State of the Science of Spirituality and Palliative Care

J Pain Symptom Manage · Sep 2017

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State of the Science of Spirituality and Palliative Care Research Part I: Definitions and Taxonomy, Measurement, and Outcomes.

The State of the Science in Spirituality and Palliative Care was convened to address the current landscape of research at the intersection of spirituality and palliative care and to identify critical next steps to advance this field of inquiry. Part I of the SOS-SPC two-part series focuses on questions of 1) What is spirituality? 2) What methodological and measurement issues are most salient for research in palliative care? And 3) What is the evidence relating spirituality and health outcomes? After describing current evidence we make recommendations for future research in each of the three areas of focus. ⋯ Furthermore, the field would benefit from hypothesis-driven outcomes research based on a priori specification of the spiritual dimensions under investigation and their longitudinal relationship with key palliative outcomes, the use of validated measures of predictors and outcomes, and rigorous assessment of potential confounding variables. Finally, results highlight the need for research in more diverse populations.

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- Karen E Steinhauser, George Fitchett, George F Handzo, Kimberly S Johnson, Harold G Koenig, Kenneth I Pargament, Christina M Puchalski, Shane Sinclair, Elizabeth J Taylor, and Tracy A Balboni.
- Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina; Division of General Internal Medicine, Duke University School of Medicine, Durham, North Carolina; Department of Medicine, Duke University School of Medicine, Durham, North Carolina; Center for the Study of Aging and Human Development, Duke University School of Medicine, Durham, North Carolina; Center of Innovation in Health Services Research, Durham Veterans Affairs Medical Center, Durham, North Carolina. Electronic address: Karen.steinhauser@duke.edu.
- J Pain Symptom Manage. 2017 Sep 1; 54 (3): 428-440.
AbstractThe State of the Science in Spirituality and Palliative Care was convened to address the current landscape of research at the intersection of spirituality and palliative care and to identify critical next steps to advance this field of inquiry. Part I of the SOS-SPC two-part series focuses on questions of 1) What is spirituality? 2) What methodological and measurement issues are most salient for research in palliative care? And 3) What is the evidence relating spirituality and health outcomes? After describing current evidence we make recommendations for future research in each of the three areas of focus. Results show wide variance in the ways spirituality is operationalized and the need for definition and conceptual clarity in research in spirituality. Furthermore, the field would benefit from hypothesis-driven outcomes research based on a priori specification of the spiritual dimensions under investigation and their longitudinal relationship with key palliative outcomes, the use of validated measures of predictors and outcomes, and rigorous assessment of potential confounding variables. Finally, results highlight the need for research in more diverse populations.Published by Elsevier Inc.

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State of the Science of Spirituality and Palliative Care Research Part I: Definitions and Taxonomy, Measurement, and Outcomes.

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