Hope Promotion Program: Effectiveness in Palliative Patients

NCT02723799 | Completed

• 1 other identifier: Ana Querido - IPLeiria
• Study Type: interventional
• Target: 26
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to: I. Develop and pilot test the effectiveness of a Hope Promotion Program compared with the standard treatment protocol, in hope, comfort and quality of life, based on a population of palliative patients followed at Oncology day care unit. II. Evaluate perceptions and acceptability of Hope Promotion Program among palliative patients submitted to the intervention program.

Conditions

Chronically Ill

Keywords

Hope; Quality of Life; Comfort

Outcome Measures

Primary Outcomes (1)

• Hope measured by the Portuguese version of Herth Hope Index

  Hope is measured by the Portuguese version of Herth Hope Index for chronic conditions (HHI-PT-DC). The HHI-PT-DC is a 10 item (1-4 point) Likert scale that delineates two sub-scales of hope: a) temporality, trust and interconnection, b) positive readiness and expectancy. The HHI-PT-DC takes approximately 5 minutes to complete. Summative scores range from 10-40, with a higher score denoting greater hope.

  Change from baseline at day 15 and 30

Secondary Outcomes (2)

• Comfort measured by Portuguese version of Hospice Comfort Questionnaire

  Change from baseline at day 15 and 30

• Quality of Life measured by the Portuguese version of McGill Quality of Life Questionnaire (MQOL-PT-DC)

  Change from baseline at day 15 and 30

Study Arms (2)

Hope Promotion Program (HPP)

EXPERIMENTAL

Plus to the standard treatment protocol, all the participants in this group attend the HPP, consisting of a three individual session's carried out by the nurse in patients' homes. It includes viewing the film Hopeful Living, enrolling in a hope activity from the Hope activity book, a relaxation activity and a negotiated plan to exercise hope in a regular basis.

Behavioral: Hope Promotion Program (HPP); Other: Standard Treatment Protocol

Standard Treatment Protocol

OTHER

Participants in this group has not access to a hope intervention. Data collection for outcome variables is the same as the participants in the other arms.

Other: Standard Treatment Protocol

Interventions

Hope Promotion Program (HPP) BEHAVIORAL

HPP is based on literature review and qualitative research in hope at the end-of-life. The film "Hopeful living" reflects the findings of the grounded theory study. Hope activity book is the final product of the literature review on hope interventions and its activities were tested in their feasibility and suitability in our previous research with persons with advanced cancer and their families.

Hope Promotion Program (HPP)

Standard Treatment Protocol OTHER

Regular assessment and care by the hospital outpatient health care team.

Hope Promotion Program (HPP); Standard Treatment Protocol

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Portuguese speaking
• Have a chronic advanced disease non-responding to treatment, metastatic disease, episodes of non-controlled symptoms
• Have health care assistance by a health care team in an outpatient setting
• Cognitive ability to answer the questionnaires (MMSE\>15 for illiterate participants, \>22 for participants with 11 years of schooling, \>27 for participants with more than 11 years of schooling)
• Consenting to voluntarily participate in the study.

You may not qualify if:

• Patients with high suffering from uncontrolled and recurrent presence of symptoms (nausea, vomiting, pain),
• Patients with performance status under 30, due to their particularly vulnerability, intervention would need energy required to vital functions.

Sponsors & Collaborators

• Instituto Politécnico de Leiria: lead
• Universidade Católica Portuguesa: collaborator

Related Publications (1)

• Ryan RE, Connolly M, Bradford NK, Henderson S, Herbert A, Schonfeld L, Young J, Bothroyd JI, Henderson A. Interventions for interpersonal communication about end of life care between health practitioners and affected people. Cochrane Database Syst Rev. 2022 Jul 8;7(7):CD013116. doi: 10.1002/14651858.CD013116.pub2.

  PMID: 35802350 DERIVED

MeSH Terms

Conditions

Chronic Disease

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: March 14, 2016
• First Posted: March 30, 2016
• Study Start: January 1, 2012
• Primary Completion: July 1, 2012
• Study Completion: October 1, 2013
• Last Updated: January 9, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share