{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:56:21Z","timestamp":1790571381104,"version":"4.1.0"},"reference-count":76,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:p>As populations age globally, multimorbidity, defined as the coexistence of two or more chronic conditions, has become highly prevalent. While precision medicine holds promise for tailoring interventions based on genetics, environment, lifestyle, and other individual characteristics, its application in older adults with multimorbidity remains limited largely narrowly biomedical, disease-specific, and insufficiently aligned with palliative care principles. Such approaches are poorly suited to the complexity, vulnerability, prognostic uncertainty, and existential challenges characteristic of aging with multimorbidity, particularly in the context of serious illness. We argue that precision medicine must evolve into precision whole-person care by explicitly integrating palliative care principles, including goal-concordant care, relief of suffering, and preservation of dignity. This expanded model incorporates biological, psychosocial, and spiritual domains as measurable and actionable determinants of health. To promote a truly patient-centered, whole-person approach to precision medicine, all the dimensions of wellbeing should be recognized and integrated as key components of precision care. We synthesize evidence on multimorbidity, precision palliative care, and aging, and propose a multidimensional biopsychosocial\u2013spiritual framework to guide the implementation of precision medicine in older adults, examine ethical and clinical implications; and suggest future research directions. Precision medicine from a whole person approach that recognizes and incorporates psychosocial-spiritual dimensions of wellbeing may better align care with patient values, enhance dignity, reduce burdensome or non-beneficial interventions, and optimize outcomes that matter most to older adults living with multiple chronic illnesses.<\/jats:p>","DOI":"10.3389\/fmed.2026.1892671","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:29:30Z","timestamp":1790569770000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Precision medicine for older adults with multimorbidity through a whole-person and palliative care approach"],"prefix":"10.3389","volume":"13","author":[{"given":"Oladunni","family":"Oyedotun","sequence":"first","affiliation":[{"name":"Division of Geriatric Medicine, University of Massachusetts Chan Medical School","place":["Worcester, MA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwafunmibi","family":"Anjorin","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine, University of Massachusetts Chan Medical School","place":["Worcester, MA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Dosa","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine, University of Massachusetts Chan Medical School","place":["Worcester, MA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alok","family":"Kapoor","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, University of Massachusetts Chan Medical School","place":["Worcester, MA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry","family":"Gurwitz","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine, University of Massachusetts Chan Medical School","place":["Worcester, MA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Berger","sequence":"additional","affiliation":[{"name":"Division of Gerontology, Geriatrics and Palliative medicine, University of Maryland at Baltimore School of Medicine","place":["Baltimore, MD, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hawa O.","family":"Abu","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine, University of Massachusetts Chan Medical School","place":["Worcester, MA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1186\/s13054-021-03750-y","article-title":"The management of multi-morbidity in elderly patients: ready yet for precision medicine in intensive care?","volume":"25","author":"Beil","year":"2021","journal-title":"Critical Care"},{"key":"B2","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1093\/epirev\/mxs009","article-title":"Multimorbidity in older adults","volume":"35","author":"Salive","year":"2013","journal-title":"Epidemiol Rev"},{"key":"B3","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/j.ssmph.2016.04.009","article-title":"Spirituality, religiosity, aging and health in global perspective: a review","volume":"2","author":"Zimmer","year":"2016","journal-title":"SSM\u2014Popul Health"},{"key":"B4","doi-asserted-by":"publisher","first-page":"85","DOI":"10.3390\/geriatrics5040085","article-title":"Multi-morbidity and polypharmacy in older people: challenges and opportunities for clinical practice","volume":"5","author":"Aggarwal","year":"2020","journal-title":"Geriatrics"},{"key":"B5","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1111\/jgs.15809","article-title":"Decision making for older adults with multiple chronic conditions: executive summary for the American geriatrics society guiding principles on the care of older adults with multimorbidity","volume":"67","author":"Boyd","year":"2019","journal-title":"J Am Geriatr