Spiritual Well-being Of Patients Research Articles

Social workers first-time treatment assessment.

164 Background: Supporting emotional, psychological, financial and spiritual well-being of patients has been shown to have a positive impact on quality of life and patient experience. Social workers in our outpatient cancer center are responsible for completing new patient assessments at the start of chemotherapy treatment to provide early access to psychosocial support services. Assessments are to be completed within three weeks of the patient’s first chemotherapy treatment. Connecting with patients early in the care experience allows social workers to proactively assist with education, support and link patients to vital resources. Methods: Completed assessments were tracked and from October through December 2017. The social workers leveraged the use of data analytics and a team based approach to increase the number of new patient assessments completed within the first 3 weeks of chemotherapy. Weekly 30-minute huddles were held using problem solving methods, including brain storming, cause and effect diagrams, force ranking, and polling. Results: A team identified 39 potential causes to why 65.14% of patients were not receiving assessments within the first 3 weeks of chemotherapy treatment. Potential causes were grouped and themed. Work prioritization, inconsistent methods of identifying patients receiving chemotherapy for the first time, and lack of visual management to monitor progress of this metric were identified as key objectives for improvement. Countermeasures were developed and implemented; a dashboard was created to analyze the first time treatment assessment completion percentages by disease group and standardizing the process of notifying social workers of patients in need of an assessment. Social worker assessment completion rates improved from 34.78% (December 2017) to 75.35% (April 2018). Conclusions: This project demonstrates the value of utilizing problem solving, visual management, and data analytics for continuous quality improvement projects related to clinical care and processes. Cross-disciplinary collaboration should be explored with the use of visual tools and other resources to facilitate communication that is understood by all disciplines.

Are spiritual interventions beneficial to patients with cancer?: A meta-analysis of randomized controlled trials following PRISMA.

Background:In addition to the physical burden, the quality of life and survival in patients with cancer may also be reduced because of psychological distress, such as spiritual crisis, anxiety, and depression. Many studies have verified that spirituality could reduce anxiety and depression and improve quality of life and adjustment to cancer. However, there is uncertainty regarding the effectiveness of spiritual interventions in patients with cancer. The purpose of this meta-analysis is to use randomized controlled trials (RCTs) to evaluate the effects of spiritual interventions on spiritual and psychological outcomes and quality of life in patients with cancer.Methods:All RCTs using spiritual interventions relevant to the outcomes of patients with cancer were retrieved from the following databases: Embase, PubMed, PsycINFO, Ovid, Springer Online Library, Wiley Online Library, Oxford Journals, the Cochrane Database of Systematic Reviews, and the Cochrane Central Register of Controlled Trials. The reference lists of identified RCTs were also screened. The Cochrane risk of bias tool was used to evaluate the quality of the studies, RevMan (5.3) was used to analyze the data, and GRADE (3.6.1) was used to evaluate the evidence quality of the combined results.Results:Ten RCTs involving 1239 patients were included. Spiritual interventions were compared with a control group receiving usual care or other psychosocial interventions. The weighted average effect size across studies was 0.46 (P = .003, I2 = 78%) for spiritual well-being, 0.19 (P = .005, I2 = 46%) for quality of life, −0.33 (P = .01, I2 = 50%) for depression, −0.58 (P = .03, I2 = 77%) for anxiety, and −0.38 (P = .008, I2 = 0%) for hopelessness. In subgroup analysis according to the type of cancer, only the weighted average effect size of spiritual well-being in patients with breast cancer had statistical significance (standardized mean difference 0.78, P = .01, I2 = 70%).Conclusion:Spiritual interventions may improve spiritual well-being and quality of life, and reduce depression, anxiety, and hopelessness for patients with cancer. However, due to the mixed study design and substantial heterogeneity, some evidence remains weak. More rigorously designed research is needed.

Meaning-Centered Interventions for Patients With Advanced or Terminal Cancer: A Meta-analysis.

