanced Cancer and Their Family Caregivers Using a Resilience-Building Intervention
使用增强复原力的干预措施促进晚期癌症患者及其家庭护理人员之间的预先护理计划讨论
- 批准号:
10661890 - 财政年份:2023
- 资助金额:
$ 28.63万 - 项目类别:
Empowering Formerly Homeless Older Adults to Engage in Advance Care Planning in Permanent Supportive Housing (ACP-PSH): An RCT
帮助以前无家可归的老年人参与永久支持性住房中的预先护理计划 (ACP-PSH):一项随机对照试验
- 批准号:
10639204 - 财政年份:2023
- 资助金额:
$ 28.63万 - 项目类别:
Exploring the influence of ethnic background, culture and faith on perceptions towards advance care planning conversations with British Muslim communi
探索种族背景、文化和信仰对与英国穆斯林社区的预先护理计划对话的看法的影响
- 批准号:
2886796 - 财政年份:2023
- 资助金额:
$ 28.63万 - 项目类别:
Studentship
Improving Primary Care Clinicians' Advance Care Planning for Alzheimer's Disease and Related Dementias
改善初级保健临床医生针对阿尔茨海默病和相关痴呆症的预先护理计划
- 批准号:
10738376 - 财政年份:2023
- 资助金额:
$ 28.63万 - 项目类别: