title: Revie ⊕: the influence of a life review intervention including a positive, patient-centered approach towards enhancing the personal dignity of patients with advanced cancer-a study protocol for a feasibility study using a mixed method investigation.
abstract: BACKGROUND
  It is generally recognized that existential concerns must be addressed to promote the dignity of patients with advanced cancer. A number of interventions have been developed in this regard, such as dignity therapy and other life review interventions (LRI). However, so far, none have focused on a positive approach or evaluated its effects on dignity and personal growth. This study aims to explore the feasibility of Revie ⊕, a life review intervention comprising a positive, patient-centered approach, and to determine potential changes of patients' sense of dignity, posttraumatic growth, and satisfaction with life.
  
  
  METHODS
  A mixed method study will be performed, which includes specialized nurses and 40 patients with advanced cancer in an ambulatory and in-patient setting of a Swiss university hospital. Quantitative methods involve a single group, pre- and post-intervention, and outcome measurements include the Patient Dignity Inventory, the Posttraumatic Growth Inventory, and the Satisfaction with Life Scale. Feasibility data relating to process, resource, and scientific elements of the trial will also be collected. A semi-directed interview will be used to collect qualitative data about the process and the participants' experiences of the intervention. In this way, enhanced quantitative-qualitative evidence can be drawn from outcome measures as well as individual, contextualized personal views, to help inform researchers about the plausibility of this complex intervention before testing its effectiveness in a subsequent full trial.
  
  
  CONCLUSIONS
  Patient dignity is a goal of quality end-of-life care. To our knowledge, this is the first trial to evaluate the role of a life review intervention that is focused on personal growth and on changes relating to the experience of having cancer. This study will evaluate the feasibility of a novel intervention, Revie ⊕, which we hope will contribute to promote the dignity, personal growth, and overall life satisfaction of patients with advanced cancer.
  
  
  BACKGROUND
  ISRCTN, ISRCTN12497093.
authors.affiliation: Institute of Higher Education and Research in Healthcare, University of Lausanne and University Hospital of Lausanne, 10 Route de la Corniche, 1010 Lausanne, Switzerland ; School of Health Sciences, University of Applied Sciences and Arts Western Switzerland, 47 Avenue de Champel, 1206 Genève, Switzerland.
authors.forename: Maria Goreti
authors.initials: MG
authors.lastname: Da Rocha Rodrigues
authors.affiliation: Department of Community Medicine, Geneva University Hospitals and Geneva University, 4 rue Gabrielle-Perret-Gentil, Genève, 14 1211 Switzerland.
authors.forename: Sophie
authors.initials: S
authors.lastname: Pautex
authors.affiliation: Institute of Higher Education and Research in Healthcare, University of Lausanne and University Hospital of Lausanne, 10 Route de la Corniche, 1010 Lausanne, Switzerland ; Inselspital, Bern University Hospital, Freiburgstrasse, 3010 Bern, Switzerland.
authors.forename: Maya
authors.initials: M
authors.lastname: Shaha
keywords: Advanced cancer; Dignity; Life review intervention; Mixed methods; Palliative care; Posttraumatic growth; Satisfaction with life