Respiratory Tract (Lung and Bronchial) Diseases

All Conditions

Symptoms and General Pathology

Heart and Blood Diseases

Rare Diseases

Behaviors and Mental Disorders

Lung Diseases

Lung Diseases, Obstructive

Pulmonary Disease, Chronic Obstructive

Heart Failure

Heart Diseases

Respiratory Tract Diseases

Chronic Disease

Disease Attributes

Chronic Graft Versus Host Disease

Quality of Life

Subjects in the first group ("treatment") met with the facilitator three times for a period of forty-five minutes to one hour to discuss issues of life completion and preparation. In the first session, subjects were asked to discuss issues related to life review. In session two, participants spoke about issues of regret and forgiveness. In the final session, subjects discussed issues of heritage and legacy.

The subjects in the second group ("attention control") met with a facilitator three times for 45 minutes and listened to a non-guided relaxation CD.

Subjects in the third group ("true control") were exposed to no intervention or attention control.

Subjects will discuss life review, issues of forgiveness and heritage and legacy.

Life completion and preparation

Subjects will listen to a non-guided relaxation CD.

Attention Control

Karen E. Steinhauser, PhD

The purpose of this study is to determine whether discussions of life story, forgiveness, and future goals improve quality of life for patients with serious illness.

This is a pilot randomized control trial to evaluate the feasibility of the Outlook intervention. 36 veterans with advanced cancer, congestive heart failure (CHF) or chronic obstructive pulmonary disease (COPD) will be randomly assigned to one of three intervention groups and complete a brief battery of pre-test measures. Subjects in the first group ("treatment") will meet with a facilitator three times for a period of 45 min-1 hour. In the first session, subjects will be asked to discuss issues related to life review. In the second session, participants will be asked to speak in more depth about issues such as regret, forgiveness and things left undone, In the final session, subjects will focus on heritage and legacy. The subjects in the second group ("attention control") will meet with a facilitator three times for a period of 45 min- 1 hour and listen to a non-guided relaxation compact disk (CD). The third group of participants ("true control") will be exposed to no intervention or attention control. One week and two weeks later, participants in all groups will receive post-test measures administered by a blinded interviewer.

Outlook Quality of Life Intervention

Outlook: An Intervention to Improve Quality of Life in Serious Illness

Quality Of Life At The End Of Life (the QUAL-E 2009) is a 31 item measure of quality of life at the end of life assessing five domains: life completion, relationship with health care providers, preparation for death, physical symptoms and affective social support. The 4-item preparation sub-scale is a primary outcomes measure with each item scaled from 1 to 5 with a minimum of 5, maximum of 20 score with higher scores indicating better preparation.

A sub-scale of the QUAL-E quality of life at the end of life measures. The scale range was 5-35 with higher scores indicating more positive sense of completion.

Rosow-Breslau Activities of Daily Living scale range 17-51 with higher scores indicating greater ability.

Center for Epidemiology Studies - Depression Scale (CES-D) is a 10-item measure of depression. Items are rated on a 4 point likert scale with total scores ranging from 0-30. Higher scores indicate greater depressive symptoms.

The anxiety sub-scale from the modified Brief Profile of Mood States (POMS) is a 5-item measure of psychological distress.Items are on a 5-point likert scale with scoring ranging from 5-25. Higher scores indicate greater anxiety.

VA Office of Research and Development

Subjects in the first group ("treatment") met with the facilitator three times for a period of forty-five minutes to one our. In the first session, subjects were asked to discuss issues related to life review. In session two, participants spoke about issues of regret and forgiveness. In the final session, subjects focused on heritage and legacy.

Life completion and preparation: Subjects will discuss life review, issues of forgiveness and heritage and legacy.

Preparation and Completion

The subjects in the second group ("attention control") met with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD.

Attention Control: Subjects listened to a non-guided relaxation CD.

True Control

Subjects in the first group ("treatment")will meet with the facilitator three times for a period of forty-five minutes to one our. In the first session, subjects will be asked to discuss issues related to life review. In session two, participants will speak about issues of regret and forgiveness. In the final session, subjects will focus on heritage and legacy.

Life completion and preparation: Subjects will discuss life review, issues of forgiveness and heritage and legacy.

The subjects in the second group ("attention control") will meet with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD.

Attention Control: Subjects will listen to a non-guided relaxation CD.

Subjects in the third group ("true control") will be exposed to no intervention or attention control.

Total

Age, Continuous

Sex: Female, Male

Race (NIH/OMB)

United States

Region of Enrollment

Therefore, due to the small sample size, finding are met with caution. Subjects were not randomized by any condition. As a result, those in the Control arm were more functionally able than the other two arms at baseline.

Dr. Karen Steinhauser

Intervention (Preparation and Completion) versus True Control at 8 weeks

Intervention (Preparation and Completion) versus Attention Control at 8 weeks

Baseline

6 week follow up

8 week follow up

Quality of Life - Preparation

Subjects in the first group ("treatment")met with the facilitator three times for a period of forty-five minutes to one hour to discuss issues of life completion and preparation. In the first session, subjects were asked to discuss issues related to life review. In session two, participants spoke about issues of regret and forgiveness. In the final session, subjects discussed issues of heritage and legacy.

Life completion and preparation: Subjects will discuss life review, issues of forgiveness and heritage and legacy.

The subjects in the second group ("attention control") met with a facilitator three times for 45 minutes and listened to a non-guided relaxation CD.

Attention Control: Subjects will listen to a non-guided relaxation CD.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Outlook Quality of Life Intervention	NCT00784095	Cancer Congestive Hear... Chronic Obstruc...	Life completion... Attention Contr...	18 Years -	VA Office of Research and Development
Outlook Quality of Life Intervention	NCT00784095	Cancer Congestive Hear... Chronic Obstruc...	Life completion... Attention Contr...	18 Years -	VA Office of Research and Development

Spots Global Cancer Trial Database for life completion and preparation