The National Institutes of Health Measure of Healing Experience of All Life Stressors (NIH-HEALS)
2019年8月21日 更新者：Ann Berger, M.D.、National Institutes of Health Clinical Center (CC)
The National Institutes of Health Measure of Healing Experience of All Life Stressors (NIH-HEALS): Factor Analysis and Validation
NIH-Healing Experience in All Life Stressors (NIH-HEALS) is a 35 item self-report questionnaire developed by the NIH Clinical Center Pain and Palliative care.
It assesses an individual's mechanisms for coping as a means to reach "healing" during life's difficult situations and/or life limiting challenges.
The factorial structure of the tool has been recently re-examined with 200 patients.
The three main factors are: Connection (including religious, spiritual, interpersonal), Reflection/ Introspection, and Trust/Acceptance.
調査の概要
状態
完了
詳細な説明
At the Clinical Center Pain and Palliative Care Service (PPCS) we have developed a pscyho-social-spiritual measure, the Healing Experience in all Life Stressors (HEALS), that focuses on the healing experience in people with severe and life limiting illness.
We have validated this tool further in order to be able to identify those individuals who may benefit from additional interventions to cope with their illness and even assist them in reaching a healing experience that is possible even in the midst of their unfavorable circumstances.
Identification of vulnerable individuals as well individuals who do have transformative experience after being diagnosed with severe and life limiting illness, has far-reaching impact on the quality of patient care for the very sick patients.
研究の種類
観察的
入学 (実際)
200
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
-
-
Maryland
-
Bethesda、Maryland、アメリカ、20892
- National Institute Of Health
-
-
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年歳以上 (大人、高齢者)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
サンプリング方法
非確率サンプル
調査対象母集団
All patients had a history of a serious chronic illness and were already involved in experimental treatments and research projects for the study and treatment of their particular disease at the NIH Clinical Center.
説明
Inclusion Criteria:
- Age of 18 or above
- The ability to read and write in English
- The presence or history of a serious and/or life-threatening disease
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
コホートと介入
グループ/コホート |
|---|
|
Participants
Those with severe chronic illnesses, which included but were not limited to various forms of advanced cancer, blood dyscrasias, graft vs. host disease, and rare genetic conditions.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
National Institutes of Health- Healing Experience of All Life Stressors (NIH-HEALS)
時間枠：7 months
|
Based on our validation study (Ameli et.al., 2018), we now propose a 35-item, three-factor NIH-HEALS as a measure of psycho-social-spiritual healing.
These three factors include: Connection, Reflection & Introspection, and Trust & Acceptance.
|
7 months
|
|
Self Integration Scale (SIS) -V2
時間枠：7 months
|
SIS is an 18 item self report measure with 2 factors: Healed and Co-dependent.
As predicted NIH-HEALS positively correlated with the Healed and negative correlated with the Co-dependent factors.
|
7 months
|
|
Functional Assessment of Chronic Illness Therapy-Spiritual well being (FACIT-SP)
時間枠：7 months
|
FACIT-SP is a 12 item self report that measures spiritual well being and is a part of the larger FACIT measurement system (www.FACIT.org).
A 3 factor structure has been reported with cancer patients and include meaning, peace, and faith.
As predicted, NIH-HEALS correlated positively with these 3 factors.
|
7 months
|
|
Mindful Attention Awareness Scale (MAAS)
時間枠：7 months
|
MAAS is a self report measure of trait mindfulness with 15 items.
As predicted NIH-HEALS correlated positively with MAAS.
|
7 months
|
|
The Connor-Davidson Resilience Scale (CD-RISC) (10 item version)
時間枠：7 months
|
CD-RSIC is a 10 item self-report measure of resilience.
As predicted NIH-HEALS positively correlated with CD-RISC
|
7 months
|
|
Life Events Checklist 5 (LEC-5) (standard self-report)
時間枠：7 months
|
LEC-5 is a 17 item self-report measure designed to screen for potentially traumatic events in a respondent's lifetime.
The LEC-5 assesses exposure to 16 events known to potentially result in PTSD or distress and includes one additional item assessing any other extraordinarily stressful event not captured in the first 16 items.
|
7 months
|
|
Demographic Questionnaire (DQ)
時間枠：7 months
|
DQ collected information on gender, age, ethnicity, race, marital status, religious affiliation, education, employment status, medical diagnosis, length of illness, severity of illness, psychiatric co-morbidity, perceived stress level, perceived level of social support, overall health status, and overall quality of life.
|
7 months
|
協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
- Egnew TR. The meaning of healing: transcending suffering. Ann Fam Med. 2005 May-Jun;3(3):255-62. doi: 10.1370/afm.313.
- Park CL. Making sense of the meaning literature: an integrative review of meaning making and its effects on adjustment to stressful life events. Psychol Bull. 2010 Mar;136(2):257-301. doi: 10.1037/a0018301.
- Skeath P, Norris S, Katheria V, White J, Baker K, Handel D, Sternberg E, Pollack J, Groninger H, Phillips J, Berger A. The nature of life-transforming changes among cancer survivors. Qual Health Res. 2013 Sep;23(9):1155-67. doi: 10.1177/1049732313499074. Epub 2013 Jul 17.
- Sloan DH, BrintzenhofeSzoc K, Kichline T, Baker K, Pinzon JP, Tafe C, Li L, Cheng MJ, Berger A. An assessment of meaning in life-threatening illness: development of the Healing Experience in All Life Stressors (HEALS). Patient Relat Outcome Meas. 2017 Feb 16;8:15-21. doi: 10.2147/PROM.S118696. eCollection 2017.
- Young WC, Nadarajah SR, Berger AM. Supportive medical care in life-threatening illness: A pilot study. Palliat Support Care. 2016 Dec;14(6):680-685. doi: 10.1017/S147895151600033X. Epub 2016 May 24.
- Ameli R, Sinaii N, Luna MJ, Cheringal J, Gril B, Berger A. The National Institutes of Health measure of Healing Experience of All Life Stressors (NIH-HEALS): Factor analysis and validation. PLoS One. 2018 Dec 12;13(12):e0207820. doi: 10.1371/journal.pone.0207820. eCollection 2018.
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (実際)
2017年6月15日
一次修了 (実際)
2017年9月21日
研究の完了 (実際)
2017年12月31日
試験登録日
最初に提出
2019年3月11日
QC基準を満たした最初の提出物
2019年3月11日
最初の投稿 (実際)
2019年3月12日
学習記録の更新
投稿された最後の更新 (実際)
2019年8月26日
QC基準を満たした最後の更新が送信されました
2019年8月21日
最終確認日
2019年8月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。