For patients with advanced or terminal cancer undergoing hospice or palliative care, spiritual care based on meaning-centered intervention (MCI) has become an essential form of support. The aim of this study was to characterize MCI systematically and the effectiveness of hospice and palliative care for patients with advanced or terminal cancer. MEDLINE via PubMed, Cochrane Library CENTRAL, EMBASE, CINAHL, and several Korean electronic databases were searched from inception to May 2017. The RevMan 5.3 program of the Cochrane Library was used for data analysis. A meta-analysis was conducted of 10 controlled trials (6 randomized and 4 nonrandomized) featuring 623 patients with cancer. Meaning-centered interventions were compared with usual care control groups or other psychosocial interventions. The weighted average effect sizes across studies were -0.96 (P < .001, I = 7%) for meaning in life, -0.37 (P = .002, I = 0%) for spiritual well-being, -0.48 (P < .001, I = 0%) for quality of life, -0.28 (P = .02, I = 0%) for anxiety, and -0.31 (P = .02, I = 17%) for physical symptoms. Spiritual care based on MCI may help to improve the physical, psychosocial, and spiritual well-being of patients with advanced or terminal cancer. Meaning-centered interventions could be a valuable way to enhance quality of life at the end stage for patients with advanced or terminal cancer.

Current status and influencing factors of spiritual well-being and hope among malignant lymphoma patients

Objective To explore the current status and influencing factors of spiritual well-being and hope among malignant lymphoma patients. Methods From May 2012 to May 2015, we selected 90 malignant lymphoma patients treated in Xijing Hospital by convenience sampling. All of the patients were investigated with the Functional Assessment of Chronic Illness Therapy-spiritual Well-being Scale (FACIT-Sp) and the Herth Hope Index (HHI) . Results The score of FACIT-Sp and HHI of malignant lymphoma patients was (25.34±12.06) and (26.08±11.87) respectively. Logistic regression analysis showed that the influencing factors of spiritual well-being of patients included the degree of education, social support and tumor stage (P<0.05) ; the influencing factors of hope of patients included the degree of education, social support, level of income and tumor stage (P<0.05) . Conclusions The level of spiritual well-being and hope of malignant lymphoma patients are usually low. They have similar influencing factors. Key words: Lymphoma; Spiritual well-being; Hope

Spiritual wellbeing and quality of life in stoma patients

Aim: Although there has been considerable recent research from around the world on the effect of spiritual wellbeing in a variety of chronic conditions, little research has been conducted specifically on the spiritual wellbeing of patients with a stoma. Therefore, this study aimed to quantify spiritual wellbeing in ostomates and determine whether this had any impact on their quality of life (QoL). Method: This study was conducted in Iran in 2016, and 70 ostomates were enrolled through convenience sampling. The data collection instrument was based on Palutzian and Ellison's Spiritual Wellbeing Scale and the City of Hope Quality of Life-Ostomy Questionnaire. Results: Among the 70 participants, 38 were women (54%). The mean of the total QoL scores was 4.4 (SD=0.7). When separated into physical, psychological, social and spiritual dimensions, the mean QoL scores were 5.7 (SD=0.8), 4.2 (SD=0.7), 3.4 (SD=0.7) and 4.7 (SD=1.1), respectively. The mean score for spiritual wellbeing was 75.1 (SD=7.7). Physical, psychological, social and spiritual dimensions of QoL and total QoL had direct and significant correlations. Conclusion: These results demonstrated that there is a relationship between QoL and spiritual wellbeing levels in ostomates, and this can be used by health-care planners and caregivers to improve the QoL of their patients.

The relationship between death anxiety and spiritual well-being in patients with gynecologic cancer

Background and Objectives: Concerns about death may negatively affect the health-related quality of life. The relationship between death anxiety and spiritual well-being in life-threatening diseases is still a matter that needs to be addressed, especially in patients with gynecologic cancer. This research was conducted to study the relationship between death anxiety and spiritual well-being in patients with gynecologic cancer. Materials and Methods: This descriptive-correlational study was conducted on 230 women with gynecologic cancer selected through convenience sampling from Shohada-e Tajrish Hospital, affiliated to Shahid Beheshti University of Medical Sciences, in Tehran, Iran, from April to May 2016. The data collection instruments included a demographic questionnaire, the 15-item Templer Death Anxiety Scale and the Spiritual Well-Being Scale. The data were analyzed in SPSS-22 using descriptive (mean, standard deviation, frequency and percentage) and inferential ( Pearson’s correlation coefficient and the linear regression model) statistics. Results: The average scores of death anxiety and spiritual well-being were 48.57±12.55 and 95.27±14/40. There was a significant relationship between death anxiety and spiritual well-being (r =-0.35, p=0.001). The results of the regression analysis showed that age (b=-0.23, p=0.001) and stage of cancer (b=-5.176, p=0.001) are the only significant predictors of death anxiety. This model explained 40.3% of the variance in death anxiety. In this model, age (b=0.220, p=0.021), marital status (b=2.985, p=0.043) and stage of cancer (b=2.649, p=0.001) were significant predictors of spiritual well-being. The model explained 18% of the variance in spiritual well-being in the patients. Conclusion: This study shows a significant relationship between death anxiety and spiritual well-being in patients with gynecologic cancer. It is therefore necessary for healthcare providers to address certain demographic variables such as age, marital status and disease progression for regulating death anxiety and improving the patients’ spiritual well-being.

