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Table 4 Univariable associations of the provision of spiritual end-of-life care as perceived by physicians with potential predictors related to individualised, person-centered care and religiousness variables

From: Predictors of spiritual care provision for patients with dementia at the end of life as perceived by physicians: a prospective study

 

Descriptives

Spiritual care at the end of life†

Association with the provision of spiritual care; OR (95% CI)

Provided

Not provided

Significant associations are italicized and bolded

Facility level *

Small-scale living, % (at resident level)

18.0

14.3

18.9

0.78 (0.27; 2.3)

Strong religious affiliation,%

9.2

30.2

3.7

9.9 (1.6; 62)

Physician level

Any specific religious background physician, %

61.3

74.4

57.8

1.9 (0.73; 5.0)

Importance of faith or spirituality physician, %

    

  - Not at all important

13.4

10.3

14.3

2.7 (1.1; 7.0) (very important versus other)

  - Somewhat important

48.4

38.5

51.0

  - very important

31.2

48.7

26.5

  - Don’t know

7.0

2.6

8.2

Frequency of attending religious services physician

    

  - Mean 0–5 scale (SD)

1.2 (1.6)

2.2 (1.9)

0.9 (1.4)

1.6 (1.2; 2.1) (per 1-point increment)

  - Percentage

   

   - Never

53.2

30.8

59.2

   - Once or twice a year

14.5

15.4

14.3

   - Once a month or so

11.3

12.8

10.9

   - Two or three times a month

7.5

5.1

8.2

   - Every week

8.6

20.5

5.4

   - More than once a week

4.8

15.4

2.0

Resident level

Any specific religious background resident, %

76.9

97.4

72.0

13 (1.6; 103)

Any specific religious background, %

    

  - Both resident and physician

49.1

74.3

42.9

17 (2.1; 131)

  - Resident only

25.7

22.9

26.4

8.6 (0.92;80)

  - Physician only

12.6

0

15.7

Reference

  - Neither

12.6

2.9

15.0

Reference‡

Importance of faith or spirituality resident, %

    

  - Not at all important

34.9

5.3

42.0

12 (5.1; 28) (very important versus other)

  - Somewhat important

30.8

18.4

33.8

  - Very important

31.3

76.3

20.4

  - Don’t know

3.1

0

3.8

Faith or spirituality very important, %

    

  - Both resident and physician

14.3

40.0

7.9

21 (6.1; 74) ¶

  - Resident only

16.0

37.1

10.7

15 (5.2; 44) ¶

  - Physician only

17.1

8.6

19.3

2.0 (0.44; 9.1)

  - Neither

52.6

14.3

62.1

Reference

Frequency of attending religious services resident

    

  - Mean 0–5 scale, SD

2.0 (2.0)

3.6 (1.6)

1.6 (1.8)

1.8 (1.4; 2.2)/1-point increment

  - Percentage

   

   - Never

37.9

5.3

45.9

   - Once or twice a year

14.4

15.8

14.0

   - Once a month or so

2.6

0

3.2

   - Two or three times a month

9.2

7.9

9.6

   - Every week

23.1

34.2

20.4

   - More than once a week

12.3

36.8

6.4

   - Don’t know

0.5

0

0.6

Any specific religious background family, %

63.9

89.5

57.7

5.5 (2.2; 14)

Importance of faith or spirituality family, %

    

  - Not at all important

36.1

7.9

42.9

4.5 (2.1; 9.9) (very important versus other)

  - Somewhat important

39.2

44.7

37.8

 

  - Very important

21.6

47.4

15.4

  - Don’t know

3.1

0

3.8

Frequency of attending religious services family

    

  - Mean 0–5 scale, SD

1.1 (1.6)

2.6 (1.9)

0.79 (1.2)

1.9 (1.5; 2.3)/1-point increment

  - Percentage

   

   - Never

50.3

18.4

58.1

   - Once or twice a year

24.4

23.7

24.5

   - Once a month or so

5.7

7.9

5.2

   - Two or three times a month

6.7

10.5

5.8

   - Every week

6.7

13.2

5.2

   - More than once a week

6.2

26.3

1.3

   - Don’t know

0

0

0

Family trust in physician

    

  - Mean 1–5 scale (SD)

4.04 (0.61)

4.12 (0.54)

4.01 (0.62)

1.3 (0.67; 2.3)/1-point increment

  - Percentage

   

   - Very little

0

0

0

   - Little

0.6

0

0.7

 

   - Somewhat

14.7

8.8

16.2

   - A great deal (large amount)

65.3

70.6

64.0

   - A very large amount

19.4

20.6

19.1

  1. *Facility characteristics refer to the facility where resident died (34 facilities; in 200 cases, same as facility of admission; in 7 cases, other facility) and descriptives are weighted for number of residents who died in the facility. Small-scale living represent resident-level analyses.
  2. †The footnote to Table 3 provides an example of how to reverse column and row percentages of dichotomous variables to result in proportions of residents who were provided spiritual end-of-life care with each of two response options.
  3. ‡Estimates do not converge with the last category only as the reference; we therefore combined with the before-last category.
  4. ¶p = 0.558 for difference between upper two options.