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Meaning and Purpose (MaP) therapy II: Feasibility and acceptability from a pilot study in advanced cancer
- Source :
- Palliative and Supportive Care. 17:21-28
- Publication Year :
- 2019
- Publisher :
- Cambridge University Press (CUP), 2019.
-
Abstract
- ObjectiveMeaning and Purpose (MaP) therapy aims to enhance meaning-based coping through a life review that focuses on the value and worth of the person, key relationships, sources of fulfillment, roles, and future priorities in living life out fully. We sought to test the feasibility and acceptability of a six-session model of MaP therapy against a wait-list control cohort in a pilot study seeking effect sizes on measures of adaptation.MethodWe randomized patients with advanced cancer to MaP therapy or wait-list control, with measures administered at baseline and after 6–8 weeks. Wait-list patients could then crossover to receive therapy, with further measures collected postintervention. Adherence to the manualized model was sustained through weekly supervision and fidelity coding of recorded sessions. We used generalized estimating equations to control for baseline and any correlation of data.ResultFrom 134 eligible participants, 57 (43%) consented, and 40 of 45 (89%) offered therapy completed 6 sessions. Key barriers to consenting patients were poor health (15 refusers and 4 withdrawals) and death intervened in 6 participants. MaP therapy generated adequate effect sizes in posttraumatic growth (new possibilities, appreciation of life, and personal strength) and life attitudes (choices and goal seeking) to permit calculation of power for a formal randomized, controlled trial.Significance of resultsDelivery of this model of existentially oriented therapy is feasible and acceptable to patients. A properly powered randomized controlled trial is justified to examine the efficacy of this intervention.
- Subjects :
- Male
Coping (psychology)
medicine.medical_specialty
Psychometrics
Goal seeking
Pilot Projects
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
law
Neoplasms
Surveys and Questionnaires
Adaptation, Psychological
medicine
Humans
030212 general & internal medicine
Generalized estimating equation
General Nursing
Aged
Posttraumatic growth
business.industry
Palliative Care
General Medicine
Middle Aged
Psychotherapy
Psychiatry and Mental health
Clinical Psychology
Distress
030220 oncology & carcinogenesis
Cohort
Physical therapy
Female
business
Life review
Subjects
Details
- ISSN :
- 14789523 and 14789515
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- Palliative and Supportive Care
- Accession number :
- edsair.doi.dedup.....d6f2773469d2708320c9c4fc0b6beba5