RELATIONSHIP BETWEEN DEMOGRAPHIC CHARACTERISTICS AND SPIRITUAL WELLBEING AMONG CANCER SURVIVORS

Background: Spiritual wellbeing (SWB) is an important quality-of-life dimension for cancer patients. Therefore, health professionals are demanded to improve SWB in these patients. A deeper understanding regarding the factors associated with SWB is needed.&#x0D; Objective: This study aims to examine the relationships of demographic characteristics of patients and spiritual wellbeing in patients with cancer.&#x0D; Methods: This was a cross-sectional correlational study with 60 respondents recruited using consecutive sampling. A spiritual wellbeing scale (SWBS) was used, and data were analyzed using Kendall's Tau and Spearman's rank.&#x0D; Results: Findings in this study showed that only age was statistically significant with spiritual wellbeing of cancer patients with p-value 0.003 (&lt;0.05). There were no significant relationships of gender, education, occupation, long suffering, and type of cancers with spiritual wellbeing with p-value &gt;0.05.&#x0D; Conclusion: There was a significant relationship between age and spiritual wellbeing in patients with cancer. This study provides the insight of knowledge regarding the factors affecting spiritual wellbeing in patients with cancer.

Spiritual Well-being in Patients With Metastatic Colorectal Cancer Receiving Noncurative Chemotherapy: A Qualitative Study.

Background:Spiritual well-being (SWB) is an important quality-of-life dimension for cancer patients in the palliative phase. Therefore, it is important for healthcare professionals to recognize the concept of SWB from the patient’s point of view. A deeper understanding of how patients experience and reflect upon these issues might influence patient care.Objectives:The aim of this study was to explore SWB in colorectal cancer patients receiving chemotherapy in the palliative phase.Methods:We used a qualitative method of in-depth interviews and a hermeneutic editing approach for the analyses and interpretations.Results:Twenty colorectal cancer patients in the palliative phase, aged 34 to 75 years, were included: 12 patients were receiving first-line chemotherapy, and 8 patients were receiving second-line chemotherapy. Through empirical analyses, we identified subthemes according to the SWB dimensions defined by the European Organisation for Research and Treatment of Cancer quality-of-life group. Under the SWB dimension, (i) relationships with self and others, we identified the subthemes: (a) strategies for inner harmony and (b) sharing feelings with significant others. Under the dimension, (ii) existential issues, we identified the subtheme (c) coping with end-of-life thoughts. Under the dimension, (iii) specifically religious and/or spiritual beliefs and practices, we identified the subtheme (d) seeking faith as inner support.Conclusion:Knowledge about cancer patients’ use of different strategies to increase their SWB may help healthcare professionals to guide patients through this vulnerable phase.Implication for Practice:Healthcare professionals need sufficient courage and willingness to share their patients’ thoughts, beliefs, and grief to be able to guide patients toward improving their SWB.

A Correlational Study of Spiritual Well-being and Depression in the Adult Cancer Patient.

Depression in adult cancer patients has been widely studied, along with spiritual effects of traumatic events and even spiritual growth after a diagnosis of cancer. There has been limited research determining a direct correlation between spiritual well-being and depression in adult cancer patients. The purpose of this research study was to examine the relationship between spiritual well-being and depression in adult cancer patients. This was a descriptive correlational study using 59 patients older than 18 years from an outpatient cancer center. The researchers hypothesized that patients with a low spiritual well-being score would be more likely to have a high depressive symptom score, thus providing support for a correlation between cancer patient's spiritual well-being and risk of depression. Implications of this study lead to evidence for better screening processes for cancer patients regarding spiritual well-being.

