Spiritual Care Assessment and Intervention (SCAI) for Adult Outpatients With Advanced Cancer and Caregivers: A Pilot Trial to Assess Feasibility, Acceptability, and Preliminary Effects
dc.contributor.author | Varner Perez, Shelley E. | |
dc.contributor.author | Maiko, Saneta | |
dc.contributor.author | Burke, Emily S. | |
dc.contributor.author | Slaven, James E. | |
dc.contributor.author | Johns, Shelley A. | |
dc.contributor.author | Smith, Olivia J. | |
dc.contributor.author | Helft, Paul R. | |
dc.contributor.author | Kozinski, Kathryn | |
dc.contributor.author | Torke, Alexia M. | |
dc.contributor.department | Biostatistics and Health Data Science, School of Medicine | |
dc.date.accessioned | 2024-03-04T09:33:58Z | |
dc.date.available | 2024-03-04T09:33:58Z | |
dc.date.issued | 2022 | |
dc.description.abstract | 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. | |
dc.eprint.version | Author's manuscript | |
dc.identifier.citation | Perez SEV, Maiko S, Burke ES, et al. Spiritual Care Assessment and Intervention (SCAI) for Adult Outpatients With Advanced Cancer and Caregivers: A Pilot Trial to Assess Feasibility, Acceptability, and Preliminary Effects. Am J Hosp Palliat Care. 2022;39(8):895-906. doi:10.1177/10499091211042860 | |
dc.identifier.uri | https://hdl.handle.net/1805/39021 | |
dc.language.iso | en_US | |
dc.publisher | Sage | |
dc.relation.isversionof | 10.1177/10499091211042860 | |
dc.relation.journal | American Journal of Hospice and Palliative Medicine | |
dc.rights | Publisher Policy | |
dc.source | PMC | |
dc.subject | Chaplain | |
dc.subject | Spirituality | |
dc.subject | Religion | |
dc.subject | Advanced cancer | |
dc.subject | Oncology | |
dc.subject | Outpatients | |
dc.subject | Caregivers | |
dc.subject | Quality of life | |
dc.title | Spiritual Care Assessment and Intervention (SCAI) for Adult Outpatients With Advanced Cancer and Caregivers: A Pilot Trial to Assess Feasibility, Acceptability, and Preliminary Effects | |
dc.type | Article |