Description of a training protocol to improve research reproducibility for dignity therapy: an interview-based intervention

• DOI: 10.1017/s1478951521000614
• Publication Date: 2021-05-26T11:44:55Z
• Authors: Tasha M. Schoppee; Lisa Scarton; Susan Bluck; Yingwei Yao; Gail Keenan; George Handzo; Harvey M. Chochinov; George Fitchett; Linda L. Emanuel; Diana J. Wilkie
• Keywords: Dignity

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 positively impacts intervention reproducibility. Objective The objective this article describe method for DT therapist training. Method Chochinov's seminars included preparatory reading textbook, in-person training, and practice interview sessions. Building on plan, we added feedback actual sessions, tracking form guide process, written manual with an annotated model transcript, quarterly support Using method, 18 therapists were trained across 6 sites. Results experts’ verbal sessions encouraged trainees provide additional attention eight components: (1) initial framing (i.e., clarifying organizing patient's own goals creating legacy document), (2) verifying understanding DT, (3) gathering biographical information, (4) using probing questions, (5) exploring story thread, (6) refocusing toward document creation, (7) inviting expression meaningful messages, (8) general processes. Evident from ongoing individual trainee mentoring was achievement maintenance adherence protocol. Discussion process enable in waves trainees, goal maintaining implementation consistency. This will future researchers clinicians consistently train various disciplines locales. Furthermore, anticipate that could be generalizable as roadmap implementers other life review palliative care interview-based interventions.