%0 Journal Article
%T An assisted structured reflection on life events and life goals in advanced cancer patients: Outcomes of a randomized controlled trial (Life InSight Application (LISA) study)
%A Anneke M Westermann
%A Annemieke Kuin
%A Cecile Grootscholten
%A Filip YFL De Vos
%A Francesco Kortekaas
%A Frans Bossink
%A Hanneke WM Van Laarhoven
%A Hantie P Kotz¨¦
%A Heinz-Josef Kl¨¹mpen
%A Iris D Hartog
%A Jacoba PM Van Der Loos
%A Johannes BAM Schilderman
%A Jolanda Schrama
%A Martijn GH Van Oijen
%A Michael Scherer-Rath
%A Mirjam AG Sprangers
%A Natascha AWP Schrama
%A Renske Kruizinga
%A Willem Blokland
%A Willem Van De Vrande
%A Wim G Meijer
%J Palliative Medicine
%@ 1477-030X
%D 2019
%R 10.1177/0269216318816005
%X Diagnosis and treatment of incurable cancer as a life-changing experience evokes difficult existential questions. A structured reflection could improve patients¡¯ quality of life and spiritual well-being. We developed an interview model on life events and ultimate life goals and performed a randomized controlled trial to evaluate the effect thereof on quality of life and spiritual well-being. The intervention group had two consultations with a spiritual counselor. The control group received care as usual. EORTC QLQ-C15-PAL and the FACIT-sp were administered at baseline and 2 and 4£¿months after baseline. Linear mixed model analysis was performed to test between-group differences over time. Adult patients with incurable cancer and a life expectancy £¿6£¿months were randomized in a 1:1 ratio to the intervention or control group. A total of 153 patients from six different hospitals were included: 77 in the intervention group and 76 in the control group. Quality of life and spiritual well-being did not significantly change over time between groups. The experience of Meaning/Peace was found to significantly influence quality of life (¦Â£¿=£¿0.52, adj. R2£¿=£¿0.26) and satisfaction with life (¦Â£¿=£¿0.61, adj. R2£¿=£¿0.37). Although our newly developed interview model was well perceived by patients, we were not able to demonstrate a significant difference in quality of life and spiritual well-being between groups. Future interventions by spiritual counselors aimed at improving quality of life, and spiritual well-being should focus on the provision of sources of meaning and peace
%K Oncology
%K palliative care
%K spirituality
%K spiritual care
%K spiritual care givers
%K randomized controlled trials
%U https://journals.sagepub.com/doi/full/10.1177/0269216318816005