The Evaluation Complementary Spirit Therapy

Study Overview
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Brief Summary
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Background: Complementary Spiritist Therapy (ECT) based on a range of therapeutic resources including prayer, spiritist passe, fluidotherapy (fluidic water or magnetized water), spirit education. The aim of this study was to evaluate the effects of ECT in individuals at UFTM Hospital de Clínicas. Methods: Randomized controlled trial, patients were randomly. Patients will then be allocated into groups: The group submitted to ECT (prayer, spiritual education, spiritist passe and fluidized water or prayer or spiritist passe or laying on of hands with intent to heal or laying on of hands with intent to heal or fluidized water or no-fluidized water or Control group (CG) will not be submitted to any intervention.

Detailed Description
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Distribution of subjects according to the group to be worked and place of data collection: Group to be worked: patients hospitalized in the medical and surgical clinic, orthopedics, neurology, emergency adult , gynecology and obstetrics and employees of the clinic hospital After randomization, participants included in the study will be allocated to one of the groups: The group submitted to ECT: Prayer: approximation of the person to God through words including gratitude, personal petition and intercession for others, about 2 to 3 minutes; Spiritual education: reading and commentary of the Gospel according to Spiritism for about 10 minutes; Spiritist passe: to carry out the spiritist pass, the passers-by will be asked to position themselves in front of the bed, to place their hands on the head of the person alternating with passing their hands repeatedly on or over the person, positioned lying in the dorsal position, distance about 10 to 15 cm and apply the spiritist pass for 2 to 3 minutes. Individuals will be directed to direct the thoughts in heath during the intervention; Fluid Therapy by means of magnetized or fluidized water: you will be asked to stand in front of the table containing a tray with 20 ml water cups, to place hands on the cups wishing health and healing intentions, for approximately 2 minutes . The total time of interventions will be about 10-15 minutes. The control group (CG) will not be submitted to any intervention. The Spiritist passe be submitted to Spiritist passe: To carry out the spiritist pass, the passers-by will be asked to position themselves in front of the participant, to place their hands on the head of the person alternating with passing their hands repeatedly on or over the person, distance about 10 to 15 cm and apply the spiritist pass between 5-10 minutes. Individuals will be directed the thoughts in heath during the intervention. The laying on of hands with intent to heal: To carry out the volunteers, the passers-by will be asked to position themselves in front of the participant, to place their hands on the head of the person alternating with passing their hands repeatedly on or over the person, distance about 10 to 15 cm and apply the spiritist pass between 5-10 minutes. Individuals will be directed the thoughts in heath during the intervention. The Fluid Therapy: Fluid Therapy by means of magnetized or fluidized water: you will be asked to stand in front of the table containing a tray with water cups, to place hands on the cups wishing health and healing intentions, for approximately 10 minutes. The No-Fluid Therapy: individuals will receive non-fluidic water. The Prayer group: After intervention blood collection will be performed and the questionnaires will be applied again.

Official Title
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Effects of Complementary Spirit Therapy on Servers and Patients

Conditions
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Anxiety, Depression, Pain, Well-being, Stress