Correlation between perceived control and subjective well-being in patients with coronary heart disease

Objective To investigate the spiritual well-being(SWB)and perceived control(PC)in adult patients with heart failure(HF),and analyze the relationship between spiritual well-being and perceived control. Methods 125 patients with heart failure were surveyed with questionnaires by convenience sampling, including Control Attitudes Scale-Revised(CAS-R)and Memorial University of Newforndland Scale of Happiness(MUNSH). Results The mean score of the spiritual well-being was(6.34± 2.92), and the mean score of perceived control was(18.40±4.39). The patients'spiritual well-being was closely related to perceived control(P < 0.05). There was a positive correlation between the self-efficacy and the positive indicator of subjective well-being, r=0.46, negative correlation was between the self-efficacy and the negative indicator of subjective well-being, r=-0.17. There was a positive correlation between the locus of control and the positive indicator, r=0.38,while the negative correlation was between the locus of control and the negative indicator, r=-0.05. There was a negative correlation between the learned helpless and the positive indicator, r=-0.43, while the positive correlation was between the learned helpless and the negative indicator, r= 0.06. Conclusions The spiritual well-being of patients is at a low level, as well as perceived control. The spiritual well-being of patients can be enhanced by means of improving the ability of perceived control. Key words: Coronary heart disease; Perceived control; Subjective well-being

Spiritual well-being among cancer patients and their nurses

Experiences of people living with cancer have revealed that spiritual well-being is a vital aspect of a healthy life, necessary for creating a positive psychology and will guide patients toward a meaningful life. It can also increase cancer patients' adaptability and improve their quality of life and survival. The present study aimed at determining the spiritual well-being among cancer patients and their nurses. This descriptive-cross sectional study carried out with a convenience sampling method and participation of 120 hospitalized cancer patients and their nurses in oncology units. Data were collected using Paloutzian and Ellison well-being questionnaire (r = 0.82) and were analyzed using, chi-square and t-tests by using SPSS 21. The average scores of religious, existential and spiritual well-being in patients were 52, 46 and 99 respectively. Their average scores of religious, existential and spiritual well-being in nurses were 29, 40 and 70 respectively which falls within an average range (41-99). Comparing spiritual well-being scores between patients and nurses using chi-square and t- tests showed a significant difference (p=0.001). Spirituality and positive psychology have always been considered as effective treatment for people who are suffering from cancer. Increased spiritual well-being among nurses can improve spiritual health in cancer patients. &#x0D; &#x0D; Keywords: cancer patients, spiritual well-being, religious well-being, existential well-being, positive psychology, nurses.

Improving Spiritual Well-Being in Patients with Lung Cancers.

Patients with lung cancer report more disease burden and lower spiritual well-being (SWB) compared with other cancer patients. Understanding variables that lessen disease burden and improve SWB is essential. The aim of this study was to explore the relationship between motivational level for physical activity and SWB in patients with lung cancer. Linear regression showed increased SWB as stage of change for physical activity increased (p < 0.0001), even after adjusting for multiple demographic variables.

Meaning-centered group psychotherapy: an effective intervention for improving psychological well-being in patients with advanced cancer.

To test the efficacy of meaning-centered group psychotherapy (MCGP) to reduce psychological distress and improve spiritual well-being in patients with advanced or terminal cancer. Patients with advanced cancer (N = 253) were randomly assigned to manualized eight-session interventions of either MCGP or supportive group psychotherapy (SGP). Patients were assessed before and after completing the treatment and 2 months after treatment. The primary outcome measures were spiritual well-being and overall quality of life, with secondary outcome measures assessing depression, hopelessness, desire for hastened death, anxiety, and physical symptom distress. Hierarchical linear models that included a priori covariates and only participants who attended ≥ three sessions indicated a significant group × time interaction for most outcome variables. Specifically, patients receiving MCGP showed significantly greater improvement in spiritual well-being and quality of life and significantly greater reductions in depression, hopelessness, desire for hastened death, and physical symptom distress compared with those receiving SGP. No group differences were observed for changes in anxiety. Analyses that included all patients, regardless of whether they attended any treatment sessions (ie, intent-to-treat analyses), and no covariates still showed significant treatment effects (ie, greater benefit for patients receiving MCGP v SGP) for quality of life, depression, and hopelessness but not for other outcome variables. This large randomized controlled study provides strong support for the efficacy of MCGP as a treatment for psychological and existential or spiritual distress in patients with advanced cancer.

