Trial Outcomes & Findings for Outlook Quality of Life Intervention Study (NCT NCT01044290)

NCT ID: NCT01044290

Last Updated: 2015-11-20

Results Overview

Quality Of Life At The End Of Life (the QUAL-E 2009) is a 31 item measure of quality of life at the end of life assessing five domains: life completion, relationship with health care providers, preparation for death, physical symptoms and affective social support. We include the 4-item preparation sub-scale as a primary outcomes measure. Individual items used a 5 point likert scale. The sub-scale minimum score was 5 and maximum was 20 with higher numbers indicating higher preparation.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

221 participants

Primary outcome timeframe

Baseline (n=75, 74, 72), 5 weeks (n=61, 59, 60) and 7 weeks (n=64, 56, 64)

Results posted on

2015-11-20

Participant Flow

A total of 221 patients were recruited from the outpatient clinics and nursing home care unit from the Durham VA Medical Center from 1/2011 to 12/2013. Patients were eligible if they were considered to have serious life-limited disease, identified by clinical criteria, with staging/prognosis confirmed by a provider.

Eligible participants were consented, screened with the Mini Mental Status Exam (MMSE), given a baseline interview, then randomized to group. Reasons for not randomizing participants included death, drop-out, unable to contact, and study removal due to non-eligibility.

Participant milestones

Participant milestones
Measure
Outlook Intervention
Subjects in the first group ("Outlook Intervention") completed a psychosocial intervention which consisted of meeting with the facilitator three times for 45-60 minutes each. In the first session, subjects were asked to discuss issues related to life review. In session two, participants spoke about issues of regret and forgiveness. In the final session, subjects focused on heritage and legacy.
Attention Control
Subjects in the second group ("attention control") met with a facilitator three times for 45 minutes and listened to a non-guided relaxation CD. Attention Control: Subjects will listen to a non-guided relaxation CD
Arm 3 Treatment as Usual
Subjects in the third group ("treatment as usual") were exposed to no intervention or attention control during the intervention window.
Randomization
STARTED
75
74
72
Randomization
Randomized
75
74
72
Randomization
COMPLETED
75
74
72
Randomization
NOT COMPLETED
0
0
0
Follow-up 1
STARTED
75
74
72
Follow-up 1
Completed F1 Interview
61
60
61
Follow-up 1
COMPLETED
70
69
71
Follow-up 1
NOT COMPLETED
5
5
1
Follow-Up 2
STARTED
70
69
71
Follow-Up 2
Completed F2 Interview
64
57
64
Follow-Up 2
COMPLETED
70
67
69
Follow-Up 2
NOT COMPLETED
0
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Outlook Intervention
Subjects in the first group ("Outlook Intervention") completed a psychosocial intervention which consisted of meeting with the facilitator three times for 45-60 minutes each. In the first session, subjects were asked to discuss issues related to life review. In session two, participants spoke about issues of regret and forgiveness. In the final session, subjects focused on heritage and legacy.
Attention Control
Subjects in the second group ("attention control") met with a facilitator three times for 45 minutes and listened to a non-guided relaxation CD. Attention Control: Subjects will listen to a non-guided relaxation CD
Arm 3 Treatment as Usual
Subjects in the third group ("treatment as usual") were exposed to no intervention or attention control during the intervention window.
Follow-up 1
Death
3
3
1
Follow-up 1
Withdrawal by Subject
2
2
0
Follow-Up 2
Death
0
1
1
Follow-Up 2
Withdrawal by Subject
0
1
1

