Cited by 177Religion, Spirituality, and PsychologyPalliative and Oncologic CarePalliative Care and End-of-Life Issues

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Oncologist Assisted Spiritual Intervention Study (OASIS): Patient Acceptability and Initial Evidence of Effects

Kristeller, Jean L., Rhodes, Mark, Cripe, Larry D., Sheets, Virgil·2005·The International Journal of Psychiatry in Medicine

DOI 10.2190/8ae4-f01c-60m0-85c8

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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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Roh, S., Kim, Y., Lee, K. H., Lee, Y.-S., Burnette, C. E., & Lawler, M. J. (2015) · Journal of Religion & Spirituality in Social Work Social Thought · doi:10.1080/15426432.2015.1097094 · Cited by 28
Cultural differences in spiritual care: findings of an Israeli oncologic questionnaire examining patient interest in spiritual care
Schultz, M., Lulav-Grinwald, D., & Bar-Sela, G. (2014) · BMC Palliative Care · doi:10.1186/1472-684x-13-19 · Cited by 28
“Background Spiritual care addresses a key patient need [1,2] in a manner that has significant benefits, such as improved quality of life [1,3,4], well-being [5], and reduced anxiety, despair, or depression [6-8] that have been demonstrated crossculturally [9].”
Background
Correlates of existential well-being and their association with health-related quality of life in breast cancer survivors compared with the general population
Shin, H. W., Noh, D., Lee, E. S., Nam, S. J., Park, B., Ahn, S. H., & Yun, Y. H. (2009) · Breast Cancer Research and Treatment · doi:10.1007/s10549-009-0326-0 · Cited by 32
“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 ].”
Method
Research Literature on the Intersection of Dementia, Spirituality, and Palliative Care: A Scoping Review
Palmer, J., Smith, A. M., Paasche-Orlow, S., & Fitchett, G. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2019.12.369 · Cited by 24
Evaluation of Serum Levels of Inflammation, Fibrinolysis and Oxidative Stress Markers in Coronary Artery Disease Prediction: A Cross-Sectional Study
Abolhasani, S., Shahbazloo, S. V., Saadati, H. M., Mahmoodi, N., & Khanbabaei, N. (2019) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20190159 · Cited by 24
Wishes and Needs at the End of Life: Communication Strategies, Counseling, and Administrative Aspects.
Welsch, K., & Gottschling, S. (2021) · Deutsches Ärzteblatt International · doi:10.3238/arztebl.m2021.0141 · Cited by 23
Development of the EMAP tool facilitating existential communication between general practitioners and cancer patients
Hvidt, E. A., Hansen, D., Ammentorp, J., Bjerrum, L., Cold, S., Gulbrandsen, P., Olesen, F., Pedersen, S., Søndergaard, J., Timmermann, C., et al. (2017) · European Journal of General Practice · doi:10.1080/13814788.2017.1326479 · Cited by 23
“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].”
Background
Perceived and actual change in religion/spirituality in cancer survivors: Longitudinal relationships with distress and perceived growth.
Trevino, K. M., Naik, A. D., & Moye, J. A. (2015) · Psychology of Religion and Spirituality · doi:10.1037/rel0000030 · Cited by 25
Approaching Spirituality Using the Patient-Centered Clinical Method
de Oliveira, J. A. C., Anderson, M. I. P., Lucchetti, G., Pires, E. V. Á., & Gonçalves, L. M. (2018) · Journal of Religion and Health · doi:10.1007/s10943-017-0534-6 · Cited by 29
Do spiritual patients want spiritual interventions?: A qualitative exploration of underserved cancer patients' perspectives on religion and spirituality
Stein, E., Kolidas, E., & Moadel, A. (2013) · Palliative & Supportive Care · doi:10.1017/s1478951513000217 · Cited by 20
“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).”
Background
The spiritual history in outpatient practice: attitudes and practices of health professionals in the Adventist Health System
Koenig, H. G., Perno, K., & Hamilton, T. (2017) · BMC Medical Education · doi:10.1186/s12909-017-0938-8 · Cited by 30
“For example, researchers conducted a clinical trial to assess short-term outcomes from oncologists taking a SSH in 118 cancer outpatients [36].”
Background
An existential approach to oncology: meeting the needs of our patients
Wexler, I., & Corn, B. (2012) · Current Opinion in Supportive and Palliative Care · doi:10.1097/spc.0b013e3283530e25 · Cited by 19
