Flowchart of study procedures.

<div><p>Background</p><p>Spirituality is vital to holistic patient care and should be proactively addressed by healthcare providers as unmet spiritual needs are a major source of suffering for patients living with chronic illnesses. However, spiritual concerns are seldom refe...

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Auteur principal: Melinda Xu (22676384) (author)
Autres auteurs: Adrianne Smiley (22518413) (author), Anita Aboagye (22676387) (author), Tamara Nix Parker (22676390) (author), Kameron Phillips (22676393) (author), Kwaku Duah Oppong (22676396) (author), Alexia M. Torke (7133582) (author), Shelley Varner Perez (22676399) (author), Sarah Khalidi (22676402) (author), George Fitchett (7921214) (author), Raegan W. Durant (5459534) (author), Deborah Ejem (4406359) (author)
Publié: 2025
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author Melinda Xu (22676384)
author2 Adrianne Smiley (22518413)
Anita Aboagye (22676387)
Tamara Nix Parker (22676390)
Kameron Phillips (22676393)
Kwaku Duah Oppong (22676396)
Alexia M. Torke (7133582)
Shelley Varner Perez (22676399)
Sarah Khalidi (22676402)
George Fitchett (7921214)
Raegan W. Durant (5459534)
Deborah Ejem (4406359)
author2_role author
author
author
author
author
author
author
author
author
author
author
author_facet Melinda Xu (22676384)
Adrianne Smiley (22518413)
Anita Aboagye (22676387)
Tamara Nix Parker (22676390)
Kameron Phillips (22676393)
Kwaku Duah Oppong (22676396)
Alexia M. Torke (7133582)
Shelley Varner Perez (22676399)
Sarah Khalidi (22676402)
George Fitchett (7921214)
Raegan W. Durant (5459534)
Deborah Ejem (4406359)
author_role author
dc.creator.none.fl_str_mv Melinda Xu (22676384)
Adrianne Smiley (22518413)
Anita Aboagye (22676387)
Tamara Nix Parker (22676390)
Kameron Phillips (22676393)
Kwaku Duah Oppong (22676396)
Alexia M. Torke (7133582)
Shelley Varner Perez (22676399)
Sarah Khalidi (22676402)
George Fitchett (7921214)
Raegan W. Durant (5459534)
Deborah Ejem (4406359)
dc.date.none.fl_str_mv 2025-11-24T18:24:43Z
dc.identifier.none.fl_str_mv 10.1371/journal.pone.0337436.g001
dc.relation.none.fl_str_mv https://figshare.com/articles/figure/Flowchart_of_study_procedures_/30696677
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Medicine
Biotechnology
Cancer
Science Policy
Infectious Diseases
Virology
Biological Sciences not elsewhere classified
related treatment discussions
encompasses demographic information
effect size measures
unmet spiritual needs
xlink "> spirituality
holistic patient care
xlink ">
spiritual well
spiritual concerns
spiritual care
test outcomes
structured acceptability
seldom referenced
resourced patients
randomly assigned
proactively addressed
patients living
paper outlines
outpatient environment
major source
healthcare values
healthcare providers
control group
compare pre
chronic illnesses
chronic conditions
certified chaplain
bivariate tests
also undergo
aged 50
dc.title.none.fl_str_mv Flowchart of study procedures.
