Feasibility, acceptability and adaption of dignity therapy: a mixed methods study achieving 360° feedback

Area of Science:

• Palliative Care
• Psychological Interventions
• End-of-Life Care

Background:

• Dignity Therapy (DT) is an evidence-based intervention for psychological suffering in end-of-life care.
• Investigating DT feasibility and acceptability in German palliative care units (PCUs) is crucial.

Purpose of the Study:

• To assess the feasibility of Dignity Therapy (DT) in German PCUs.
• To evaluate the acceptability and adaptation of a German version of the DT question protocol (DTQP).

Main Methods:

• A multicentre, mixed-methods study involving patients and relatives at two German PCUs.
• Quantitative data from feedback questionnaires and qualitative data from cognitive interviews were collected.
• Healthcare professionals (HCPs) provided 360° feedback on the DTQP before patient use.

Main Results:

• 30 out of 72 eligible patients (41.7%) participated in DT.
• An average of 9 DTQP questions were used per interview.
• 18 patients and 24 relatives found DT helpful, indicating positive reception.

Conclusions:

• Dignity Therapy (DT) is feasible for implementation in German PCUs.
• A validated German translation of the DTQP was developed, adhering to EORTC guidelines.
• Study findings were reported following the COREQ checklist for qualitative research.