“[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.”
Background
Relationship Between Spiritual Coping and Survival in Patients with HIV
Ironson, G. H., Kremer, H., & Lucette, A. (2016) · Journal of General Internal Medicine · doi:10.1007/s11606-016-3668-4 · Cited by 114
Moderators of Psycho-Oncology Therapy Effectiveness: Meta-Analysis of Therapy Characteristics
Heron‐Speirs, H. A., Harvey, S. T., & Baken, D. (2013) · Journal of psychosocial oncology · doi:10.1080/07347332.2013.835022 · Cited by 16
Moderators of Psycho-Oncology Therapy Effectiveness: Addressing Design Variable Confounds in Meta-Analysis
Heron‐Speirs, H. A., Harvey, S. T., & Baken, D. (2012) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2012.01274.x · Cited by 16
Changes in Spirituality and Quality of Life in Patients Undergoing Radiation Therapy
Samuelson, B., Fromme, E., & Thomas, C. R. J. (2011) · The American journal of hospice & palliative care · doi:10.1177/1049909111428607 · Cited by 16
“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…”
Background
Psycho-Spiritual Integrative Therapy: Psychological Intervention for Women With Breast Cancer
Corwin, D., Wall, K. E., & Koopman, C. (2012) · The Journal for Specialists in Group Work · doi:10.1080/01933922.2012.686961 · Cited by 15
Using Spiritual Self-Disclosure in Psychotherapy
Denney, R. M., Aten, J., & Gingrich, F. C. (2008) · doi:10.1177/009164710803600405 · Cited by 15
Hospice Patient and Family Carer Perspectives on Nurse Spiritual Assessment
Taylor, E., & Brander, P. (2013) · Journal of Hospice and Palliative Nursing · doi:10.1097/njh.0b013e3182979695 · Cited by 14
Applications in Clinical Practice
Koenig, H., & Shohaib, S. A. (2014) · Springer eBooks · doi:10.1007/978-3-319-05873-3_14 · Cited by 13
Testing the Validity of a Protocol to Screen for Spiritual Struggle among Parents of Children with Cystic Fibrosis
Grossoehme, D., & Fitchett, G. (2013) · Research in the Social Scientific Study of Religion · doi:10.1163/9789004252073_012 · Cited by 13
Brazilian Psychiatric Association guidelines on the integration of spirituality into mental health clinical practice: Part 1. Spiritual history and differential diagnosis
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
“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.”
Influential
The contribution of spirituality and religiousness to the quality of life of cancer patients treated with radiotherapy in Ghana: a cross-sectional study
Daniels, J., Glover, E. T., & Kyei, K. (2025) · ecancermedicalscience · doi:10.3332/ecancer.2025.1858 · Cited by 12
ESPIRITUALIDADE: DO CONCEITO À ANAMNESE ESPIRITUAL E ESCALAS PARA AVALIAÇÃO
Esporcatte, R., Avezum, Á., Moreira-Almeida, A., Pinto, I. M. F., & Moriguchi, E. H. (2020) · Revista da Sociedade de Cardiologia do Estado de São Paulo · doi:10.29381/0103-8559/20203003306-14 · Cited by 12
Stressors, Coping Resources, and Depressive Symptoms among Rural American Indian Older Adults
Roh, S., Brown-Rice, K. A., Lee, K. H., Lee, Y.-S., Lawler, M. J., & Martin, J. I. (2015) · Social Work in Public Health · doi:10.1080/19371918.2015.1019174 · Cited by 13
Promoting Spiritual Coping of Family Caregivers of an Adult Relative with Severe Mental Illness: Development and Test of a Nursing Intervention
Casaleiro, T., Martins, H., & Caldeira, S. (2024) · Healthcare · doi:10.3390/healthcare12131247 · Cited by 11
“A spiritual intervention in the On-cologist Assisted Spiritual Intervention Study (OASIS), implemented by oncologists, was found [16].”
Method
The Effectiveness of Psycho-spiritual Therapy among Mentally Ill Patients
NazrinAsyrafAdeeb, M., & Bahari, R. (2017) · doi:10.4172/2167-1044.1000267 · Cited by 11
An existential support program for people with cancer: Development and qualitative evaluation.
Hvidt, E. A., Hvidt, N., Graven, V., la Cour, K., Rottmann, N., Thomsen, K., Linqvist, O., Rasmussen, A., Skaarup, H., & Roessler, K. (2020) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2020.101768 · Cited by 10
Frequency of Private Prayer Predicts Survival Over 6 Years in a Nationwide U.S. Sample of Individuals with a Chronic Illness
Ironson, G., & Ahmad, S. S. (2023) · Journal of religion and health · doi:10.1007/s10943-023-01870-z · Cited by 9
“Koenig (2013) and Kristeller et al. (2005) have also developed spiritual approaches and assessment that may be incorporated into patient care.”