Baseline Characteristics

Outlook Quality of Life Intervention Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1 -Outlook Intervention
n=75 Participants
Subjects in the first group ("Outlook Intervention") completed a psychosocial intervention which consists of meeting with the facilitator three times for 45-60 minutes each. In the first session, subjects were asked to discuss issues related to life review. In session two, participants spoke about issues of regret and forgiveness. In the final session, subjects focused on issues of heritage and legacy. Life Completion: Subjects will discuss life review, issues of forgiveness and heritage and legacy.
Arm 2 Attention Control
n=74 Participants
The subjects in the second group ("attention control") met with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD. Attention Control: Subjects will listen to a non-guided relaxation CD
Arm 3 Treatment as Usual
n=72 Participants
Subjects in the third group ("Treatment as Usual") were exposed to no intervention or attention control during the intervention window.
Total
n=221 Participants
Total of all reporting groups
Age, Continuous
68.7 years
STANDARD_DEVIATION 9.4 • n=5 Participants
68.2 years
STANDARD_DEVIATION 9.8 • n=7 Participants
66.4 years
STANDARD_DEVIATION 8.3 • n=5 Participants
67.8 years
STANDARD_DEVIATION 9.2 • n=4 Participants
Sex: Female, Male
Female
74 Participants
n=5 Participants
68 Participants
n=7 Participants
70 Participants
n=5 Participants
212 Participants
n=4 Participants
Sex: Female, Male
Male
1 Participants
n=5 Participants
6 Participants
n=7 Participants
2 Participants
n=5 Participants
9 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
3 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
75 Participants
n=5 Participants
73 Participants
n=7 Participants
70 Participants
n=5 Participants
218 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
38 Participants
n=5 Participants
31 Participants
n=7 Participants
28 Participants
n=5 Participants
97 Participants
n=4 Participants
Race (NIH/OMB)
White
36 Participants
n=5 Participants
42 Participants
n=7 Participants
39 Participants
n=5 Participants
117 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
1 Participants
n=7 Participants
5 Participants
n=5 Participants
7 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
75 participants
n=5 Participants
74 participants
n=7 Participants
72 participants
n=5 Participants
221 participants
n=4 Participants
Palliative Performance Scale - Stratification variable
High (greater or = 70)
55 participants
n=5 Participants
55 participants
n=7 Participants
54 participants
n=5 Participants
164 participants
n=4 Participants
Palliative Performance Scale - Stratification variable
Low (less or = 60)
20 participants
n=5 Participants
19 participants
n=7 Participants
18 participants
n=5 Participants
57 participants
n=4 Participants
Highest level of Education
Less than High School (HS) degree
6 participants
n=5 Participants
7 participants
n=7 Participants
8 participants
n=5 Participants
21 participants
n=4 Participants
Highest level of Education
HS degree or GED
25 participants
n=5 Participants
29 participants
n=7 Participants
25 participants
n=5 Participants
79 participants
n=4 Participants
Highest level of Education
Some college, associate, trade school
31 participants
n=5 Participants
29 participants
n=7 Participants
24 participants
n=5 Participants
84 participants
n=4 Participants
Highest level of Education
Bachelor's degree
8 participants
n=5 Participants
4 participants
n=7 Participants
9 participants
n=5 Participants
21 participants
n=4 Participants
Highest level of Education
some graduate/professional or higher degree
5 participants
n=5 Participants
5 participants
n=7 Participants
6 participants
n=5 Participants
16 participants
n=4 Participants
Religion
Christian
72 participants
n=5 Participants
69 participants
n=7 Participants
62 participants
n=5 Participants
203 participants
n=4 Participants
Religion
Other
1 participants
n=5 Participants
1 participants
n=7 Participants
3 participants
n=5 Participants
5 participants
n=4 Participants
Religion
Not a member of a religion
2 participants
n=5 Participants
3 participants
n=7 Participants
5 participants
n=5 Participants
10 participants
n=4 Participants
Religion
Missing
0 participants
n=5 Participants
1 participants
n=7 Participants
2 participants
n=5 Participants
3 participants
n=4 Participants
Financial Status
Difficulty paying the bills
12 participants
n=5 Participants
14 participants
n=7 Participants
10 participants
n=5 Participants
36 participants
n=4 Participants
Financial Status
Money to pay bills but need to cut back
20 participants
n=5 Participants
19 participants
n=7 Participants
19 participants
n=5 Participants
58 participants
n=4 Participants
Financial Status
Pay bills but little spare money
25 participants
n=5 Participants
25 participants
n=7 Participants
22 participants
n=5 Participants
72 participants
n=4 Participants
Financial Status
Have enough money for special things
18 participants
n=5 Participants
16 participants
n=7 Participants
21 participants
n=5 Participants
55 participants
n=4 Participants
Working Status
Working for pay, part or full-time
4 participants
n=5 Participants
7 participants
n=7 Participants
4 participants
n=5 Participants
15 participants
n=4 Participants
Working Status
Not working
4 participants
n=5 Participants
6 participants
n=7 Participants
9 participants
n=5 Participants
19 participants
n=4 Participants
Working Status
Retired
44 participants
n=5 Participants
41 participants
n=7 Participants
41 participants
n=5 Participants
126 participants
n=4 Participants
Working Status
Disability
23 participants
n=5 Participants
20 participants
n=7 Participants
18 participants
n=5 Participants
61 participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline (n=75, 74, 72), 5 weeks (n=61, 59, 60) and 7 weeks (n=64, 56, 64)

