Death anxiety and death competency: the impact of a palliative care volunteer training program
Abstract
Before and immediately after the 2 most recent offerings of a local palliative care volunteer training program, 17 participants completed the Collett-Lester Fear of Death Scale and Bugen's Coping with Death Scale. The training program consisted of approximately 27 hours of training presented in 3-hour blocks during a 9-week period. Topics included the philosophy and goals of palliative care, spiritual issues from a multi-cultural and multifaith perspective, communication, the dying process, grief and bereavement, and the role of the volunteer. The results showed no differences in participants' pretraining and posttraining scores on the 4 subscales of the Fear of Death Scale. However, participants felt significantly more able to cope with death and dying after the training program than before. With proper training, volunteers will feel more prepared to handle situations involving terminal illness and death. In short, they will be more effective in their work with dying patients and their families.
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Many patients with cancer found it difficult to talk to family members about their fears and anxiety because their families were also suffering and the patient did not want to upset them.
“Many patients with cancer found that it was difficult to talk to family members about their fears and anxiety because their families were also suffering, and the patient did not want to upset them.27”
From Psychological adjustment to death anxiety: a qualitative study of Chinese patients with advanced cancer (2024) · cites this paper as [27]
Cites
Death Anxiety Handbook: Research, Instrumentation, And Application
(2015) · Taylor & Francis eBooks · doi:10.4324/9781315800813 · Cited by 242 · see citing works
Death anxiety handbook: Research, instrumentation and application
Lewis, J. E. (1995) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(95)90002-0 · Cited by 216 · see citing works
THE COLLETT-LESTER FEAR OF DEATH SCALE: A CORRECTION
Lester, D., & Abdel‐Khalek, A. M. (2003) · Death Studies · doi:10.1080/07481180302873 · Cited by 189 · see citing works
Toward a comprehensive model of death anxiety
Tomer, A., & Eliason, G. T. (1996) · Death Studies · doi:10.1080/07481189608252787 · Cited by 151 · see citing works
Coping: Effects of Death Education
Bugen, L. A. (1981) · OMEGA - Journal of Death and Dying · doi:10.2190/jqpa-qfhw-vq7a-mcak · Cited by 107 · see citing works
Improving measurement of death anxiety
McMordie, W. R. (1979) · Psychological Reports · doi:10.2466/pr0.1979.44.3.975 · Cited by 96 · see citing works
Palliative Care Volunteers: Why Do They Do It?
Claxton-Oldfield, S. P., Jefferies, J. M. C., Fawcett, C., Wasylkiw, L., & Claxton-Oldfield, J. (2004) · Journal of Palliative Care · doi:10.1177/082585970402000203 · Cited by 62 · see citing works
Death competency: A study of hospice volunteers
Robbins, R. A. (1992) · Death Studies · doi:10.1080/07481189208252598 · Cited by 62 · see citing works
Death Anxiety, Purpose in Life and Duration of Service in Hospice Volunteers
Amenta, M. M. (1984) · Psychological Reports · doi:10.2466/pr0.1984.54.3.979 · Cited by 56 · see citing works
Hospice Volunteers: The Impact of Personality Characteristics on Retention and Job Performance
Paradis, L. F., & Usui, W. M. (1987) · The Hospice Journal · doi:10.1080/0742-969x.1987.11882578 · Cited by 47 · see citing works
Evaluation of a Hospice Volunteer Training Program
Wilkinson, H. J., & Wilkinson, J. (1987) · OMEGA - Journal of Death and Dying · doi:10.2190/akx4-ngu0-07x2-mwq4 · Cited by 39 · see citing works
Volunteer qualities: a survey of hospice volunteers.
