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临床试验/NCT04112121
NCT04112121已完成不适用

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

Somogy Megyei Kaposi Mór Teaching Hospital1 个研究点 分布在 1 个国家目标入组 57 人开始时间: 2015年9月10日最近更新:
适应症
干预措施

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

Experimental

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

Experimental

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

No Intervention

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

发起方
Somogy Megyei Kaposi Mór Teaching Hospital
申办方类型
Other
责任方
Principal Investigator
主要研究者

Dr. András Béres

Principal Investigator

Somogy Megyei Kaposi Mór Teaching Hospital

研究点 (1)

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