testing the feasibility of the dignity therapy interview adaptation for the danish culture测试的可行性尊严疗法采访丹麦文化适应.pdf

Houmann et al. BMC Palliative Care 2010, 9:21 /1472-684X/9/21 RESEARCH ARTICLE Open Access Testing the feasibility of the Dignity Therapy interview: adaptation for the Danish culture 1* 1 2 3 1,4 Lise J Houmann , Susan Rydahl-Hansen , Harvey M Chochinov , Linda J Kristjanson , Mogens Groenvold Abstract Background: ‘Dignity Therapy’ (DT) is a brief, flexible intervention, which allows patients to complete an interview and create a document regarding their life, identity and what they want to leave in writing for their loved ones. DT is based on the DT Question Protocol. Developed and tested in English speaking settings, DT has proven to be a feasible and effective way to enhance patient dignity, while diminishing suffering and depression. The aim of this study was to test the acceptability and feasibility of the DT Question Protocol among Danish health professionals and cancer patients, and to obtain preliminary estimates of patient uptake for DT. These results will be used to inform a larger evaluation study. Method: Ten professionals were interviewed about their perception of DT and the Question Protocol. It was then tested with 20 patients at two palliative care sites and one gynecologic oncology department. Data was analyzed using content analysis techniques to evaluate the protocol for relevance, acceptability and comprehension. The interest and relevance of the intervention was also determined by examining the preliminary participation rate. Results: Overall, DT was perceived to be comprehensible and relevant. Professionals highlighted six concerns that might warrant modification. These issues were examined using patient data. Some of their concerns overlapped with those raised by the