Briggs, J. (1987) · PubMed · Cited by 32 · see citing works
Predicting Performance and Persistence in Hospice Volunteers
Lafer, B. (1989) · Psychological Reports · doi:10.2466/pr0.1989.65.2.467 · Cited by 31 · see citing works
Comparison of Death Attitudes among Hospice Workers and Health Care Professionals in other Settings
Carr, M., & Merriman, M. P. (1996) · OMEGA - Journal of Death and Dying · doi:10.2190/r4t6-d1kv-m37d-1p47 · Cited by 31 · see citing works
A Study of the Role of Hospice Volunteers
Downe-Wamboldt, B. L., & Ellerton, M. (1985) · The Hospice Journal · doi:10.1080/0742-969x.1985.11882541 · Cited by 27 · see citing works
Hospice volunteer training: Making the experience more meaningful
Wilson, P. E. (2000) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/104990910001700210 · Cited by 26 · see citing works
Characteristics of most effective and least effective hospice volunteers
Lamb, D. H., Aubin, T. D. S., & Foster, M. S. (1985) · American Journal of Hospice Care · doi:10.1177/104990918500200507 · Cited by 25 · see citing works
Death Anxiety, Death Competency and Self-Actualization in Hospice Volunteers
Robbins, R. A. (1991) · The Hospice Journal · doi:10.1080/0742-969x.1991.11882708 · Cited by 18 · see citing works
A Model of Job Stress and Burnout
Ray, E. B., Nichols, M. R., & Perritt, L. J. (1987) · The Hospice Journal · doi:10.1080/0742-969x.1987.11882591 · Cited by 17 · see citing works
A Study of the Role of Hospice Volunteers
Downe-Wamboldt, B. L. (1985) · The Hospice Journal · doi:10.1300/j011v01n04_02 · Cited by 17 · see citing works
Concurrent Validity of Templer and Templer/Mc Mordie Death Anxiety Scales
McMordie, W. R. (1982) · Psychological Reports · doi:10.2466/pr0.1982.51.1.265 · Cited by 13 · see citing works
A Model of Job Stress and Burnout
Ray, E. B. (1987) · The Hospice Journal · doi:10.1300/j011v03n02_02 · Cited by 11 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Sansó, N., Galiana, L., Oliver, A., Pascual, A., Sinclair, S., & Benito, E. (2015) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2015.02.013 · Cited by 330 · see citing works
Death Anxiety: An Analysis of an Evolving Concept
Lehto, R. H., & Stein, K. F. (2009) · Research and theory for nursing practice · doi:10.1891/1541-6577.23.1.23 · Cited by 328 · see citing works
Palliative care education and its effectiveness: a systematic review
Li, W., Chhabra, J., & Singh, S. (2021) · Public Health · doi:10.1016/j.puhe.2021.02.033 · Cited by 129 · see citing works
A narrative literature review of the contribution of volunteers in end-of-life care services
Morris, S., Wilmot, A., Hill, M., Ockenden, N., & Payne, S. A. (2012) · Palliative Medicine · doi:10.1177/0269216312453608 · Cited by 87 · see citing works
Zheng, R., Bloomer, M. J., Guo, Q., & Lee, S. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14621 · Cited by 70 · see citing works
Promoting Volunteer Capacity in Hospice Palliative Care
Pesut, B., Hooper, B., Lehbauer, S., & Dalhuisen, M. (2012) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909112470485 · Cited by 55 · see citing works
Training and supportive programs for palliative care volunteers in community settings
Horey, D., Street, A. F., O'Connor, M., Peters, L., & Lee, S. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009500.pub2 · Cited by 48 · see citing works
Claxton-Oldfield, S. P., & Claxton-Oldfield, J. (2012) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909111432622 · Cited by 47 · see citing works
Chan, W. C. H., Tin, A. F., & Wong, K. L. Y. (2015) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2015.02.012 · Cited by 40 · see citing works
Brighton, L. J., Koffman, J., Robinson, V., Khan, S. A., George, R., Burman, R., & Selman, L. E. (2017) · Palliative Medicine · doi:10.1177/0269216316679929 · Cited by 33 · see citing works
Galiana, L., Oliver, A., Simone, G. G. D., Linzitto, J. P., Benito, E., & Sansó, N. (2018) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2018.11.003 · Cited by 32 · see citing works
Efectos de un programa de formacion en cuidados paliativos sobre el afrontamiento de la muerte
