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. 2019 Jul-Sep;25(3):445–454. doi: 10.4103/IJPC.IJPC_16_19

Table 2.

Qualitative studies

Intervention Country Setting Findings
RCT
 Steinhauser, et al. (2009) Three-arm intervention at three time points: LR, forgiveness, heritage, and legacy; attention control group: Nonguided relaxation CD; true control group: No intervention USA, North Carolina 18 patients Life story: Cherished times, accomplishments/forgiveness: Things done differently, forgiveness asked, forgiveness offered, peace/heritage and legacy: Lessons learned, lessons to share with loved ones, advice to other generations, legacy
 Hall, et al. (2013) DT; control group: Standard care London, UK 45 patients and caregiver Themes underlying DT: Generativity, continuity of self, maintenance of pride, hopefulness, and care tenor were evident in the intervention group. Just hopefulness and care tenor in the control group
Non-RCT
 Ando, et al. (2007;15) LR
Pre-post intervention
Japan 12 patients Overall QOL score and spirituality subscale score significantly increased; effective group: Positive view of life, pleasure in daily activities, balanced evaluation of life noneffective group: Worries about future caused by disease, conflicts in family relationships, confrontation of practical problems
 Ando, et al. (2007;5) LR Four sessions Japan 16 patients Text analysis showed differences according to age, disease stage, and gender
Main concerns related to age
 40 - Children
 50 - How to confront death
 60 - Death-related anxiety
 70 - Resignation about death; evaluative reminiscence of their lives
 80 - Relationships with others
Ando, et al. (2009;7) SLR
Pre-post intervention
Japan, Korea, America 43 patients 20 Japanese, 16 Koreans, 7 Americans Japan: Good human relationships and transcendence; achievements and satisfactions; good memories and important things; bitter memories
Korea: Religious life; right behavior for living; strong consideration for children and will; life for living
America: Love, pride, will; good, sweet memories; regret and feelings of loss
 Ando, et al. (2010;19) BLR
Pre-post intervention
Japan 21 bereaved caregivers Division according to FACIT-Sp findings into two groups
 1=Effective group (scores from 3 to 14)
 2=Noneffective group (scores from −12 to <3)
1. Good memories of family; loss and reconstruction; pleasant memories of last days, 2. Suffering with memories; disagreement on funeral arrangements; regret and sense of guilt
 Keall, et al. (2011) LR Three sessions Sydney Australia 11 patients Overarching themes: Life review, current situation, legacy/principles
 Ando, et al. (2012;10) SLR
Pre-post intervention
Japan 34 patients Findings in 20 narratives
(1) Human relationships; to live in the present
(2) Birth of children; pleasant memories
(3) Illness; marriage, divorce
(4) Company or work; raising children or education
(5) Achievements at work; attitude to cope with illness
(6) Message to children; getting along with others
(7) To live sincerely; consideration for others
(8) Stormy life; self-centered life
 Xiao, et al. (2012) LR Three sessions China 26 patients Six categories: Accepting one’s unique life; feelings of emotional relief; bolstering
A sense of meaning in life; leaving a personal legacy; making future orientations; barriers to a life review
 Ho, et al. (2013) Dignity interview One session Hong Kong China 18 patients Two major themes to maintain dignity were identified: Personal autonomy and family connectedness
 Ingersoll-Dayton, et al. (2013) Reminiscing five sessions USA Midwest 24 couples - patient with caregiver Positive aspects found: Dyads enjoyed reliving story of life and life story book, planned to share it with others, fostered communication, meaningful engagement, and helped memory
 Ando, et al. (2014;31) BLR
Pre-post intervention
Japan 19 bereaved caregivers The analysis of the narratives made an allocation according to the stages of TTM possible
 Ando, et al. (2015;13) BLR
Pre-post interventions
Hawaii 20 bereaved caregivers Significant improvement in spiritual well-being and significant reduction of depression; interviews: Five categories: Learning from practical caring experience, positive understanding of patients, recognition of appreciation, self-change or growth, and obtaining a philosophy
 Ando, et al. (2015;13) BLR
Pre-post intervention
Japan 20 caregivers Findings in narratives were selected into changes and value changes: 1. Learning from the deceased×s death and self-growth, 2. Healing process, 3. Relating with others, 4. Relating with society, 5. Performing new family roles/values: 1. Continuing grief work, 2. Living with a philosophy, 3. Attaining life roles, 4. Keeping good Human relationships 5. Enjoying life
 Dahley, Sanders (2016) LR
Pre-post intervention
USA Midwest 15 residents and 18 family members Six major themes of LR emerged: Affirmed prior knowledge; created a living legacy; revealed new information; opened communication; enhanced understanding of the older adult; and affirmed older adult
 Duggleby, et al. (2016) LWHP Pre-post intervention Canada 13 dyads (patients and caregivers) LWHP fostered according to the analysis
1. Reminiscing
2. Leaving a legacy
3. Positive reappraisal
4. Motivating processes
 Hannum, Rubinstein (2016) Life history Three sessions USA Baltimore 15 patients Illness is disrupting individual biography into three time segments: Recalled past; existent present; imagined future
 Hack et al. (2010) Fifty transcripts of DT Canada and Australia 50 patients Main findings: “Family,” “pleasure,” “caring,” “a sense of accomplishment,” “true friendship,” and “rich experience”

LR: Life review, SLR: Short-term life review, BLR: Bereaved life review, LWHP: Living with Hope Program