Bibliographic Details
| Title: |
A randomized controlled trial of a compassion-centered spiritual health intervention to improve hospital inpatient outcomes. |
| Authors: |
Mascaro, Jennifer S., Palmer, Patricia K., Ash, Marcia J., Florian, Marianne P., Kaplan, Deanna M., Palitsky, Roman, Cole, Steven P., Shelton, Maureen, Raison, Charles L., Grant, George H. |
| Source: |
PLoS ONE; 3/3/2025, Vol. 20 Issue 3, p1-17, 17p |
| Subject Terms: |
PSYCHOLOGICAL distress, LINGUISTIC analysis, RANDOMIZED controlled trials, SPRING, CHAPLAINS |
| Abstract: |
Background: Inpatient medical settings lack evidence-based spiritually integrated interventions to address patient care needs within a pluralistic religious landscape. To address this gap, CCSH™ (Compassion-Centered Spiritual Health) was developed to leverage the skillsets of healthcare chaplains to improve patient outcomes through spiritual consultation. Here, we report the results of a randomized, wait-list controlled, pre-registered (NCT03529812) study that evaluated the impact of CCSH on patient-reported depression and explored putative mediators of CCSH's effects. Method: Chaplain residents were randomized to be trained in CCSH as part of their clinical pastoral education (CPE) residency in the fall (n = 8) or spring semester (n = 8). After fall training, all residents provided spiritual consultations with hospitalized patients (n = 119; n = 54 seen by CCSH-trained chaplains). Those not yet trained to deliver CCSH provided a traditional consult. Patients' pre-consult distress was measured using the National Comprehensive Cancer Network Distress Thermometer, and post-consult depression was measured using the Hospital Anxiety and Depression Scale (HADS). Consults were audio-recorded and transcribed verbatim, and we conducted linguistic analyses using LIWC 2015 software to quantify chaplain linguistic behavior. Results: Patients seen by CCSH-trained chaplains had lower post-consult depression scores (M = 4.10, SD = 5.04) than patients who were seen by wait-listed chaplains (M = 6.12, SD = 5.08), after adjusting for pre-consult distress (p =.048). There was also a significant relationship between post-consult depression and chaplain LIWC clout scores (r = -0.24, p =.017), a linguistic measure thought to reflect the expressive confidence and other-oriented focus of the speaker. An exploratory mediation model revealed an indirect effect of CCSH on patient depression through chaplain clout language b = -0.11 (90% CI, -.257, -.003). Implications: These data suggest that CCSH decreases patient depression among inpatients, in part due to CCSH-trained chaplains' use of more inclusive, confident, and other-oriented language. We connect these findings with current understandings of effective clinical linguistic behavior and reflect on what this work may mean for integrated spiritual health care. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
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