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Implementing Dignity Therapy Service into an Acute Cancer Care Setting - A Feasibility Study
Claire Kelly1, Kathryn Kynoch2, Mary-Anne Ramis2
1Mater Health, Raymond Terrace, South Brisbane, Australia.
Journal of Palliative Care
|February 6, 2023
Summary
Dignity therapy, a psychotherapy for end-of-life patients, showed reduced distress in a pilot cancer care study. Its feasibility depends on resources and therapist support, requiring larger trials for definitive effect.
Area of Science:
- Palliative Care
- Psychotherapy
- Oncology
Background:
- Dignity therapy is a short-term psychotherapy.
- It aims to help end-of-life patients by addressing distress and enhancing dignity.
- This study assessed its effectiveness and feasibility in hospital-based cancer care.
Purpose of the Study:
- To evaluate the effectiveness of dignity therapy in reducing distress among cancer patients.
- To assess the feasibility of implementing dignity therapy within an ambulatory cancer treatment setting.
- To explore the time and cost implications of delivering dignity therapy.
Main Methods:
- A randomized controlled trial feasibility study was conducted.
- Adult patients with advanced cancer or hematological malignancy were recruited.
- Distress levels were measured using self-reported scales pre- and post-intervention.
Main Results:
- Fifteen patients were recruited.
- The intervention group reported significantly lower distress scores at 4 weeks compared to the control group.
- Intervention delivery time ranged from 5.5 to 11 hours, with costs varying by therapist remuneration.
Conclusions:
- Findings support the benefits of dignity therapy for end-of-life patients.
- Feasibility is linked to multidisciplinary support, resources, and therapist designation.
- Larger sample sizes are necessary to confirm the intervention's effect.
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