Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
Background: Spiritual well-being is the fourth dimension of well-being for pediatric cancer patients. A high level of spiritual well-being can protect them from psychological symptoms. Few interventions, however, have been focused on the spiritual dimension among pediatric patients with cancer. This study aimed to examine the feasibility and preliminary effectiveness of an integrated hope techniques and narrative-based card game (HT-NCG) intervention for pediatric cancer patients on spiritual and psychological well-being and quality of life (QoL).
Methods: A total of 60 Chinese pediatric cancer patients aged 12-17 years were recruited from the pediatric oncology ward of Hunan Children's Hospital, China. Among them, 30 participants were randomized to the experimental group and received four sessions of the HT-NCG intervention. Another 30 participants were allocated to the control group and received a placebo intervention. Spiritual well-being, hope, anxiety, depressive symptoms, and QoL were assessed at baseline (T0), post-intervention (T1), and at 1-month (T2) and 3-month (T3) follow-up. Assessors were blinded to the group allocation. The feasibility outcomes and results from generalized estimating equations were reported.
Results: The feasibility of the HT-NCG intervention was demonstrated by a high recruitment rate (80%), high attendance rates in both groups, and a low attrition rate (20.0%) at 3 months. No adverse events were reported. At the 3-month follow-up, patients in the intervention group showed significantly greater improvement in spiritual well-being (T3 Β = 5.99; 95% CI, 0.27, 11.75; p = 0.042) and a greater reduction in depressive symptoms (T3 Β = - 6.41; 95% CI, - 12.75, - 0.07; p = 0.047) compared with the control group.
Conclusions: This study supports that the HT-NCG is a feasible intervention among pediatric patients with cancer. This intervention can effectively improve spiritual well-being and decrease depressive symptoms in this patient population with a sustainable effect to three-month follow-up. The HT-NCG may help address the spiritual needs and improve spiritual well-being of pediatric cancer patients. This short, engaging, and relaxing card game intervention is concise and structured and can be easily disseminated, making it highly applicable in clinical settings.
Trial Registration: This study was registered in the ClinicalTrials.gov (Registration number NCT05639062).
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315444 | PMC |
| http://dx.doi.org/10.1186/s12916-025-04287-5 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Mindfulness beyond secularization: Beliefs across meditators and non-meditators reflect a consensus on personal development over health and spirituality.
PLoS One
September 2025
LPS, Aix Marseille Univ, Aix-en-Provence, France.
Background: Mindfulness meditation (MM), originating from spiritual traditions but widely promoted as a secular and beneficial practice, is increasingly debated due to potential adverse effects, ethical concerns, and its ties with neoliberal imperatives, challenging its image as a universal remedy. Beliefs about MM strongly influence its reception, usage, and effects but remain understudied, especially in comparing meditators and non-meditators. Understanding these beliefs is key to clarifying how lay perceptions align or diverge from scientific frameworks and to grasp individuals' expectations and motivations, notably in clinical contexts.
View Article and Find Full Text PDFA National Quality Initiative to Improve Palliative Care Outcomes: Identifying Enabling Factors that Drive Quality Improvement.
Palliat Med Rep
May 2025
Palliative Care Outcomes Collaboration, University of Wollongong, Wollongong, Australia.
Background: The Palliative Care Outcomes Collaboration (PCOC), established in 2005 and funded by the Australian Government, is a national quality improvement initiative that integrates patient outcome measures into routine clinical practice. While PCOC supports services to improve patient care, implementation across diverse clinical settings presents challenges, with variation observed between similarly resourced services. Engaging services in continuous quality improvement proves difficult as the program grows.
View Article and Find Full Text PDFSpiritual Well-Being and Care Burden among Families of Patients with Terminal Cancer: Is Emotional Distress a Crucial Thing?
J Hosp Palliat Care
September 2025
Department of Family Medicine, Korea University Guro Hospital, Seoul, Korea.
Purpose: This study investigated the association between spiritual well-being and care burden among family caregivers of patients with terminal cancer.
Methods: Data from 172 family caregivers from nine hospice care units in South Korea were analyzed using multivariate regression models. Spiritual well-being was measured using the Functional Assessment of Chronic Illness Therapy - Spiritual Well-being questionnaire, and the subjective care burden on family caregivers was assessed using the Caregiver Reaction Assessment tool.
Healthcare needs and treatment-seeking patterns of women living with obstetric fistula: a qualitative study in the Tamale Metropolis, Ghana.
BMJ Public Health
August 2025
Department of Health Services, Policy, Planning, Management and Economics, School of Public Health, University for Development Studies, Tamale, Ghana.
Introduction: Obstetric fistula is a form of maternal morbidity that can lead to prolonged disability and poor quality of life. This study explored the healthcare needs and treatment-seeking patterns of women living with obstetric fistula in the Tamale Metropolis.
Methods: A qualitative phenomenology design was used.