Intervention in Spirituality at the End of Life. The Kibo Protocol

University of Valencia60 enrolled

Overview

This work aims to study the benefits that the therapeutic interview Kibo in palliative care patients can have for spirituality. A parallel randomized controlled trial of two groups was performed. Information was collected on 60 palliative care patients during the moments before and after the intervention.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Palliative Care

Interventions

Therapeutic interview: kibo protocolOTHER

The kibo protocol is a therapeutic interview designed to address the spiritual needs of patients at the end of life.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. To be 18 or more years of age. 2. Being in advanced or terminal disease phase (following World Health Organization criteria). 3. To have preserved cognitive capacity. 4. To have signed the informed consent. Exclusion Criteria: a) Estimated time of survival: Patients with a life expectancy of two weeks or less will not be intervened.

Locations (1)

Universitat de València

Valencia, Spain

Outcomes

Primary Outcomes

Change in the dimension of spirituality (PRE and POST measures)

This variable was assessed with the Spirituality questionnaire from the Spanish Society of Palliative Care (SECPAL). This questionnaire contains 8 items, and it provides scores from 0 to 32, where higher values represent a better outcome. In order to observe the change in the dimension of spirituality, it was measured at in two time points: First measurement: PRE. Once the participant had signed the informed consent, the initial score for this outcome was assessed. Second measurement: POST. Up to 4 weeks after the first measurement, the second measurement of the same variable was carried out. Between first and second measurement, the control group received the usual psychological attention, whereas the intervention group received usual psychological attention plus attention of spiritual needs following the Kibo protocol (intervention).

Time frame: Baseline up to 4 weeks

Secondary Outcomes

Change in resilience (PRE and POST measures)

This variable was assessed with the Brief Resilient Coping Scale (BRCS). This scale contains 4 items, and it provides scores from 4 to 20, where higher values represent a better outcome. In order to observe the change in the dimension of resilience, it was measured at in two time points: First measurement: PRE. Once the participant had signed the informed consent, the initial score for this outcome was assessed. Second measurement: POST. Up to 4 weeks after the first measurement, the second measurement of the same variable was carried out. Between first and second measurement, the control group received the usual psychological attention, whereas the intervention group received usual psychological attention plus attention of spiritual needs following the Kibo protocol (intervention).

Time frame: Baseline up to 4 weeks

Change in demoralization (PRE and POST measures)

This variable was assessed with the Short Demoralization Scale (SDS). This scale contains 5 items, and it provides scores from 0 to 20, where lower values represent a better outcome. In order to observe the change in the dimension of demoralization, it was measured at in two time points: First measurement: PRE. Once the participant had signed the informed consent, the initial score for this outcome was assessed. Second measurement: POST. Up to 4 weeks after the first measurement, the second measurement of the same variable was carried out. Between first and second measurement, the control group received the usual psychological attention, whereas the intervention group received usual psychological attention plus attention of spiritual needs following the Kibo protocol (intervention).

Data from ClinicalTrials.gov

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