Schmidt‐RioValle, J., Montoya‐Juárez, R., Campos-Calderón, C. P., Garcia-Caro, M. P., Peña, D. P., & Cruz‐Quintana, F. (2011) · Medicina Paliativa · doi:10.1016/j.medipa.2010.11.001 · Cited by 31 · see citing works
Separation from Loved Ones in the Fear of Death
Bath, D. M. (2010) · Death Studies · doi:10.1080/07481181003697639 · Cited by 30 · see citing works
Motivations, Death Anxiety, and Empathy in Hospice Volunteers in France
Garbay, M., Gay, M., & Claxton-Oldfield, S. P. (2014) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909114536978 · Cited by 30 · see citing works
Miller-Lewis, L. R., Tieman, J., Rawlings, D., Parker, D., & Sanderson, C. R. (2018) · OMEGA - Journal of Death and Dying · doi:10.1177/0030222818765813 · Cited by 27 · see citing works
Predicting Social Support for Grieving Persons: A Theory of Planned Behavior Perspective
Bath, D. M. (2009) · Death Studies · doi:10.1080/07481180903251547 · Cited by 26 · see citing works
Germain, A., Nolan, K., Doyle, R., Mason, S. R., Gambles, M., Chen, H., Smeding, R., & Ellershaw, J. (2016) · BMC Palliative Care · doi:10.1186/s12904-016-0096-5 · Cited by 26 · see citing works
Freytag, J., & Rauscher, E. A. (2017) · Journal of Health Communication · doi:10.1080/10810730.2017.1311971 · Cited by 25 · see citing works
Death Attitudes Among Middle-Aged Koreans: Role of End-of-Life Care Planning and Death Experiences
Hong, M., Hong, S., Adamek, M. E., & Kim, M. H. (2017) · The International Journal of Aging and Human Development · doi:10.1177/0091415016689473 · Cited by 24 · see citing works
Correlates of perceived death competence: What role does meaning-in-life and quality-of-life play?
Miller-Lewis, L. R., Tieman, J., Rawlings, D., Sanderson, C. R., & Parker, D. (2019) · Palliative & Supportive Care · doi:10.1017/s1478951518000937 · Cited by 24 · see citing works
Qama, E., Diviani, N., Grignoli, N., & Rubinelli, S. (2021) · Patient Education and Counseling · doi:10.1016/j.pec.2021.09.025 · Cited by 23 · see citing works
Galiana, L., Oliver, A., Sansó, N., Jiménez, A. P., & Benito, E. (2015) · Medicina Paliativa · doi:10.1016/j.medipa.2015.04.001 · Cited by 21 · see citing works
Results from the National Hospice Volunteer Training Survey
Wittenberg-Lyles, E. M., Schneider, G., & Oliver, D. P. (2010) · Journal of Palliative Medicine · doi:10.1089/jpm.2009.0240 · Cited by 21 · see citing works
Jiménez, M. P., Ropero‐Padilla, C., Rodríguez-Arrastia, M. J., & García‐Caro, M. P. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18189515 · Cited by 19 · see citing works
Motivations, Satisfaction, and Fears of Death and Dying in Residential Hospice Volunteers
Nissim, R. S., Emmerson, D., O’Neill, B., Marchington, K. L., Draper, H., & Rodin, G. (2014) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909114559830 · Cited by 19 · see citing works
Imagine You Are Dying: Would You Be Interested in Having a Hospice Palliative Care Volunteer?
Claxton-Oldfield, S. P., Gosselin, N., & Claxton-Oldfield, J. (2008) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909108327026 · Cited by 17 · see citing works
Being A Hospice Volunteer Influenced Medical Students’ Comfort with Dying and Death: A Pilot Study
Stecho, W., Khalaf, R., Prendergast, P. M., Geerlinks, A. V., Lingard, L., & Schulz, V. N. (2012) · Journal of Palliative Care · doi:10.1177/082585971202800304 · Cited by 16 · see citing works
Supporting the Volunteer Career of Male Hospice—Palliative Care Volunteers
Weeks, L. E., & MacQuarrie, C. (2010) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909110389322 · Cited by 15 · see citing works
A Palliative Care Program for Volunteers in a Community Setting: A Mixed-Methods Pilot Study
Lee, J., & Lee, J.-E. (2019) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909119895213 · Cited by 13 · see citing works
Miller-Lewis, L. R., Lewis, T. W., Tieman, J., Rawlings, D., Parker, D., & Sanderson, C. R. (2021) · PLoS ONE · doi:10.1371/journal.pone.0242848 · Cited by 13 · see citing works
Chen, F., Ou, M., Xia, W., & Xu, X. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-080220 · Cited by 14 · see citing works
“5 6 DA is influenced by the physical and psychological conditions of patients with cancer 7 and, conversely, it also affects their physical and mental health as well as prognosis.”