Quality Of Life At The End Of Life (the QUAL-E 2009) is a 31 item measure of quality of life at the end of life assessing five domains: life completion, relationship with health care providers, preparation for death, physical symptoms and affective social support. We include the 4-item preparation sub-scale as a primary outcomes measure. Individual items used a 5 point likert scale. The sub-scale minimum score was 5 and maximum was 20 with higher numbers indicating higher preparation.

Outcome measures

Outcome measures
Measure
Arm 1 -Outlook Intervention
n=75 Participants
Participants received the Outlook Intervention
Arm 2 Attention Control
n=74 Participants
Participants received a relaxation meditation as attention control
Arm 3 Treatment as Usual
n=72 Participants
Participants received no intervention, but rather care as usual
QUAL-E - Preparation Sub-scale
Baseline mean
15.7 units on a scale
Standard Deviation 3.3
14.5 units on a scale
Standard Deviation 3.5
14.8 units on a scale
Standard Deviation 3.9
QUAL-E - Preparation Sub-scale
5 week follow up
16.0 units on a scale
Standard Deviation 3.1
15.5 units on a scale
Standard Deviation 3.3
14.4 units on a scale
Standard Deviation 3.9
QUAL-E - Preparation Sub-scale
7 week follow up
15.5 units on a scale
Standard Deviation 3.2
15.2 units on a scale
Standard Deviation 3.5
14.6 units on a scale
Standard Deviation 3.5

PRIMARY outcome

Timeframe: Baseline (n=75, 74, 72), 5 weeks (n=61, 59, 60) and 7 weeks (n=64, 55, 64)

Quality Of Life At The End Of Life (the QUAL-E 2009) is a 31 item measure of quality of life at the end of life assessing five domains: life completion, relationship with health care providers, preparation for death, physical symptoms and affective social support. We include the 7-item life completion sub-scale as a primary outcomes measure. Individual items used a 5 point likert scale. The sub-scale minimum score was 7 and maximum was 35 with higher scores indicating greater completion.

Outcome measures

Outcome measures
Measure
Arm 1 -Outlook Intervention
n=75 Participants
Participants received the Outlook Intervention
Arm 2 Attention Control
n=74 Participants
Participants received a relaxation meditation as attention control
Arm 3 Treatment as Usual
n=72 Participants
Participants received no intervention, but rather care as usual
QUAL-E Life Completion Sub-scale
Baseline
26.0 units on a scale
Standard Deviation 5.3
26.4 units on a scale
Standard Deviation 5.7
25.8 units on a scale
Standard Deviation 5.4
QUAL-E Life Completion Sub-scale
5 weeks
26.6 units on a scale
Standard Deviation 4.6
26.4 units on a scale
Standard Deviation 5.7
25.6 units on a scale
Standard Deviation 6.0
QUAL-E Life Completion Sub-scale
7 weeks
26.1 units on a scale
Standard Deviation 5.1
27.5 units on a scale
Standard Deviation 4.9
25.6 units on a scale
Standard Deviation 4.8

SECONDARY outcome

Timeframe: Baseline (n=75, 74, 72), 5 weeks (n=61, 60, 60), 7 weeks (n=64, 57, 64)

The anxiety sub-scale from the modified Brief Profile of Mood States (POMS) is a 5-item measure of psychological distress.Items are on a 5-point likert scale with scoring ranging from 0-20. Higher scores indicate greater anxiety.