The Influence of Self-esteem, Trait anger, Depression, Family Function, and Interpersonal Relations on Existential Spiritual Well-being in Patients with Alcohol Dependence

Purpose: The aim of this study is to identify the factors influencing the existential spiritual well-being in the patients with alcohol dependence. Methods: The research design was a descriptive survey research with self-report questionnaire about existential spiritual well-being, self-esteem, trait anger, depression, family function, and interpersonal relations scale. Participants in the study were 240 patients with dependence who were collected randomly from 10 mental hospitals and 5 alcoholic centers and 1 alcoholics anonymous in Busan, Deagu city and Gyeongsangbuk-do and Gyeongsangnam-do region. Results: The forecasting regression model of existential spiritual well-bing appeared to be significant, the order of influencing factor was self-esteem (β=.36, p<.001), depression (β=-.38, p<.001), interpersonal relations (β=.18, p=.001), and not being employed for last one year (β=-.11, p=.007). Conclusion: The development of program which vitalizes the vocational rehabilitation and intervention is needed to increase the existential spiritual well-being of the patients with alcohol dependence by increasing the self-esteem and interpersonal relations and decreasing depression which are the major influencing factors.

Depressive symptoms and spiritual wellbeing in asymptomatic heart failure patients

Depression adversely predicts prognosis in individuals with symptomatic heart failure. In some clinical populations, spiritual wellness is considered to be a protective factor against depressive symptoms. This study examined associations among depressive symptoms, spiritual wellbeing, sleep, fatigue, functional capacity, and inflammatory biomarkers in 132 men and women with asymptomatic stage B heart failure (age 66.5 years ± 10.5). Approximately 32 % of the patients scored ≥10 on the Beck Depression Inventory, indicating potentially clinically relevant depressive symptoms. Multiple regression analysis predicting fewer depressive symptoms included the following significant variables: a lower inflammatory score comprised of disease-relevant biomarkers (p < 0.02), less fatigue (p < 0.001), better sleep (p < 0.04), and more spiritual wellbeing (p < 0.01) (overall model F = 26.6, p < 0.001, adjusted R square = 0.629). Further analyses indicated that the meaning (p < 0.01) and peace (p < 0.01) subscales, but not the faith (p = 0.332) subscale, of spiritual wellbeing were independently associated with fewer depressive symptoms. Interventions aimed at increasing spiritual wellbeing in patients lives, and specifically meaning and peace, may be a potential treatment target for depressive symptoms asymptomatic heart failure.

Spiritual Well-Being for Increasing Life Expectancy in Palliative Radiotherapy Patients: A Questionnaire-Based Study

Spiritual well-being in patients with an advanced cancer has been found to positively correlate with subjective well-being, lower pain levels, hope and positive mood states, high self-esteem, social competence, purpose in life, and overall quality of life. In this regard, Quran recitation is stated to be an efficient way to increase patient spirituality and also to handle life's everyday challenges. The aim of this study was to investigate the effects of listening, reading, and watching the text of the Holy Quran, called (in this study) Quran recitation, for increasing life expectancy (LE) in palliative radiotherapy patients admitted to Radiotherapy Department of Seyed alshohada Hospital, Isfahan, Iran. A questionnaire-based study was carried out on a total of 89 palliative radiotherapy patients between March 2012 and June 2012. Informed consent was obtained. The patients were requested to complete a standardized questionnaire which was designed based on the European Organization for Research and Treatment of Cancer C30 Scale Quality of Life Questionnaire (EORTC C30 Scale QLQ). A computer program (SPSS version 16.0, Chicago, IL, USA) was used, and data were analyzed by the Wilcoxon test and Spearman's rank correlation. All hypotheses were tested using a criterion level of P = 0.05. There was a significant difference for frequency and duration of Quran recitation among patients, before and after the diagnosis of their cancer (P = 0.03). Using the Spearman's rank correlation, it was found that there was a correlation between Quran recitation and subjective well-being (r = 0.352, P < 0.001). Moreover, there was a correlation between Quran recitation and increasing LE (r = 0.311, P < 0.003). More than 60% of the patients stated that more frequent recitation would lead to more LE and/or greater reassurance. On the basis of the present work, listening, reading, and watching the text of the Holy Quran are useful for increasing LE in palliative radiotherapy patients admitted to Radiotherapy Department. In other words, a benefit of Quran recitation on outcome of radiotherapy for palliative radiotherapy patients was found.

Teaching Spiritual Care to Nursing Students

Graduating nurses are required to know how to support patient spiritual well-being, yet there is scant literature about how spiritual care is taught in undergraduate programs. Typically spiritual content only is sporadically included; the authors recommend intergrating spiritual can thoughout the nursing curriculum. This article describes how one Christian nursing school integrates spiritual care content, supports student spiritual well-being throughout the program, and evaluates spiritual care instruction at graduation.

