Table 2.
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