Limits...
Care of the human spirit and the role of dignity therapy: a systematic review of dignity therapy research.

Fitchett G, Emanuel L, Handzo G, Boyken L, Wilkie DJ - BMC Palliat Care (2015)

Bottom Line: Of these, 17 articles representing 12 quantitative studies establish that patients who receive DT report high satisfaction and benefits for themselves and their families, including increased sense of meaning and purpose.The effects of DT on physical or emotional symptoms, however, were inconsistent.Building on this body of DT research, investigators will need to continue to be sensitive as they involve participants in DT studies and innovations to facilitate the generation and delivery of legacy documents to participants near the end of life.

View Article: PubMed Central - PubMed

Affiliation: Rush University Medical Center, 630 S. Hermitage Ave. Suite 505, Chicago, IL 60612 USA.

ABSTRACT

Background: Dignity Therapy (DT), an intervention for people facing serious illness, focuses on dignity conservation tasks such as settling relationships, sharing words of love, and preparing a legacy document for loved ones. Research on DT began more than a decade ago and has been conducted in 7 countries, but a systematic review of DT research has not been published.

Methods: Using a PubMed search with key terms of 'dignity therapy', 'dignity psychotherapy', 'Chochinov', and 'dignity care', we found 29 articles on DT and retained 25 after full-text review.

Results: Of these, 17 articles representing 12 quantitative studies establish that patients who receive DT report high satisfaction and benefits for themselves and their families, including increased sense of meaning and purpose. The effects of DT on physical or emotional symptoms, however, were inconsistent.

Conclusions: Conclusions point to three areas for future research on DT, to determine: (1) whether the DT intervention exerts an impact at a spiritual level and/or as a life completion task; (2) how DT should be implemented in real world settings; and (3) if DT has an effect on the illness experience within the context of not only the patient, but also the family and community. Building on this body of DT research, investigators will need to continue to be sensitive as they involve participants in DT studies and innovations to facilitate the generation and delivery of legacy documents to participants near the end of life.

No MeSH data available.


Related in: MedlinePlus

Flow diagram of systematic review process.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4384229&req=5

Fig1: Flow diagram of systematic review process.

Mentions: We queried the PubMed database to obtain an initial list of potential articles for review. As development of DT began in the 2000s, our searches included articles published in that decade through July 2014. The initial search terms were ‘dignity therapy’, ‘dignity psychotherapy’, ‘Chochinov’, and ‘dignity care’. As indicated in Figure 1, following PRISMA guidelines for systematic review [18] we identified and downloaded 57 references into EndNote X4 (Thompson Reuters ISI ResearchSoft, 2014). We deleted duplicate articles and retained 28 articles. An additional in press study [19] that was known to us (Linda Emanuel is a co-author) was added to the references, for a total of 29 articles.Figure 1


Care of the human spirit and the role of dignity therapy: a systematic review of dignity therapy research.

Fitchett G, Emanuel L, Handzo G, Boyken L, Wilkie DJ - BMC Palliat Care (2015)

Flow diagram of systematic review process.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4384229&req=5

Fig1: Flow diagram of systematic review process.
Mentions: We queried the PubMed database to obtain an initial list of potential articles for review. As development of DT began in the 2000s, our searches included articles published in that decade through July 2014. The initial search terms were ‘dignity therapy’, ‘dignity psychotherapy’, ‘Chochinov’, and ‘dignity care’. As indicated in Figure 1, following PRISMA guidelines for systematic review [18] we identified and downloaded 57 references into EndNote X4 (Thompson Reuters ISI ResearchSoft, 2014). We deleted duplicate articles and retained 28 articles. An additional in press study [19] that was known to us (Linda Emanuel is a co-author) was added to the references, for a total of 29 articles.Figure 1

Bottom Line: Of these, 17 articles representing 12 quantitative studies establish that patients who receive DT report high satisfaction and benefits for themselves and their families, including increased sense of meaning and purpose.The effects of DT on physical or emotional symptoms, however, were inconsistent.Building on this body of DT research, investigators will need to continue to be sensitive as they involve participants in DT studies and innovations to facilitate the generation and delivery of legacy documents to participants near the end of life.

View Article: PubMed Central - PubMed

Affiliation: Rush University Medical Center, 630 S. Hermitage Ave. Suite 505, Chicago, IL 60612 USA.

ABSTRACT

Background: Dignity Therapy (DT), an intervention for people facing serious illness, focuses on dignity conservation tasks such as settling relationships, sharing words of love, and preparing a legacy document for loved ones. Research on DT began more than a decade ago and has been conducted in 7 countries, but a systematic review of DT research has not been published.

Methods: Using a PubMed search with key terms of 'dignity therapy', 'dignity psychotherapy', 'Chochinov', and 'dignity care', we found 29 articles on DT and retained 25 after full-text review.

Results: Of these, 17 articles representing 12 quantitative studies establish that patients who receive DT report high satisfaction and benefits for themselves and their families, including increased sense of meaning and purpose. The effects of DT on physical or emotional symptoms, however, were inconsistent.

Conclusions: Conclusions point to three areas for future research on DT, to determine: (1) whether the DT intervention exerts an impact at a spiritual level and/or as a life completion task; (2) how DT should be implemented in real world settings; and (3) if DT has an effect on the illness experience within the context of not only the patient, but also the family and community. Building on this body of DT research, investigators will need to continue to be sensitive as they involve participants in DT studies and innovations to facilitate the generation and delivery of legacy documents to participants near the end of life.

No MeSH data available.


Related in: MedlinePlus