Evaluación del bienestar espiritual en pacientes en cuidados paliativos

ObjectiveAssessing spiritual well-being is an essential and critical aspect of holistic and multidisciplinary patient care practice. A valid assessment of spirituality is necessary for clinical and research purposes. This study examined the presence of spiritual well-being, or meaning in life, in palliative care patients using a psychometrically-sound questionnaire of spirituality. Patients and methodsA cross-sectional study was carried out with 60 palliative care patients. The main instrument, a Spanish-language version of the 21-item Meaning in Life Scale, comprises 4 scales: Purpose, Lessened Meaning, Peace, and Benefits of Spirituality. A total score for Spiritual well-being is also achieved. The following variables were also used: clinical, sociodemographic and assessments on self-rated health, quality of life (general and recently), personal happiness, religiosity, and belief in an afterlife. ResultsResults of this study demonstrated that the Meaning in Life Scale is a psychometrically-sound measure of spiritual well-being for the palliative care patient (good reliability and validity), as they manage the complex demands of a chronic illness. Spiritual well-being was significantly associated with various quality of life variables, health status, personal happiness, or religiosity in patients on palliative care. No association was found between spirituality scores and sex or age. The presence of spiritual well-being in palliative care patients was lower than expected. ConclusionThis spirituality questionnaire is a valid instrument to assess 4 core dimensions of spiritual well-being. The results suggest that to address and assess spiritual well-being with palliative care patients may be helpful for clinical praxis. Spirituality may play an important role in the psychological well-being, quality of life, and self-rated health for palliative care patients. Spiritual well-being in these patients was relatively low.

Effects of music therapy on spirituality with patients on a medical oncology/hematology unit: A mixed-methods approach

Despite considerable interest in the potential relationship between oncology and spirituality, it remains unclear how the spiritual wellbeing of patients is best addressed in health care environments. The purpose of this study was to determine the effect of three music therapy doses on spirituality in patients on a medical oncology/hematology unit (N=17). The researchers measured participants’ faith, peace, and meaning by using the FACIT-Sp. tool (Brady, Peterman, Fitchett, Mo, & Cella, 1999) at pre- and posttest during a randomized controlled design. The researchers also incorporated interviews from patients concerning potential effects of music therapy and spirituality. Quantitative results indicated significant between-group differences in peace and faith subscales, with participants in the music therapy condition having higher posttest means than participants in the control condition. Qualitative data tended to support the importance of music therapy in meeting spiritual needs: Results of a thematic analysis indicated music therapy helped participants feel closer to God and elevated their moods. Consistent with the literature base, participants noted that that spiritual needs should indeed be addressed during a person's time at the hospital. Limitations of the study, areas for future investigation, and implications for clinical practice are provided.

Abstract P2-12-10: Psycho-spiritual therapy for improving the quality of life and spiritual well-being of women with breast cancer

Abstract Objective: Psychological distress and morbidity are common consequences of diagnosis and treatment of breast cancer and associated with poor quality of life (QOL). Among several approaches, spirituality has been shown to be significantly associated with improving the quality of life of these patients. The aim of this study was to assess the role of psycho-spiritual therapy intervention in improving the quality of life and spiritual well-being of patients with breast cancer. Methods: This was a randomized controlled trial study which was conducted in the Breast Cancer Research Center, St. S. Al-Shohada hospital, Isfahan, Iran. Sixty-eight patients with breast cancer were randomized to either psycho-spiritual therapy intervention group or control group who received routine management and educational programs. Before and after 6 weeks of psycho-spiritual therapy sessions, the quality of life was evaluated using Cancer quality-of-life questionnaire (QLQ-C30) and its supplementary breast cancer questionnaire (QLQ-BR23) and Spiritual well-being was measured using the Functional Assessment of Chronic Illness Therapy Spiritual Well-being scale (FACIT-Sp12). Multivariate, repeated-measures ANOVA, T-test and Paired T-test were used for analysis using Predictive Analytic Soft Ware (PASW, version 18) for windows. Results: In all sixty five patients actually completed the six-week intervention and were evaluated for the outcomes. The mean Global health status score/QOL reached from 44.37 (SD: 13.03) to 68.63 (SD: 10.86), (p &amp;lt; 0.001), (Cohen's d effect size: 2.16, 95% CI: 1.56–2.78). There was a statistically significant difference in all functional scales of QLQ-C30 (p &amp;lt; 0.05) as well as spiritual well-being after intervention. (p = 0.02) Conclusions: The results of this trial showed that the psycho-spiritual therapy program can improve the spiritual well-being and QOL of women with breast cancer. This program, with its ease of implementation and home practice, could be adopted in comprehensive care programs for women with breast cancer. Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr P2-12-10.