Outcome measures

Outcome measures
Measure
Arm 1 -Outlook Intervention
n=75 Participants
Participants received the Outlook Intervention
Arm 2 Attention Control
n=74 Participants
Participants received a relaxation meditation as attention control
Arm 3 Treatment as Usual
n=72 Participants
Participants received no intervention, but rather care as usual
POMS Anxiety Sub-scale
7 Weeks
5.9 units on a scale
Standard Deviation 4.1
5.3 units on a scale
Standard Deviation 3.8
6.7 units on a scale
Standard Deviation 4.7
POMS Anxiety Sub-scale
Baseline
5.5 units on a scale
Standard Deviation 4.5
5.9 units on a scale
Standard Deviation 4.1
6.5 units on a scale
Standard Deviation 4.6
POMS Anxiety Sub-scale
5 Weeks
5.4 units on a scale
Standard Deviation 3.8
5.6 units on a scale
Standard Deviation 4.1
5.9 units on a scale
Standard Deviation 4.6

SECONDARY outcome

Timeframe: Baseline (n=75, 74, 72), 5 weeks (n=61, 60, 61) and 7 weeks (n=64, 57, 64)

Center for Epidemiology Studies - Depression Scale (CES-D) is a 10-item measure of depression. Items are rated on a 4 point likert scale with total scores ranging from 0-30. Higher scores indicate greater depressive symptoms.

Outcome measures

Outcome measures
Measure
Arm 1 -Outlook Intervention
n=75 Participants
Participants received the Outlook Intervention
Arm 2 Attention Control
n=74 Participants
Participants received a relaxation meditation as attention control
Arm 3 Treatment as Usual
n=72 Participants
Participants received no intervention, but rather care as usual
CES-D
Baseline
7.9 units on a scale
Standard Deviation 5.4
8.9 units on a scale
Standard Deviation 5.8
9.4 units on a scale
Standard Deviation 6.1
CES-D
5 week
8.1 units on a scale
Standard Deviation 5.0
8.4 units on a scale
Standard Deviation 5.2
9.2 units on a scale
Standard Deviation 6.5
CES-D
7 Week
8.8 units on a scale
Standard Deviation 5.1
9.2 units on a scale
Standard Deviation 6.3
9.6 units on a scale
Standard Deviation 5.5

SECONDARY outcome

Timeframe: Baseline (n=75, 74, 72), 5 weeks (61, 59, 60) and 7 weeks (64, 56, 63)

The Functional Assessment of Chronic Illness Therapy- Spiritual Well-being Scale (Facit-SP) is a 12-item measure of faith, meaning and purpose, with a range of 0 to 48. Higher scores indicate greater spiritual well-being.

Outcome measures

Outcome measures
Measure
Arm 1 -Outlook Intervention
n=75 Participants
Participants received the Outlook Intervention
Arm 2 Attention Control
n=74 Participants
Participants received a relaxation meditation as attention control
Arm 3 Treatment as Usual
n=72 Participants
Participants received no intervention, but rather care as usual
FACIT-SP
Baselin
34.5 units on a scale
Standard Deviation 8.0
33.6 units on a scale
Standard Deviation 9.1
32.8 units on a scale
Standard Deviation 8.8
FACIT-SP
5 Weeks
34.6 units on a scale
Standard Deviation 7.6
33.8 units on a scale
Standard Deviation 8.5
33.9 units on a scale
Standard Deviation 9.6
FACIT-SP
7 Weeks
34.8 units on a scale
Standard Deviation 8.0
34.2 units on a scale
Standard Deviation 8.4
33.9 units on a scale
Standard Deviation 9.0

SECONDARY outcome

Timeframe: Baseline (n=75, 74, 72), 5 weeks (n=61, 60, 61) and 7 weeks (64, 57, 64)

Functional assessment of Cancer Therapy-General) is a 27 item survey which assesses physical, social/family, emotional, and functional well being. This sub-scale assesses social well-being. We omitted an item assessing satisfaction with sex life, due to high missing data. Items are rated on a 5 point likert scale, with 0 indicating "not at all" and 4 indicating, "very much" in response to item questions. Total sub-scale range is 0 to 30, with higher scores indicating better well-being.

