Table 1

Characteristics of studies

ReferenceStudy design
Sample size
SettingParticipantsComparator/control groupsOutcomesFollow-up
DignityPsychologicalSpiritualQuality of life
Chochinov et al 11 3-arm RCT
N=326
Hospital or community-based palliative carePatients with terminal illnessSPC (n=111)
CCC (n=107)
PDIAnxiety and depression (HADS)FACIT spiritual well-being scale;
Hope (SISC)
2-item QoL scaleN/A
Hall et al 12 RCT
N=45
Hospital palliative care (both inpatient and outpatient)Patients with advanced cancerSPC (n=23)PDIAnxiety and depression (HADS)Hope (HHI)EQ-5D, two items assessing QoL)1 week and 4 weeks after DT
Iani et al 22 RCT
N=64
Palliative care unitTerminally ill patientsSPC (n=32)N/AN/AFACIT spiritual well-being scaleN/A7–10 days, 15–20 days
Jia et al 23 RCT
N=62
In-patient palliative carePatients with advanced lung cancerSPC (n=31)N/AAnxiety (SAS)
Depression (SDS)
N/AN/A1 month after DT
Julião et al 24 RCT
N=80
Inpatient palliative carePatients with terminal illnessSPC (n=39)PDIN/ADfD; DSN/ADay 4, day 15 and day 30 after DT
Julião et al 25 RCT
N=80
Inpatient palliative carePatients with terminal illnessSPC (n=39)N/AAnxiety and depression (HADS)N/AN/ADay 4, day 15 and day 30 after DT
Vuksanovic et al 26 3-arm RCT
N=70
Hospital and home palliative carePatients with advanced illnessSPC (n=24)
LR (n=23)
PDIN/AN/AFACT-GN/A
Wang and Zhang27 RCT
N=94
In-patient palliative carePatients with advanced lung cancerSPC (n=47)PDIAnxiety (SAS)
Depression (SDS)
N/AN/A10 days after DT
Xu et al 28 RCT
N=50
In-patient palliative carePatients with advanced cancerSPC (n=25)N/AN/AN/AQoLN/A
  • CCC, client-centred care; DfD, desire for death; DS, demoralisation syndrome; DT, dignity therapy; EQ-5D, EuroQoL-5 Dimension; FACIT, Functional Assessment of Chronic Illness Therapy; FACT-G, Functional Assessment of Cancer Therapy-General; HADS, Hospital Anxiety and Depression Scale; HHI, Herth Hope Index; LR, life review; N/A, not available; PDI, Patient Dignity Inventory; QoL, quality of life; RCT, randomised controlled trial; SAS, Self-rating Anxiety Scale; SDS, Self-rating Depression Scale; SISC, Structured Interview for Symptoms and Concerns; SPC, standard palliative care.