Background
Religious Leaders’ Opinions and Guidance Towards Oral Health Maintenance and Promotion: A Qualitative Study
Zini, A., Sgan-Cohen, H., & Feder-Bubis, P. (2015) · Journal of religion and health · doi:10.1007/s10943-013-9752-8 · Cited by 9
“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).”
Background
Religiousness and Spirituality in Coping with Cancer
Thuné‐Boyle, I. (2012) · Springer eBooks · doi:10.1007/978-1-4614-4866-2_9 · Cited by 4
Posttraumatic Growth in Breast Cancer Survivors: Sources of Support in Rural and Non-Rural Areas
LeBarre, S., & Riding-Malon, R. (2017) · Rural Mental Health · doi:10.1037/rmh0000069 · Cited by 8
Pharmacists' spiritual care perspectives and experiences: Qualitative findings from a statewide survey.
Gavaza, P., Rawal, B., & Taylor, E. (2021) · Journal of the American Pharmacists Association · doi:10.1016/j.japh.2021.03.008 · Cited by 7
Spirituality in oncology - a consensus by the Brazilian Society of Clinical Oncology
Toloi, D. A., Landeiro, L. C. G., Gadia, R., Chaves, C. D. L. G., Forte, D. N., Castilho, R. K., Garcia, J. B. S., de Andrade, C. J. C., Gauí, M. D. F. D., Mathias-Machado, M. C., et al. (2022) · Brazilian Journal of Oncology · doi:10.5935/2526-8732.20220352 · Cited by 6
“[29] In cancer survivors, spirituality is also associated with an improved quality of life.”
Welche Fachpersonen zeigen sich in der Literatur zuständig für die spirituellen Bedürfnisse von Patientinnen und Patienten mit einer neuen Krebsdiagnose?
Zumstein-Shaha, M., & Alder, J. (2018) · Spiritual Care · doi:10.1515/spircare-2018-0017 · Cited by 6
Spiritual Practice, Health Promotion, and the Elusive Soul: Perspectives from Public Health
Oman, D. (2011) · Pastoral Psychology · doi:10.1007/s11089-011-0359-2 · Cited by 6
“Others provide simple tools or experiences to connect recipients more effectively to spiritual resources (Bormann et al. 2008; Kristeller et al. 2005 ).”
Background
Role of Spirituality in Mental Health in Nepal
Poudel, A. (2020) · JNMA; journal of the Nepal Medical Association · doi:10.31729/jnma.5110 · Cited by 5
"If it weren't for my faith": spirituality in advanced cancer.
Shih, J., Moczynski, W., Gallivan, K., & Balboni, T. (2019) · Annals of Palliative Medicine · doi:10.21037/apm.2019.11.05 · Cited by 5
“In contrast, terminally-ill patients receiving spiritual care from their medical teams have better quality of life, existential well-being, and social support (13-15).”
Background
Spiritual Needs of Couples Facing Pregnancy Termination Because of Fetal Anomalies
Cowchock, F., Meador, K., Floyd, S. E., & Swamy, G. (2011) · Journal of Pastoral Care & Counseling · doi:10.1177/154230501106500204 · Cited by 5
The spiritual history.
Koenig, H. (2006) · Southern medical journal (Birmingham, Ala. Print) · doi:10.1097/01.smj.0000242751.31841.35 · Cited by 5
Spiritual Dimensions of Pain and Suffering
Wachholtz, A., & Makowski, S. (2013) · Springer eBooks · doi:10.1007/978-1-4419-1651-8_36 · Cited by 5
Clinical Practice, Religion, and Spirituality
Oman, D. (2018) · Religion, spirituality and health: a social scientific approach · doi:10.1007/978-3-319-73966-3_14 · Cited by 4
Posicionamento sobre Hipertensão Arterial e Espiritualidade – 2021
Nobre, F., Esporcatte, R., Brandão, A. A., Avezum, Á., Feitosa, A., Amodeo, C., Barbosa, E., Moriguchi, E., Lucchese, F., Griz, H. B., et al. (2021) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20210723 · Cited by 3
Spiritual and religious interventions for adults with cancer and their carers: an overview of systematic reviews
Yan, B., Xu, X.-Y., Cheung, D. S. T., & Lin, C.-C. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013675 · Cited by 3
Meeting the Unmet Needs of Aging Heart Failure Patients: A Role for Palliative Care
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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.
ORCID: Kristeller, Jean L.
Sheets, Virgil
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
DOI: 10.2190/8ae4-f01c-60m0-85c8
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
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
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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Oncologist Assisted Spiritual Intervention Study (OASIS): Patient Acceptability and Initial Evidence of Effects

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