Characteristics of studies
Reference | Study design Sample size | Setting | Participants | Comparator/control groups | Outcomes | Follow-up | |||
Dignity | Psychological | Spiritual | Quality of life | ||||||
Chochinov et al 11 | 3-arm RCT N=326 | Hospital or community-based palliative care | Patients with terminal illness | SPC (n=111) CCC (n=107) | PDI | Anxiety and depression (HADS) | FACIT spiritual well-being scale; Hope (SISC) | 2-item QoL scale | N/A |
Hall et al 12 | RCT N=45 | Hospital palliative care (both inpatient and outpatient) | Patients with advanced cancer | SPC (n=23) | PDI | Anxiety 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 unit | Terminally ill patients | SPC (n=32) | N/A | N/A | FACIT spiritual well-being scale | N/A | 7–10 days, 15–20 days |
Jia et al 23 | RCT N=62 | In-patient palliative care | Patients with advanced lung cancer | SPC (n=31) | N/A | Anxiety (SAS) Depression (SDS) | N/A | N/A | 1 month after DT |
Julião et al 24 | RCT N=80 | Inpatient palliative care | Patients with terminal illness | SPC (n=39) | PDI | N/A | DfD; DS | N/A | Day 4, day 15 and day 30 after DT |
Julião et al 25 | RCT N=80 | Inpatient palliative care | Patients with terminal illness | SPC (n=39) | N/A | Anxiety and depression (HADS) | N/A | N/A | Day 4, day 15 and day 30 after DT |
Vuksanovic et al 26 | 3-arm RCT N=70 | Hospital and home palliative care | Patients with advanced illness | SPC (n=24) LR (n=23) | PDI | N/A | N/A | FACT-G | N/A |
Wang and Zhang27 | RCT N=94 | In-patient palliative care | Patients with advanced lung cancer | SPC (n=47) | PDI | Anxiety (SAS) Depression (SDS) | N/A | N/A | 10 days after DT |
Xu et al 28 | RCT N=50 | In-patient palliative care | Patients with advanced cancer | SPC (n=25) | N/A | N/A | N/A | QoL | N/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.