Description of a training protocol to improve research reproducibility for dignity therapy: an interview-based intervention
- 26 May 2021
- journal article
- research article
- Published by Cambridge University Press (CUP) in Palliative & Supportive Care
- Vol. 20 (2), 178-188
- https://doi.org/10.1017/s1478951521000614
Abstract
Background Dignity Therapy (DT) has been implemented over the past 20 years, but a detailed training protocol is not available to facilitate consistency of its implementation. Consistent training positively impacts intervention reproducibility. Objective The objective of this article is to describe a detailed method for DT therapist training. Method Chochinov's DT training seminars included preparatory reading of the DT textbook, in-person training, and practice interview sessions. Building on this training plan, we added feedback on practice and actual interview sessions, a tracking form to guide the process, a written training manual with an annotated model DT transcript, and quarterly support sessions. Using this training method, 18 DT therapists were trained across 6 sites. Results The DT experts’ verbal and written feedback on the practice and actual sessions encouraged the trainees to provide additional attention to eight components: (1) initial framing (i.e., clarifying and organizing of the patient's own goals for creating the legacy document), (2) verifying the patient's understanding of DT, (3) gathering the patient's biographical information, (4) using probing questions, (5) exploring the patient's story thread, (6) refocusing toward the legacy document creation, (7) inviting the patient's expression of meaningful messages, and (8) general DT processes. Evident from the ongoing individual trainee mentoring was achievement and maintenance of adherence to the DT protocol. Discussion The DT training protocol is a process to enable consistency in the training process, across waves of trainees, toward the goal of maintaining DT implementation consistency. This training protocol will enable future DT researchers and clinicians to consistently train therapists across various disciplines and locales. Furthermore, we anticipate that this training protocol could be generalizable as a roadmap for implementers of other life review and palliative care interview-based interventions.Keywords
This publication has 32 references indexed in Scilit:
- Is dignity therapy feasible to enhance the end of life experience for people with motor neurone disease and their family carers?BMC Palliative Care, 2012
- Examination of standardized patient performance: Accuracy and consistency of six standardized patients over timePatient Education and Counseling, 2011
- Effect of dignity therapy on distress and end-of-life experience in terminally ill patients: a randomised controlled trialThe Lancet Oncology, 2011
- Systematic evaluation of implementation fidelity of complex interventions in health and social careImplementation Science, 2010
- Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective.Clinical Psychology: Science and Practice, 2010
- Assessing the feasibility, acceptability and potential effectiveness of Dignity Therapy for people with advanced cancer referred to a hospital-based palliative care team: Study protocolBMC Palliative Care, 2009
- A Phase II randomised controlled trial assessing the feasibility, acceptability and potential effectiveness of Dignity Therapy for older people in care homes: Study protocolBMC Geriatrics, 2009
- Dignity Therapy: A Novel Psychotherapeutic Intervention for Patients Near the End of LifeJournal of Clinical Oncology, 2005
- Enhancing Treatment Fidelity in Health Behavior Change Studies: Best Practices and Recommendations From the NIH Behavior Change Consortium.Health Psychology, 2004
- Intervention FidelityNursing Research, 2004