A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer.

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Title: A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer.
Authors: McLouth, Laurie E. (AUTHOR), Ford, C. Graham (AUTHOR), Pustejovsky, James E. (AUTHOR), Park, Crystal L. (AUTHOR), Sherman, Allen C. (AUTHOR), Trevino, Kelly (AUTHOR), Salsman, John M. (AUTHOR)
Source: Psycho-Oncology. Feb2021, Vol. 30 Issue 2, p147-158. 12p. 1 Diagram, 4 Charts, 1 Graph.
Subjects: Cancer patients, Quality of life, Cancer survivors, Demographic characteristics, Randomized controlled trials
Abstract: Objective: Spiritual well‐being (SpWb) is an important dimension of health‐related quality of life for many cancer patients. Accordingly, an increasing number of psychosocial intervention studies have included SpWb as a study endpoint, and may improve SpWb even if not designed explicitly to do so. This meta‐analysis of randomized controlled trials (RCTs) evaluated effects of psychosocial interventions on SpWb in adults with cancer and tested potential moderators of intervention effects. Methods: Six literature databases were systematically searched to identify RCTs of psychosocial interventions in which SpWb was an outcome. Doctoral‐level rater pairs extracted data using Covidence following Preferred Reporting Items for Systematic reviews and Meta‐Analyses guidelines. Standard meta‐analytic techniques were applied, including meta‐regression with robust variance estimation and risk‐of‐bias sensitivity analysis. Results: Forty‐one RCTs were identified, encompassing 88 treatment effects among 3883 survivors. Interventions were associated with significant improvements in SpWb (g = 0.22, 95% CI [0.14, 0.29], p < 0.0001). Studies assessing the FACIT‐Sp demonstrated larger effect sizes than did those using other measures of SpWb (g = 0.25, 95% CI [0.17, 0.34], vs. g = 0.10, 95% CI [−0.02, 0.23], p = 0.03]. No other intervention, clinical, or demographic characteristics significantly moderated effect size. Conclusions: Psychosocial interventions are associated with small‐to‐medium‐sized effects on SpWb among cancer survivors. Future research should focus on conceptually coherent interventions explicitly targeting SpWb and evaluate interventions in samples that are diverse with respect to race and ethnicity, sex and cancer type. [ABSTRACT FROM AUTHOR]
Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22McLouth%2C+Laurie+E%2E%22&quot;&gt;McLouth, Laurie E.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ford%2C+C%2E+Graham%22&quot;&gt;Ford, C. Graham&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Pustejovsky%2C+James+E%2E%22&quot;&gt;Pustejovsky, James E.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Park%2C+Crystal+L%2E%22&quot;&gt;Park, Crystal L.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sherman%2C+Allen+C%2E%22&quot;&gt;Sherman, Allen C.&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Trevino%2C+Kelly%22&quot;&gt;Trevino, Kelly&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Salsman%2C+John+M%2E%22&quot;&gt;Salsman, John M.&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Psycho-Oncology%22&quot;&gt;Psycho-Oncology&lt;/searchLink&gt;. Feb2021, Vol. 30 Issue 2, p147-158. 12p. 1 Diagram, 4 Charts, 1 Graph.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cancer+patients%22&quot;&gt;Cancer patients&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Quality+of+life%22&quot;&gt;Quality of life&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cancer+survivors%22&quot;&gt;Cancer survivors&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Demographic+characteristics%22&quot;&gt;Demographic characteristics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Randomized+controlled+trials%22&quot;&gt;Randomized controlled trials&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Spiritual well‐being (SpWb) is an important dimension of health‐related quality of life for many cancer patients. Accordingly, an increasing number of psychosocial intervention studies have included SpWb as a study endpoint, and may improve SpWb even if not designed explicitly to do so. This meta‐analysis of randomized controlled trials (RCTs) evaluated effects of psychosocial interventions on SpWb in adults with cancer and tested potential moderators of intervention effects. Methods: Six literature databases were systematically searched to identify RCTs of psychosocial interventions in which SpWb was an outcome. Doctoral‐level rater pairs extracted data using Covidence following Preferred Reporting Items for Systematic reviews and Meta‐Analyses guidelines. Standard meta‐analytic techniques were applied, including meta‐regression with robust variance estimation and risk‐of‐bias sensitivity analysis. Results: Forty‐one RCTs were identified, encompassing 88 treatment effects among 3883 survivors. Interventions were associated with significant improvements in SpWb (g = 0.22, 95% CI [0.14, 0.29], p &lt; 0.0001). Studies assessing the FACIT‐Sp demonstrated larger effect sizes than did those using other measures of SpWb (g = 0.25, 95% CI [0.17, 0.34], vs. g = 0.10, 95% CI [−0.02, 0.23], p = 0.03]. No other intervention, clinical, or demographic characteristics significantly moderated effect size. Conclusions: Psychosocial interventions are associated with small‐to‐medium‐sized effects on SpWb among cancer survivors. Future research should focus on conceptually coherent interventions explicitly targeting SpWb and evaluate interventions in samples that are diverse with respect to race and ethnicity, sex and cancer type. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Psycho-Oncology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1002/pon.5562
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      – Code: eng
        Text: English
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        PageCount: 12
        StartPage: 147
    Subjects:
      – SubjectFull: Cancer patients
        Type: general
      – SubjectFull: Quality of life
        Type: general
      – SubjectFull: Cancer survivors
        Type: general
      – SubjectFull: Demographic characteristics
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      – SubjectFull: Randomized controlled trials
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      – TitleFull: A systematic review and meta‐analysis of effects of psychosocial interventions on spiritual well‐being in adults with cancer.
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              Text: Feb2021
              Type: published
              Y: 2021
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