{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T20:17:58Z","timestamp":1793650678049,"version":"4.5.1"},"reference-count":30,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Rush University Medical Center College of Health Sciences","award":["Research Award"],"award-info":[{"award-number":["Research Award"]}],"id":[{"id":"https:\/\/ror.org\/01j7c0b24","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Essentia Health Foundation","award":["Grant A2003"],"award-info":[{"award-number":["Grant A2003"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Religious and spiritual (R\/S) concerns are common among patients with serious illness. Attending to the R\/S concerns of patients is a core component of quality palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Our aim was to describe the prevalence and demographic, medical, and religious correlates of R\/S concerns in patients receiving palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Multisite, cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Subjects:<\/jats:title>\n                    <jats:p>Adult patients in the United States receiving inpatient or outpatient palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Chaplains completed the PC-6, an interview-based spiritual assessment, as part of routine palliative care practice. The PC-6 evaluates six domains of R\/S concern: relationships, meaning, legacy, dying, religious\/spiritual struggle, and treatment decision-related concerns. Demographic, clinical, and religious affiliation data were obtained from the medical record.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 172 palliative care patients were included. Fifty percent were assessed to have moderate or severe concerns in at least one of six spiritual domains, and 17% had concerns in two or more domains. The most prevalent concerns involved relationships (19.2%), dying (14.5%), meaning (14.0%), and legacy (11.0%). In multivariable analyses, patients with no religious affiliation were more than three times more likely to have moderate or severe spiritual concerns compared to those with a Protestant affiliation. Demographic characteristics and primary diagnosis were not associated with the presence of spiritual concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Moderate to severe spiritual concerns are prevalent among patients receiving palliative care, including among those without a religious affiliation. Integrating spiritual assessment into palliative care workflows may facilitate specialty spiritual care and comprehensive attention to patients\u2019 multidimensional suffering.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261467136","type":"journal-article","created":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T06:57:07Z","timestamp":1783493827000},"page":"1555-1562","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Describing the Prevalence and Correlates of Spiritual Concerns Using the PC-6 Spiritual Assessment with Palliative Care Patients Near the End of Life"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8864-1328","authenticated-orcid":false,"given":"Sarah","family":"Byrne-Martelli","sequence":"first","affiliation":[{"name":"Massachusetts General Hospital, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7247-4729","authenticated-orcid":false,"given":"Patricia K.","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Spiritual Health, Emory Healthcare, Atlanta, Georgia, USA."},{"name":"Woodruff Health Sciences Center, Emory University, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burl","family":"Cole","sequence":"additional","affiliation":[{"name":"OSF Healthcare, Peoria, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Cullen","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven B.","family":"Drennan","sequence":"additional","affiliation":[{"name":"OSF Healthcare, Peoria, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa L.","family":"Harry","sequence":"additional","affiliation":[{"name":"Essentia Institute of Rural Health, Duluth, Minnesota, USA."},{"name":"Essentia Health, Duluth, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"Labuschagne","sequence":"additional","affiliation":[{"name":"Rush University Medical Center, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Pe\u00f1ate","sequence":"additional","affiliation":[{"name":"Northwestern Memorial Hospital, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn A.","family":"Ulrich","sequence":"additional","affiliation":[{"name":"Essentia Health, Duluth, Minnesota, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Fitchett","sequence":"additional","affiliation":[{"name":"Rush University Medical Center, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"e_1_3_5_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.11086"},{"key":"e_1_3_5_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/rel14030320"},{"key":"e_1_3_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-50864-6_23"},{"key":"e_1_3_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-014-2428-4"},{"key":"e_1_3_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2017.07.028"},{"key":"e_1_3_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suponc.2011.09.003"},{"key":"e_1_3_5_8_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2020.0776"},{"key":"e_1_3_5_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18887"},{"key":"e_1_3_5_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000271"},{"key":"e_1_3_5_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/rel0000472"},{"key":"e_1_3_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-025-09860-5"},{"key":"e_1_3_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hoc.2018.01.011"},{"key":"e_1_3_5_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2021.04.024"},{"key":"e_1_3_5_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2020-002636"},{"key":"e_1_3_5_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2010.0536"},{"key":"e_1_3_5_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/S147895151500108X"},{"key":"e_1_3_5_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-016-0252-5"},{"key":"e_1_3_5_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2018.0340"},{"key":"e_1_3_5_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000001124"},{"key":"e_1_3_5_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909110385917"},{"key":"e_1_3_5_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.09.017"},{"key":"e_1_3_5_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2022-003569"},{"key":"e_1_3_5_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/08854726.2021.2008170"},{"key":"e_1_3_5_25_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2019.0188"},{"key":"e_1_3_5_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2025.05.010"},{"key":"e_1_3_5_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/082585979601200102"},{"key":"e_1_3_5_28_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1478951504040027"},{"key":"e_1_3_5_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-019-05349-0"},{"key":"e_1_3_5_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/08854726.2025.2563472"},{"key":"e_1_3_5_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-016-3425-6"}],"container-title":["Journal of Palliative Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261467136","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10966218261467136","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10966218261467136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T07:45:49Z","timestamp":1791791149000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10966218261467136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,7]]},"references-count":30,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11,1]]}},"alternative-id":["10.1177\/10966218261467136"],"URL":"https:\/\/doi.org\/10.1177\/10966218261467136","relation":{},"ISSN":["1096-6218","1557-7740"],"issn-type":[{"value":"1096-6218","type":"print"},{"value":"1557-7740","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,7]]}}}