Evaluation of a Spiritual History with Elderly Multi-Morbid Patients in General Practice—A Mixed-Methods Study within the Project HoPES3

Ruth Mächler, Noemi Sturm, Eckhard Frick, Friederike Schalhorn, Regina Stolz, Jan Valentini, Johannes Krisam and Cornelia Straßner
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Ruth Mächler: Department of Psychosomatic Medicine and Psychotherapy, Professorship for Spiritual Care and Psychosomatic Health, Technical University of Munich, Langerstr. 3, 81675 Munich, Germany
Noemi Sturm: Department of General Practice and Health Services Research, University Hospital Heidelberg, Im Neuenheimer Feld 130.3, 69120 Heidelberg, Germany
Eckhard Frick: Department of Psychosomatic Medicine and Psychotherapy, Professorship for Spiritual Care and Psychosomatic Health, Technical University of Munich, Langerstr. 3, 81675 Munich, Germany
Friederike Schalhorn: Institute of General Practice and Interprofessional Care, University Hospital Tübingen, Osianderstr. 5, 72076 Tübingen, Germany
Regina Stolz: Institute of General Practice and Interprofessional Care, University Hospital Tübingen, Osianderstr. 5, 72076 Tübingen, Germany
Jan Valentini: Institute of General Practice and Interprofessional Care, University Hospital Tübingen, Osianderstr. 5, 72076 Tübingen, Germany
Johannes Krisam: Institute of Medical Biometry, University Hospital Heidelberg, Im Neuenheimer Feld 130.3, 69120 Heidelberg, Germany
Cornelia Straßner: Department of General Practice and Health Services Research, University Hospital Heidelberg, Im Neuenheimer Feld 130.3, 69120 Heidelberg, Germany

IJERPH, 2022, vol. 19, issue 1, 1-15

Abstract: Background: The “Holistic Care Program for Elderly Patients to Integrate Spiritual Needs, Social Activity and Self-Care into Disease Management in Primary Care” (HoPES3) examines the implementation of a spiritual history (SH) as part of a multifaceted intervention in German general practices. While the effectiveness of the interventions was evaluated in a cluster-randomized trial, this article investigates the patients’ views concerning the acceptability of the SH and its effects. Methods: A mixed-methods study was conducted in which 133 patients of the intervention group filled in a standardized questionnaire after the intervention. Later, 29 of these patients took part in qualitative semi-standardized interviews. Results: According to the survey, 63% ( n = 77) of patients found the SH helpful. In the interviews, however, many indicated that they either kept the conversation brief or declined the offer to talk about spirituality. Contents of longer conversations referred to difficult life events, personal sources of strength, and experiences with religious institutions. Many patients who had a longer conversation about spirituality reported that their relationship with their general practitioner (GP) had improved. Almost all patients recommended integrating a personal conversation of this kind into primary care. Conclusions: The SH seems to be a possible ‘door opener’ for a trusting doctor-patient relationship, which can then be built upon.

Keywords: spirituality; health; holistic care; family doctor; spiritual history; spiritual needs assessment; religious coping; elderly patients; doctor-patient relationship; general practitioner; primary care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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