Outcome measures

Outcome measures
Measure
Arm 1 -Outlook Intervention
n=75 Participants
Participants received the Outlook Intervention
Arm 2 Attention Control
n=74 Participants
Participants received a relaxation meditation as attention control
Arm 3 Treatment as Usual
n=72 Participants
Participants received no intervention, but rather care as usual
FACT-G - Social Sub-scale
Baseline
18.0 units on a scale
Standard Deviation 4.9
17.4 units on a scale
Standard Deviation 4.5
17.4 units on a scale
Standard Deviation 5.1
FACT-G - Social Sub-scale
5 Weeks
18.4 units on a scale
Standard Deviation 5.2
17.6 units on a scale
Standard Deviation 4.8
17.1 units on a scale
Standard Deviation 5.0
FACT-G - Social Sub-scale
7 Weeks
18.5 units on a scale
Standard Deviation 4.6
18.3 units on a scale
Standard Deviation 4.7
16.7 units on a scale
Standard Deviation 5.7

Adverse Events

Outlook Intervention

Serious events: 12 serious events
Other events: 6 other events
Deaths: 0 deaths

Attention Control

Serious events: 16 serious events
Other events: 8 other events
Deaths: 0 deaths

Treatment as Usual

Serious events: 13 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Outlook Intervention
n=75 participants at risk
Subjects in the first group ("Life Completion") will complete a psychosocial intervention which consists of meeting with the facilitator three times for 45-60 minutes each. In the first session, subjects will be asked to discuss issues related to life review. In session two, participants will speak about issues of regret and forgiveness. In the final session, subjects will focus on heritage and legacy. Life Completion: Subjects will discuss life review, issues of forgiveness and heritage and legacy.
Attention Control
n=74 participants at risk
The subjects in the second group ("attention control") will meet with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD.
Treatment as Usual
n=72 participants at risk
Subjects in the third group ("treatment as usual") will be exposed to no intervention or attention control during the intervention window.
Cardiac disorders
cardiac
4.0%
3/75 • Number of events 3
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
0.00%
0/74
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
1.4%
1/72 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
General disorders
death
4.0%
3/75 • Number of events 3
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
4.1%
3/74 • Number of events 3
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
2.8%
2/72 • Number of events 2
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
General disorders
general
1.3%
1/75 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
4.1%
3/74 • Number of events 3
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
1.4%
1/72 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
neoplasm
1.3%
1/75 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
5.4%
4/74 • Number of events 4
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
1.4%
1/72 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
Surgical and medical procedures
procedural complicaton
1.3%
1/75 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
1.4%
1/74 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
4.2%
3/72 • Number of events 3
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
Psychiatric disorders
psychiatric
1.3%
1/75 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
0.00%
0/74
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
0.00%
0/72
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
Surgical and medical procedures
surgery
2.7%
2/75 • Number of events 2
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
1.4%
1/74 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
1.4%
1/72 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
Respiratory, thoracic and mediastinal disorders
respiratory
0.00%
0/75
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
2.7%
2/74 • Number of events 2
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
4.2%
3/72 • Number of events 3
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
Skin and subcutaneous tissue disorders
skin
0.00%
0/75
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
1.4%
1/74 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
0.00%
0/72
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
Renal and urinary disorders
renal
0.00%
0/75
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
0.00%
0/74
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
1.4%
1/72 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
Vascular disorders
vascular
0.00%
0/75
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
1.4%
1/74 • Number of events 1
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
0.00%
0/72
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.

Other adverse events

Other adverse events
Measure
Outlook Intervention
n=75 participants at risk
Subjects in the first group ("Life Completion") will complete a psychosocial intervention which consists of meeting with the facilitator three times for 45-60 minutes each. In the first session, subjects will be asked to discuss issues related to life review. In session two, participants will speak about issues of regret and forgiveness. In the final session, subjects will focus on heritage and legacy. Life Completion: Subjects will discuss life review, issues of forgiveness and heritage and legacy.
Attention Control
n=74 participants at risk
The subjects in the second group ("attention control") will meet with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD.
Treatment as Usual
n=72 participants at risk
Subjects in the third group ("treatment as usual") will be exposed to no intervention or attention control during the intervention window.
Psychiatric disorders
psychiatric
4.0%
3/75 • Number of events 3
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
6.8%
5/74 • Number of events 5
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
2.8%
2/72 • Number of events 2
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
Infections and infestations
infection
4.0%
3/75 • Number of events 3
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
4.1%
3/74 • Number of events 3
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.
5.6%
4/72 • Number of events 4
Adverse events were reported according to organ system rather than specific condition. Thus "cardiac" might include myocardial infarction as well as other cardiac events.

Additional Information

Karen Steinhauser, PhD

HSRD, Durham VAMC

Phone: 919 668-2148

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place