BackgroundEffects of Three Caregiver Interventions: Support, Educational Literature, and Creative Movement
Donorfio, L. K. M., Vetter, R. E., & Vracevic, M. (2010) · Journal of Women & Aging · doi:10.1080/08952840903489094 · Cited by 12 · see citing works
Nationwide survey on volunteers' training in hospice and palliative care in Poland
Pawłowski, L., Lichodziejewska–Niemierko, M., Pawłowska, I., Leppert, W., & Mróz, P. (2016) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2015-000984 · Cited by 12 · see citing works
Aoun, S. M., RICHMOND, R. L., Noonan, K., Gunton, K., & Rumbold, B. D. (2022) · Palliative Care and Social Practice · doi:10.1177/26323524221139874 · Cited by 11 · see citing works
An Analytic Study of Death Anxiety among Type 2 Diabetes
Singh, C. (2013) · Mediterranean Journal of Social Sciences · doi:10.5901/mjss.2013.v4n11p205 · Cited by 11 · see citing works
Differences in well-being and fear of death among female hospice employees and volunteers in Hungary
Zana, Á., Kegye, A., Czeglédi, E., & Hegedűs, K. (2020) · BMC Palliative Care · doi:10.1186/s12904-020-00550-z · Cited by 10 · see citing works
Students’ Confidence and Interest in Palliative and Bereavement Care: A European Study
Orkibi, H., Biancalani, G., Bucuță, M., Sassu, R., Wieser, M., Franchini, L., Raccichini, M., Azoulay, B., Ciepliński, K., Leitner, A., et al. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.616526 · Cited by 9 · see citing works
How Volunteer Services Can Improve and Advance Palliative Care Programs
Coyne†, E. (2017) · Journal of Hospice and Palliative Nursing · doi:10.1097/njh.0000000000000325 · Cited by 7 · see citing works
Ontrakrai, N., Bailey, C., Valler-Jones, T., & Neilson, S. J. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1469854 · Cited by 5 · see citing works
Orkibi, H., Keisari, S., Azoulay, B., & Testoni, I. (2023) · The Arts in Psychotherapy · doi:10.1016/j.aip.2023.102064 · Cited by 5 · see citing works
Ben‐Arye, E., Samuels, N., Keshet, Y., Golan, M., Baruch, E. N., & Dagash, J. (2024) · Palliative & Supportive Care · doi:10.1017/s1478951524000567 · Cited by 5 · see citing works
Parola, V. S. D. O., Coelho, A., Romero, Á. A., Peiró, R. P., Blanco‐Blanco, J., Apóstolo, J., & Gea‐Sánchez, M. (2018) · Porto Biomedical Journal · doi:10.1016/j.pbj.0000000000000010 · Cited by 4 · see citing works
Álvarez, E. J. S., Abalos, P. M., Cunha-Pérez, C., Cuesta-Fernández, J., & Martín-Utrilla, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182212084 · Cited by 4 · see citing works
The final challenge of aging: Death and dying
Maxfield, M., Stelzer, E., & Greenberg, J. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-816094-7.00003-9 · Cited by 6 · see citing works
Harland, L. (2016) · Insight (University of Cumbria) · Cited by 3 · see citing works
Conning, R. J., Naidoo, R., & Bhagwan, R. (2021) · Australasian Journal of Paramedicine · doi:10.33151/ajp.18.944 · Cited by 3 · see citing works
Training and supportive programs for palliative care volunteers in community settings
Horey, D., Street, A. F., O’Connor, M., Peters, L., & Lee, S. (2011) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009500 · Cited by 3 · see citing works
Woo, H. Y., & Yeun, Y. R. (2018) · The Korean Journal of Hospice and Palliative Care · doi:10.14475/kjhpc.2018.21.2.58 · Cited by 2 · see citing works
Manrique, M. L. (2015) · Big Bang Faustiniano · doi:10.51431/bbf.v4i2.210 · Cited by 2 · see citing works
Normal Yas Sürecinde Manevi Destek
Kara, E. (2022) · Akademisyen Kitabevi eBooks · doi:10.37609/akya.2209 · Cited by 2 · see citing works
An Examination of Death in Premier Counseling Journals
Folkerds, A. S., & Coursol, D. H. (2023) · The Interactive Journal of Global Leadership and Learning · doi:10.55354/2692-3394.1045 · Cited by 2 · see citing works
