Hospital-based Ecumenical And Linguistical, Immuno- Neuro-Genetic (HEALING) Study - Randomized Clinical Trial - A Study on the Epigenetic Background of Neuro-immune-modulation in Clinical Environment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 57
- 试验地点
- 1
- 主要终点
- Change in immunoglobulin M level
研究概览
简要总结
The aim of the "HEALING" " (Hospital-based Ecumenical And Linguistic Immuno-NeuroloGic) Study was to examine immunological and neurological changes in hospitalized participants after meeting a chaplain and Biblical listenings, in order to evaluate whether these meetings affect the course of the disease.
详细描述
The authors pre-screened hospitalized participants to find those who were the most in need of an intervention by a chaplain. A passage from the Bible was read to the participants during a meeting with the chaplain at the bedside, or in the chapel of the hospital. No meeting occurred in the randomized control group, which was compiled in a way to get a group of participants with an approximatively similar pattern of diagnoses and treatment days than the intervention groups. The pace of enrollment was deliberately slow in order to assure the authenticity of the visits ("slow science"). Blood samples were taken 30 minutes prior, and 60 minutes after the meeting to measure White Blood Cell (WBC)-, lymphocyte counts, interferon gamma (IFN-γ)-, immunoglobulin M (IgM)-, immunoglobulin A (IgA)-, immunoglobulin G (IgG)-, and complement C3 levels. A subgroup of the visited participants was subjected to functional Magnetic Resonance Imaging (fMRI), where they were played an audiotape of readings of the same passage from the Bible. Associative tests, paired-samples t-test, network analysis was performed to search for any correlation between psychological and immunological parameters, completed with Statistical Parametric Mapping to search for correlations of the above with neurological parameters.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Basic Science
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •adult age (>18 years)
- •the condition of being hospitalized
- •the ability for verbal communication
- •alertness, orientation
- •no sign of psychosis in their medical history
- •willingness to participate in the study after written, informed consent
排除标准
- •the inability to communicate verbally
- •psychotic state, altered mental state
- •unwillingness to participate
- •active and treated malignant disease
- •steroid, NSAID or metamizole- sodium use
研究组 & 干预措施
Patients Meeting the Chaplain at the Bedside
First meeting with the chaplain, coupled with biblical readings at the bedside.
干预措施: Meeting with a Chaplain coupled with Biblical Readings (Behavioral)
Patients Meeting the Chaplain at the Chapel
First meeting with the chaplain, coupled with biblical readings at the hospital's chapel
干预措施: Meeting with a Chaplain coupled with Biblical Readings (Behavioral)
Patients Not Meeting the Chaplain
In the control group we enrolled patients whose diagnoses and number of days in the hospital was similar to the intervention groups (covariate-adaptive, blocked, stratified randomization method).
结局指标
主要结局
Change in immunoglobulin M level
时间窗: Change from baseline at 120 minutes
enzyme-linked immunosorbent assay
Change in complement C3 level
时间窗: Change from baseline at 120 minutes
enzyme-linked immunosorbent assay
Participants' spiritual and psychological needs, religious practice, thoughts about how they became sick, and how they could heal, as assessed by Scores given on the "Healing - before" Questionnaire
时间窗: within 30 minutes before intervention
Participants' assessement on single-item rating scales in a Questionnaire designed for the Study ("Healing - before" Questionnaire). Answers range from 1 to 5, with higher values representing better outcomes.
Change in lymphocyte count
时间窗: Change from baseline at 120 minutes
lymphocyte count measured with automatised laboratory measurement and microscopic blood smear examination
Change in total white blood cell (WBC) count
时间窗: Change from baseline at 120 minutes
WBC count measured with automatised laboratory measurement and microscopic blood smear examination
Change in interferon-gamma level
时间窗: Change from baseline at 120 minutes
enzyme-linked immunosorbent assay
Change in immunoglobulin A level
时间窗: Change from baseline at 120 minutes
enzyme-linked immunosorbent assay
Change in immunoglobulin G level
时间窗: Change from baseline at 120 minutes
enzyme-linked immunosorbent assay
Participants' satisfaction with the visit as assessed by Scores given on the "Healing - after" Questionnaire
时间窗: within 1 hour after intervention
Participants' assessement of their satisfaction on single-item rating scales in a Questionnaire designed for the Study. Answers range from 1 to 5, with higher values representing better outcomes.
Change in functional Magnetic Resonance Imaging activity
时间窗: Change from baseline during the 60 second long activation block
Statistical Parametric Mapping analysis of Blood Oxygenation Level Dependent (BOLD) answers
Chaplain's satisfaction with the visit as assessed by Scores given on the "Healing - after" Questionnaire
时间窗: within 1 hour after intervention
Chaplain's assessement of her satisfaction on single-item rating scales in a Questionnaire designed for the Study. Answers range from 1 to 5, with higher values representing better outcomes.
Participants' level of distress in the month preceding the measurement as assessed with the total Score of the Perceived Stress Scale 14 (PSS-14)
时间窗: within 30 minutes before intervention
PSS-14 Scale uses 14 questions with answers ranging from 0 to 4, with higher values indicating higher levels of distress on the seven negative-, and lower levels of distress on the seven positive items. Scores are obtained by reversing the scores on the seven positive items, then summing across all to give the total PSS-14 Score.
次要结局
未报告次要终点
研究者
Dr. András Béres
Principal Investigator
Somogy Megyei Kaposi Mór Teaching Hospital