Intervention / Treatment
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* Other: Complementary Spiritist Therapy
* Other: Prayer
* Other: Spiritist passe
* Other: laying on of hands with intent to heal
* Other: Fluid therapy.
* Other: No-fluid therapy.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The patients with the ability to understand the questionnaires. Exclusion Criteria: Patients expected to be discharged in less than 4 days Lowering the level of consciousness.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control group<br>No intervention. | |
| Experimental: Complementary Spiritist Therapy<br>Prayer, Spirit education, Spiritist passe and magnetized water | Other: Complementary Spiritist Therapy<br>* Complementary Spiritist Therapy: Prayer: for 1 to 2 minutes. Spiritual education: reading and commentary of the Gospel according to Spiritism, about 7 minutes. Spiritist passe, for 2-min. Fluid therapy.<br>* Other names: Integrative medicine;|
| Other: Prayer<br>Prayer during 1-2 minutes | Other: Prayer<br>* Individuals will receive prayer during 1 to 2 minutes.<br>|
| Other: Spiritist passe<br>Spiritist passe during 5-10 minutes. | Other: Spiritist passe<br>* Individuals will receive Spiritist passe during 5 to 10 minutes.<br>|
| Placebo Comparator: Laying on of hands with intent to heal<br>laying on of hands with intent to heal during 5-10 minutes. | Other: laying on of hands with intent to heal<br>* Individuals will receive laying on of hands with intent to heal during 5 to 10 minutes.<br>|
| Other: Fluid water or magnetized water<br>Spiritist healers laying on of hands hands on the glass of water and desire health, restoration of balance and health for the patient. | Other: Fluid therapy.<br>* Individuals will receive fluid therapy.<br>|
| Other: Non-fluidic water<br>individuals receive water without fluidification (no laying on of hands hands on the glass of water). | Other: No-fluid therapy.<br>* Individuals will receive no-fluid therapy.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Anxiety sympton. | The Depression Anxiety and Stress Scale (DASS-21). This scale is a Likert 4-point scale between 0 (not applicable to me) and 3 (applies to me a lot, or most of the time). Scores for depression, anxiety and stress are determined by summing the scores of the 21 items. | The instrument will be applied an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change in Depression. | The HAD subscale. Each of your items can be punctuated with zero to three, composing a maximum score of 21 points for each scale. | The instrument will be applied an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in Depression sympton. | The Depression Anxiety and Stress Scale (DASS-21). This scale is a Likert 4-point scale between 0 (not applicable to me) and 3 (applies to me a lot, or most of the time). Scores for depression, anxiety and stress are determined by summing the scores of the 21 items. | The instrument will be applied an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in Tension muscle. | The visual analog scale of tension muscle. The most simple VAS is a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured (symptom) orientated from the left (worst) to the right (best). | The instrument will be applied an average on 1 day, 2 days, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in wellness subjective. | The wellness subjective scale. This scale is is composed of 21 items of evaluation of positive affect, 26 items of negative affect and satisfaction with life consists of 15 items. | The instrument will be applied an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in wellness. | The visual analog scale of wellness. The most simple VAS is a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured (symptom) orientated from the left (worst) to the right (best). | The instrument will be applied an average on 1 day, 2 days, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in hematological and immunological responses. | Hemogram, immunoglobulin A , cortisol and Cytokine Doses. | The instrument will be applied an average on 1 day, 2 days, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in pain. | The visual analog scale of Pain. The most simple Visual Analog Pain Scale is a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured (symptom) orientated from the left (worst) to the right (best). | The instrument will be applied an average on 1 day, 2 days, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in blood pressure | Blood pressure (mmHg) is assessed by blood pressure gauge. | The blood pressure will be evaluated an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in respiratory rate | Respiratory (ipm) rate is assessed by manual count. | The respiratory rate will be evaluated an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in cardiac rate | Cardiac rate (bpm) is assessed by oximeter More Fitness. | The cardiac rate will be evaluated an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in oxygen saturation | oxygen saturation (%) is assessed by oximeter More Fitness. | The oxygen saturation will be evaluated an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in Heart rate variability | Heart rate variability. It is measured by electrocardiogram (ECG) or frequency meter | The heart rate variability will be assessed on 1 day. | 
| Change in Burnout. | Maslach Burnout Inventory. The instrument consists of 15 questions that are subdivided into three subscales: Emotional Exhaustion (EE) (5 items); Disbelief (DE) (4 items) and Professional Efficacy (EP) (6 items). All items are evaluated on a 7-point Likert scale, ranging from 0 (never) to 6 (always). | The instrument will be applied an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in Quality of life | Whoqol. The instrument module consists of 26 questions (being question number 1 and 2 on general quality of life), the answers follow a Likert scale (from 1 to 5, the higher the score the better the quality of life). Apart from these two questions (1 and 2), the instrument has 24 facets which comprise 4 domains that are: PHYSICAL, PSYCHOLOGICAL, SOCIAL RELATIONS and ENVIRONMENT. | The instrument will be applied an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in Stress score. | The scale of stress. This assessment is a questionnaire that evaluates stress in four levels - alert, resistance, almost exhaustion and exhaustion. The instrument assesses the presence of symptoms and how the individual has felt in the last 24 h, in the last month and in the last 3 months. For each period of time, a set of 15 physical and emotional symptoms is evaluated for the first 2 periods and 23 symptoms are evaluated for the last period. | The instrument will be applied an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in Stress. | The Depression Anxiety and Stress Scale (DASS-21). This scale is a Likert 4-point scale between 0 (not applicable to me) and 3 (applies to me a lot, or most of the time). Scores for depression, anxiety and stress are determined by summing the scores of the 21 items. | The instrument will be applied an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in perceived anxiety. | Visual analog scale. The most simple VAS is a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured (symptom) orientated from the left (worst) to the right (best). | The instrument will be applied an average on 1 day, 2 days, 3 days, 1 week, 15 days, 2 mounths. | 
| Change in Anxiety. | The Hospital Anxiety and Depression Scale. It has 14 items, seven of which are for evaluation of anxiety (HADS-A) and seven for depression (HADS-D). Each of your items can be punctuated with zero to three, composing a maximum score of 21 points for each scale. | The instrument will be applied an average on 1 day, 3 days, 1 week, 15 days, 2 mounths. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Spiritist pass, adult, laying of hands