Oncologist Assisted Spiritual Intervention Study (OASIS): Patient Acceptability and Initial Evidence of Effects
Abstract
Purpose Individuals with serious illness often desire to discuss spiritual concerns with their physician, yet substantial barriers exist to doing so, including limited evidence of value. This study evaluated acceptability, impact on satisfaction with care and on quality of life (QOL) of a brief (5-7 minute) semi-structured exploration of spiritual/religious concerns. Patients and methods 118 consecutive patients of four oncologist-hematologists (95% recruitment; 55.1% female, 91.5% Caucasian, 81.3% Christian) with mixed diagnoses, duration (51.7% diagnosed within 2 years) and prognosis (54.2% in active treatment) were alternately assigned to receive the intervention or usual care during an office visit. Assessment occurred just prior to the visit, immediately after, and after 3 weeks. Measures included the FACT-G QOL and FACIT-Sp (Spiritual Well-Being) Scales; BSI Depression Scale; the PCAS Interpersonal and Communication scales; and ratings of acceptability. Results Oncologists rated themselves as comfortable during the inquiry with 85% of patients. Of patients, 76% felt the inquiry was "somewhat" to "very" useful. At 3 weeks, the intervention group had greater reductions in depressive symptoms (F= 7.57,p Conclusions This study supports the acceptability of a semi-structured inquiry into spiritual concerns related to coping with cancer; furthermore, the inquiry appears to have a positive impact on perception of care and well-being.
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In a study with 118 cancer patients from multicenter oncology clinics in the United States, taking a brief SH (5-7 minutes) was perceived as comfortable and useful by the majority of patients and physicians.
“Another study with 118 cancer patients from multicenter oncology clinics in the United States found that taking a brief SH (5-7 minutes) was perceived as comfortable and useful by the majority of patients and physicians.”
Taking a SH appears to foster a positive relationship between health professionals and patients, enhancing treatment satisfaction.
“it appears to foster a positive relationship between health professionals and patients, enhancing treatment satisfaction27,28”
In that study, after 3 weeks, patients from whom a SH had been obtained reported fewer depressive symptoms, better quality of life, and a sense of interpersonal caring from their physicians than the control group.
“After 3 weeks, patients from whom a SH had been obtained reported fewer depressive symptoms, better quality of life, and a sense of interpersonal caring from their physicians than the control group.27”
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“conversation to make a timely assessment.(53) Patients and physicians, even those who did not have a faith belief system, reported positive experiences with the tool.”
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“A recent randomized, controlled trial of a multidisciplinary intervention in advanced cancer patients indicated that patients receiving the intervention had improved QOL compared to controls [53, 54 ].”
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“This recognition is supported by comprehensive evidence demonstrating that patients facing serious illness frequently experience multiple existential problems and concerns that have a negative impact on their physical and psychological health [2].”
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Approaching Spirituality Using the Patient-Centered Clinical Method
de Oliveira, J. D., Anderson, M., Lucchetti, G., Pires, E. A., & Gonçalves, L. M. (2019) · Journal of religion and health · doi:10.1007/s10943-017-0534-6 · Cited by 20 · see citing works
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“While there is a lack of research on the efficacy of spiritual interventions, the few studies that are available demonstrate that spiritual interventions can be quite helpful and are well-received by patients (Breitbart et al., 2010; Cole & Pargament, 1999; Kristeller et al., 2005).”
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“For example, researchers conducted a clinical trial to assess short-term outcomes from oncologists taking a SSH in 118 cancer outpatients [36].”
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“[17] showed the feasibility and utility of an approach in which the spiritual and existential needs of oncology patients are dealt with by oncologists utilizing a semi-structured dialogue that was maintained with patients over a series of visits.”
BackgroundRelationship Between Spiritual Coping and Survival in Patients with HIV
Ironson, G., Kremer, H., & Lucette, A. (2016) · Journal of general internal medicine · doi:10.1007/s11606-016-3668-4 · Cited by 17 · see citing works
Moderators of Psycho-Oncology Therapy Effectiveness: Meta-Analysis of Therapy Characteristics
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Changes in Spirituality and Quality of Life in Patients Undergoing Radiation Therapy
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“One study of an Oncologist Assisted Spiritual Intervention demonstrated that inquiries regarding spiritual concerns of patients by oncologists may be both acceptable and beneficial.(9) Another study sponsored by the Pathfinders National organization demonstrated positive outcomes and feasibility of a multi-faceted psy…”
BackgroundPsycho-Spiritual Integrative Therapy: Psychological Intervention for Women With Breast Cancer
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Applications in Clinical Practice
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“27 A study of 3,141 general internal medicine inpatients at the University of Chicago Medical Center found that 41% were open to discussing R/S issues while hospitalized, although only half reported having had such discussions.”
InfluentialDaniels, J., Glover, E. T., & Kyei, K. (2025) · ecancermedicalscience · doi:10.3332/ecancer.2025.1858 · Cited by 12 · see citing works
ESPIRITUALIDADE: DO CONCEITO À ANAMNESE ESPIRITUAL E ESCALAS PARA AVALIAÇÃO
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MethodThe Effectiveness of Psycho-spiritual Therapy among Mentally Ill Patients
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An existential support program for people with cancer: Development and qualitative evaluation.
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“Koenig (2013) and Kristeller et al. (2005) have also developed spiritual approaches and assessment that may be incorporated into patient care.”
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“Higher level of spirituality might increase faith in controlling optimal behaviour, decrease perception of barriers, and emphasize perceived benefit of action (Kristeller et al. 2005).”
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Clinical Practice, Religion, and Spirituality
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- Authors
- Kristeller, J. L., Rhodes, M., Cripe, L. D., & Sheets, V.
- Affiliations
- Indiana State University (US)
- Private Practice, Amarillo, Texas
- Indiana University Melvin and Bren Simon Comprehensive Cancer Center (US)
- Corresponding author
- Kristeller, Jean L.
- Venue
- The International Journal of Psychiatry in Medicine
- Publisher
- SAGE Publications
- Published
- 2005-12
- Volume
- 35
- Issue
- 4
- Pages
- 329-347
- ISSN
- 0033-278X (ISSN-L)
- 0091-2174
- 1541-3527
- OpenAlex
- W2137450273
- Cited by
- 177
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 6 · 2023: 48 · 2022: 5 · 2021: 3 · 2020: 9 · 2019: 5 · 2018: 15 · 2017: 3 · 2016: 4 · 2015: 12 · 2014: 9 · 2013: 8 · 2012: 9
- FWCI
- 4.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The International Journal of Psychiatry in Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- 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
- Keywords
- spiritual intervention, spiritual well-being, religious concerns, patient acceptability, quality of life, depressive symptoms, physician-patient relationship, coping with cancer, hematologic patients
- MeSH terms
- Adult, Aged, Aged, 80 and over, Depression, Female, Holistic Health, Humans, Male, Medical Oncology, Middle Aged, Neoplasms, Patient Acceptance of Health Care, Physician-Patient Relations, Quality of Life, Surveys and Questionnaires, Program Development, Treatment Outcome, Spirituality
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