Effect of an educational intervention in “spirituality and health” on knowledge, attitudes, and skills of students in health-related areas: A controlled randomized trial
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BACKGROUND: To date there have been no randomized studies that assess whether "Spirituality and Health" (S/H) programs are, indeed, effective, or not. We sought to evaluate if an intervention in teaching S/H fosters competence changes in healthcare students. METHODS: A randomized controlled trial was carried out. Students were randomized into two groups: an Intervention Group (a theoretical-practical course in S/H) and a control group (waiting list). Students' S/H knowledge, attitudes, and skills (through a simulated patient) were assessed. RESULTS: A total of 49 students were evaluated. Students in the intervention group received higher scores on knowledge tests, felt more comfortable and prepared to talk about religious/spiritual beliefs with patients, more readily recognized importance of hospital chaplains, and more frequently held the opinion that addressing spirituality is important. Furthermore, a breaking down of S/H barriers was identified. Students also demonstrated more ability in obtaining a patient's spiritual history when compared to the control group. CONCLUSIONS: There were some differences on knowledge, attitudes, and spiritual history skills between students who participated in the S/H teaching strategy and students who have not been exposed to the theme. These results might foster discussion for the development of new educational strategies about the subject.
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In that trial, in the skills assessment with simulated patients, trained students scored much higher than controls (14.12 vs. 6.17 of a maximum of 17 points).
“In the skills assessment with simulated patients, trained students scored much higher than controls (14.12 vs. 6.17 of a maximum of 17 points).37”
In a randomized controlled trial with 49 1st- and 2nd-year students of medicine, nursing, physical therapy, and psychology, theoretical-practical training in SH-taking (14 hours theoretical, 10 hours practical over four months) led the intervention group to feel more comfortable in taking a SH, more readily recognize the importance of the chaplain, and recognize the importance of spirituality in a
“One randomized controlled trial investigated the efficacy of theoretical-practical training in SH-taking (14 hours of theoretical classes and 10 hours of practical activities with simulations and real-world inpatients over a period of four months) in 49 1st- and 2nd-year students of medicine, nursing, physical therapy, and psychology. Compared to the control group, the intervention group felt more”
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Spirituality in Medical School Curricula: Findings from a National Survey
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“The current panorama of its incorporation in the medical curriculum finds 90% of American medical schools (Koenig et al. 2010), 59% of British schools (Neely and Minford 2008), and 50% of Brazilian schools (Lucchetti, Lucchetti, Espinha et al. 2012) with content related to the subject.”
BackgroundSpiritual Care Training Provided to Healthcare Professionals: A Systematic Review
Paal, P., Helo, Y., & Frick, E. (2015) · Journal of Pastoral Care & Counseling: Advancing theory and professional practice through scholarly and reflective publications · doi:10.1177/1542305015572955 · Cited by 158 · see citing works
Spirituality, religion, and health: over the last 15 years of field research (1999-2013).
Lucchetti, G., & Lucchetti, A. L. G. (2014) · The International Journal of Psychiatry in Medicine · doi:10.2190/pm.48.3.e · Cited by 155 · see citing works
Self-citationMedical students, spirituality and religiosity-results from the multicenter study SBRAME
Collaborators, F. T. S., Lucchetti, G., de Oliveira, L. R., Koenig, H. G., Leite, J. R., & Lucchetti, A. L. (2013) · BMC Medical Education · doi:10.1186/1472-6920-13-162 · Cited by 150 · see citing works
Spirituality and health in the curricula of medical schools in Brazil
Lucchetti, G., Lucchetti, A. L. G., Espinha, D. C. M., de Oliveira, L. R., Leite, J. R., & Koenig, H. G. (2012) · BMC Medical Education · doi:10.1186/1472-6920-12-78 · Cited by 129 · see citing works
Self-citationKing, D. E., Blue, A., Mallin, R., & Thiedke, C. (2004) · Teaching and Learning in Medicine · doi:10.1207/s15328015tlm1601_13 · Cited by 38 · cited 4× · see citing works
“King et al. (2004) evaluated the impact of a spiritual history-taking curriculum on first year medical students’ skills, knowledge, and attitudes.”
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Mosqueiro, B. P., Costa, M. D. A., Caribé, A. C., Oliveira e Oliveira, F. H. A., Pizutti, L., Zimpel, R. R., Baldaçara, L., da Silva, A. G., & Moreira-Almeida, A. (2023) · Brazilian Journal of Psychiatry · doi:10.47626/1516-4446-2023-3056 · Cited by 12 · see citing works
- Authors
- Osório, I. H. S., Gonçalves, L. M., Pozzobon, P. M., Gaspar Júnior, J. J., Miranda, F. M., Lucchetti, A. L. G., & Lucchetti, G.
- Affiliations
- Universidade Federal de Mato Grosso do Sul (BR)
- School of Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Brazil;
- Universidade Federal de Juiz de Fora (BR)
- Corresponding author
- Lucchetti, Giancarlo
- Venue
- Medical Teacher
- Publisher
- Informa UK Limited
- Published
- 2017-06-22
- Volume
- 39
- Issue
- 10
- Pages
- 1057-1064
- ISSN
- 0142-159X (ISSN-L)
- 1466-187X
- OpenAlex
- W2699285534
- Cited by
- 45
- References
- 7
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 5 · 2021: 12 · 2020: 5 · 2019: 5 · 2018: 2 · 2017: 1
- FWCI
- 3.96
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Licence
- cc-by
- Locations
- Medical Teacher (publishedVersion)
- PubMed (publishedVersion)
- Figshare (submittedVersion, cc-by)
- Figshare (cc-by)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Demography › Workplace Spirituality and Leadership
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Keywords
- spirituality and health, health professions education, medical students, educational intervention, spiritual history taking, religious and spiritual beliefs, hospital chaplaincy, patient communication, attitudes toward spirituality, knowledge and skills
- MeSH terms
- Curriculum, Education, Medical, Undergraduate, Health, Humans, Health Knowledge, Attitudes, Practice, Learning, Students, Medical, Spirituality
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