Intervention in Spirituality at the End of Life. The Kibo Protocol

Study Overview
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Brief Summary
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This work aims to study the benefits that the therapeutic interview Kibo in palliative care patients can have for spirituality. A parallel randomized controlled trial of two groups was performed. Information was collected on 60 palliative care patients during the moments before and after the intervention.

Official Title
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Intervention in Spirituality at the End of Life. The Kibo Protocol

Conditions
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Palliative Care

Intervention / Treatment
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* Other: Therapeutic interview: kibo protocol


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: To be 18 or more years of age. Being in advanced or terminal disease phase (following World Health Organization criteria). To have preserved cognitive capacity. To have signed the informed consent. Exclusion Criteria: a) Estimated time of survival: Patients with a life expectancy of two weeks or less will not be intervened.

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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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control group<br>Group of participants that received usual psychological attention. | |
| Experimental: Experimental group<br>Group of participants that received usual psychological attention plus attention of spiritual needs following the Kibo protocol (intervention). | Other: Therapeutic interview: kibo protocol<br>* The kibo protocol is a therapeutic interview designed to address the spiritual needs of patients at the end of life.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in the dimension of spirituality (PRE and POST measures) | This variable was assessed with the Spirituality questionnaire from the Spanish Society of Palliative Care (SECPAL). This questionnaire contains 8 items, and it provides scores from 0 to 32, where higher values represent a better outcome. In order to observe the change in the dimension of spirituality, it was measured at in two time points: First measurement: PRE. Once the participant had signed the informed consent, the initial score for this outcome was assessed. Second measurement: POST. Up to 4 weeks after the first measurement, the second measurement of the same variable was carried out. Between first and second measurement, the control group received the usual psychological attention, whereas the intervention group received usual psychological attention plus attention of spiritual needs following the Kibo protocol (intervention). | Baseline up to 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in resilience (PRE and POST measures) | This variable was assessed with the Brief Resilient Coping Scale (BRCS). This scale contains 4 items, and it provides scores from 4 to 20, where higher values represent a better outcome. In order to observe the change in the dimension of resilience, it was measured at in two time points: First measurement: PRE. Once the participant had signed the informed consent, the initial score for this outcome was assessed. Second measurement: POST. Up to 4 weeks after the first measurement, the second measurement of the same variable was carried out. Between first and second measurement, the control group received the usual psychological attention, whereas the intervention group received usual psychological attention plus attention of spiritual needs following the Kibo protocol (intervention). | Baseline up to 4 weeks | 
| Change in demoralization (PRE and POST measures) | This variable was assessed with the Short Demoralization Scale (SDS). This scale contains 5 items, and it provides scores from 0 to 20, where lower values represent a better outcome. In order to observe the change in the dimension of demoralization, it was measured at in two time points: First measurement: PRE. Once the participant had signed the informed consent, the initial score for this outcome was assessed. Second measurement: POST. Up to 4 weeks after the first measurement, the second measurement of the same variable was carried out. Between first and second measurement, the control group received the usual psychological attention, whereas the intervention group received usual psychological attention plus attention of spiritual needs following the Kibo protocol (intervention). | Baseline up to 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Spirituality, Intervention Study