Miedo y Confrontación a la muerte: Estudio en Estudiantes de Ciencias de la Salud
Cuadra, J. I. P., Fernandez, D. T., Jimenez, E. C., Yebra, L. R., Cordero, H. F., & Pasos, R. V. (2021) · Revista de la Facultad de Medicina de la Universidad de lberoamérica · doi:10.54376/rcmui.v4i2.48 · Cited by 1 · see citing works
An Exploration of Death Anxiety of Family Members of Silent Mentor Body Donation Program
Wong, L. P., Alias, H., Tan, S., Sia, T. E., & Saw, A. (2022) · OMEGA - Journal of Death and Dying · doi:10.1177/00302228221132902 · Cited by 1 · see citing works
The Communicative Ecology of End of Life Care
Smith, K. W., Freytag, J., & Street, R. L. (2020) · doi:10.1002/9781119399926.ch50 · Cited by 1 · see citing works
Kumar, S. P., & Sisodia, V. (2013) · International Journal of Health & Allied Sciences · doi:10.4103/2278-344x.120586
DEVELOPMENT AND EVALUATION OF PRE-SERVICE TRAINING METHODS FOR ANIMAL SHELTER VOLUNTEERS
Howard, V. J. (2013) · KU ScholarWorks (The University of Kansas)
Cultural Competency in Hospice Care: A Case Study of Hospice Toronto
Jovanović, M. (2008) · UWSpace (University of Waterloo)
Effect of Supportive Engagement through Massive-Open-Online-Course participation on death coping.
Miller-Lewis, L. R., Tieman, J., Rawlings, D., Parker, D., & Sanderson, C. R. (2017)
Tanatología y afrontamiento del personal de salud ante la muerte en la pandemia COVID-19
Martínez, M. D. L. L. C., & Magaña, I. M. (2021) · Medicina Paliativa · doi:10.20986/medpal.2021.1257/2021
Fazolino, N. E. L., Gotti, E. S., de Oliveira, E. A., Argondizzi, J. G. F., & Oliveira, S. D. L. (2022) · Perspectivas em Análise do Comportamento · doi:10.18761/pac5a6a56a
Biography Writing in the Pediatric Palliative Care Context: Review and Feasibility Data
Potter, S., Coombs, S., & Jaaniste, T. (2024) · Children · doi:10.3390/children12010004
Goyette, C., Vachon, M., & Fillion, L. (2025) · Cahiers francophones de soins palliatifs · doi:10.7202/1119899ar
Xi, X., Le, J., Zeng, T., Zhou, C., Liao, J., Wang, Y., & Mao, J. (2026) · International Journal of Nursing Studies Advances · doi:10.1016/j.ijnsa.2026.100592
Mebus, L., Pedrosa, D. J., & Carrasco, A. J. P. (2026) · BMC Palliative Care · doi:10.1186/s12904-026-02201-1
Death Anxiety among Nurses and Health Care Professionals: A Review Article.
(2016) · PubMed Central · Cited by 145 · see citing works
- Authors
- Claxton-Oldfield, S., Crain, M., & Claxton-Oldfield, J.
- Affiliations
- Mount Allison University (CA)
- Psychology Department, Tantramar Hospice Palliative Care Organization, Sackville, New Brunswick, Canada
- Corresponding author
- Claxton-Oldfield, Stephen
- Venue
- American Journal of Hospice and Palliative Medicine®
- Publisher
- SAGE Publications
- Published
- 2007-12
- Volume
- 23
- Issue
- 6
- Pages
- 464-468
- ISSN
- 1049-9091 (ISSN-L)
- 1938-2715
- OpenAlex
- W2036460875
- Cited by
- 67
- References
- 20
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 10 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 5 · 2016: 4 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 5
- FWCI
- 2.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Hospice and Palliative Medicine® (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Social Sciences › Anthropology › Death, Funerary Practices, and Mourning
- Keywords
- fear of death, palliative care volunteers, volunteer training programs, coping with death, terminal illness, dying, grief and bereavement, spiritual care, communication with dying patients
- MeSH terms
- Adaptation, Psychological, Anxiety, Attitude to Death, Female, Humans, Interpersonal Relations, Health Knowledge, Attitudes, Practice, Male, Middle Aged, New Brunswick, Palliative Care, Prospective Studies, Surveys and Questionnaires, Volunteers
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