dc.type.none.fl_str_mv Image
Figure
info:eu-repo/semantics/publishedVersion
image
description <div><p>Background</p><p>Spirituality is vital to holistic patient care and should be proactively addressed by healthcare providers as unmet spiritual needs are a major source of suffering for patients living with chronic illnesses. However, spiritual concerns are seldom referenced by clinicians during disease-related treatment discussions, particularly for minority and under-resourced patients. This paper outlines a protocol for administering and evaluating a culturally-responsive spiritual care intervention conducted with chronically ill African Americans receiving care at a community safety net health service.</p><p>Methods</p><p>A total of 60 African American patients who have chronic conditions and are aged 50 or older will be recruited for this study and randomly assigned to either the intervention (spiritual care program delivered by a board-certified chaplain) or the control group. All participants will complete a baseline interview that encompasses demographic information, religiosity, spiritual well-being, quality of life, and perception of care. Follow-up surveys will be conducted 12 weeks post-baseline, and participants assigned to the intervention group will also undergo a semi-structured acceptability and feasibility interview. Effect size measures and bivariate tests will be used to compare pre- and post-test outcomes while the interviews will be analyzed using constant comparative and thematic analysis.</p><p>Discussion</p><p>Study findings will assess the feasibility and effectiveness of a culturally-responsive spiritual care intervention for under-resourced African American patients with chronic illnesses. Furthermore, the provision of spiritual care may help patients clarify their healthcare values and decision making priorities.</p></div>
eu_rights_str_mv openAccess
id Manara_fb139da414407c440728c86c1b51af84
identifier_str_mv 10.1371/journal.pone.0337436.g001
network_acronym_str Manara
network_name_str ManaraRepo
oai_identifier_str oai:figshare.com:article/30696677
publishDate 2025
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Flowchart of study procedures.Melinda Xu (22676384)Adrianne Smiley (22518413)Anita Aboagye (22676387)Tamara Nix Parker (22676390)Kameron Phillips (22676393)Kwaku Duah Oppong (22676396)Alexia M. Torke (7133582)Shelley Varner Perez (22676399)Sarah Khalidi (22676402)George Fitchett (7921214)Raegan W. Durant (5459534)Deborah Ejem (4406359)MedicineBiotechnologyCancerScience PolicyInfectious DiseasesVirologyBiological Sciences not elsewhere classifiedrelated treatment discussionsencompasses demographic informationeffect size measuresunmet spiritual needsxlink "> spiritualityholistic patient carexlink ">spiritual wellspiritual concernsspiritual caretest outcomesstructured acceptabilityseldom referencedresourced patientsrandomly assignedproactively addressedpatients livingpaper outlinesoutpatient environmentmajor sourcehealthcare valueshealthcare providerscontrol groupcompare prechronic illnesseschronic conditionscertified chaplainbivariate testsalso undergoaged 50<div><p>Background</p><p>Spirituality is vital to holistic patient care and should be proactively addressed by healthcare providers as unmet spiritual needs are a major source of suffering for patients living with chronic illnesses. However, spiritual concerns are seldom referenced by clinicians during disease-related treatment discussions, particularly for minority and under-resourced patients. This paper outlines a protocol for administering and evaluating a culturally-responsive spiritual care intervention conducted with chronically ill African Americans receiving care at a community safety net health service.</p><p>Methods</p><p>A total of 60 African American patients who have chronic conditions and are aged 50 or older will be recruited for this study and randomly assigned to either the intervention (spiritual care program delivered by a board-certified chaplain) or the control group. All participants will complete a baseline interview that encompasses demographic information, religiosity, spiritual well-being, quality of life, and perception of care. Follow-up surveys will be conducted 12 weeks post-baseline, and participants assigned to the intervention group will also undergo a semi-structured acceptability and feasibility interview. Effect size measures and bivariate tests will be used to compare pre- and post-test outcomes while the interviews will be analyzed using constant comparative and thematic analysis.</p><p>Discussion</p><p>Study findings will assess the feasibility and effectiveness of a culturally-responsive spiritual care intervention for under-resourced African American patients with chronic illnesses. Furthermore, the provision of spiritual care may help patients clarify their healthcare values and decision making priorities.</p></div>2025-11-24T18:24:43ZImageFigureinfo:eu-repo/semantics/publishedVersionimage10.1371/journal.pone.0337436.g001https://figshare.com/articles/figure/Flowchart_of_study_procedures_/30696677CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/306966772025-11-24T18:24:43Z
spellingShingle Flowchart of study procedures.
Melinda Xu (22676384)
Medicine
Biotechnology
Cancer
Science Policy
Infectious Diseases
Virology
Biological Sciences not elsewhere classified
related treatment discussions
encompasses demographic information
effect size measures
unmet spiritual needs
xlink "> spirituality
holistic patient care
xlink ">
spiritual well
spiritual concerns
spiritual care
test outcomes
structured acceptability
seldom referenced
resourced patients
randomly assigned
proactively addressed
patients living
paper outlines
outpatient environment
major source
healthcare values
healthcare providers
control group
compare pre
chronic illnesses
chronic conditions
certified chaplain
bivariate tests
also undergo
aged 50
status_str publishedVersion
title Flowchart of study procedures.
title_full Flowchart of study procedures.
title_fullStr Flowchart of study procedures.
title_full_unstemmed Flowchart of study procedures.
title_short Flowchart of study procedures.
title_sort Flowchart of study procedures.
topic Medicine
Biotechnology
Cancer
Science Policy
Infectious Diseases
Virology
Biological Sciences not elsewhere classified
related treatment discussions
encompasses demographic information
effect size measures
unmet spiritual needs
xlink "> spirituality
holistic patient care
xlink ">
spiritual well
spiritual concerns
spiritual care
test outcomes
structured acceptability
seldom referenced
resourced patients
randomly assigned
proactively addressed
patients living
paper outlines
outpatient environment
major source
healthcare values
healthcare providers
control group
compare pre
chronic illnesses
chronic conditions
certified chaplain
bivariate tests
also undergo
aged 50