Soc"},{"key":"B6","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1097\/JMQ.0000000000000227","article-title":"Fragmented ambulatory care and medication count among older adults","volume":"40","author":"Das","year":"2025","journal-title":"Am J Med Qual"},{"key":"B7","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1007\/s41999-020-00313-2","article-title":"Medication adherence in the older adults with chronic multimorbidity: a systematic review of qualitative studies on patient\u2019s experience","volume":"11","author":"Maffoni","year":"2020","journal-title":"Eur Geriatr Med"},{"key":"B8","doi-asserted-by":"publisher","first-page":"100903","DOI":"10.1016\/j.arr.2019.04.005","article-title":"Multimorbidity and quality of life: systematic literature review and meta-analysis","volume":"53","author":"Makovski","year":"2019","journal-title":"Ageing Res Rev"},{"key":"B9","doi-asserted-by":"publisher","first-page":"e33389","DOI":"10.1097\/MD.0000000000033389","article-title":"Multimorbidity, healthcare utilization, and quality of life for older patients undergoing surgery: a prospective study","volume":"102","author":"Thanakiattiwibun","year":"2023","journal-title":"Medicine (Baltimore)"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1529","DOI":"10.3390\/healthcare13131529","article-title":"Precision medicine: personalizing healthcare by bridging aging, genetics, and global diversity","volume":"13","author":"Edvardsson","year":"2025","journal-title":"Healthcare"},{"key":"B11","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1016\/j.mjafi.2021.06.021","article-title":"Precision medicine: concept and tools","volume":"77","author":"Naithani","year":"2021","journal-title":"Med J Armed Forces India"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e075691","DOI":"10.1136\/bmjopen-2023-075691","article-title":"Dimensions of suffering and the need for palliative care: experiences and expectations of patients living with cancer and diabetes and their caregivers in Mexico\u2014a qualitative study","volume":"13","author":"Doubova","year":"2023","journal-title":"BMJ Open"},{"key":"B13","doi-asserted-by":"publisher","first-page":"e19","DOI":"10.1017\/pcm.2023.8","article-title":"From precision medicine to precision care: choosing and using precision medicine in the context of multimorbidity","volume":"1","author":"Bierman","year":"2023","journal-title":"Camb Prism Precis Med"},{"key":"B14","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1093\/tbm\/ibz105","article-title":"Considering religion and spirituality in precision medicine","volume":"10","author":"Yeary","year":"2020","journal-title":"Transl Behav Med"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1141","DOI":"10.1111\/jgs.70293","article-title":"Spirituality and religiosity as sources of resilience in older adults with chronic illness: a mixed methods systematic review","volume":"74","author":"Abu","year":"2026","journal-title":"J Am Geriatr Soc"},{"key":"B16","doi-asserted-by":"publisher","first-page":"3195","DOI":"10.3390\/ijerph19063195","article-title":"Palliative care in older people with multimorbidities: a scoping review on the palliative care needs of patients, carers, and health professionals","volume":"19","author":"Llop-Medina","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"B17","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1186\/s12911-017-0570-x","article-title":"Recognizing difficult trade-offs: values and treatment preferences for end-of-life care in a multi-site survey of adult patients in family practices","volume":"17","author":"Howard","year":"2017","journal-title":"BMC Med Inform Decis Mak"},{"key":"B18","doi-asserted-by":"publisher","first-page":"1112159","DOI":"10.3389\/fsoc.2023.1112159","article-title":"Precision and personalized medicine: what their current definition says and silences about the model of health they promote. Implication for the development of personalized health","volume":"8","author":"Delpierre","year":"2023","journal-title":"Front Sociol"},{"key":"B19","doi-asserted-by":"publisher","first-page":"822","DOI":"10.31488\/bjcr.210","article-title":"Advances in precision supportive and palliative care: integrating biomarkers, digital health, and AI to personalize symptom management in cancer patients","volume":"8","author":"Hassan","year":"2025","journal-title":"Br J Cancer Res"},{"key":"B20","doi-asserted-by":"publisher","first-page":"3837","DOI":"10.3390\/cancers15153837","article-title":"Precision medicine: disease subtyping and tailored treatment","volume":"15","author":"Wang","year":"2023","journal-title":"Cancers (Basel)"},{"key":"B21","doi-asserted-by":"publisher","first-page":"543","DOI":"10.3390\/jpm15110543","article-title":"Utilizing pharmacogenetic results to optimize medication management in hospice care: a pilot study","volume":"15","author":"Dreikorn","year":"2025","journal-title":"J Pers Med"},{"key":"B22","doi-asserted-by":"publisher","first-page":"E1","DOI":"10.1111\/j.1532-5415.2012.04188.x","article-title":"Guiding principles for the care of older adults with multimorbidity: an approach for clinicians: american geriatrics society expert panel on the care of older adults with multimorbidity","volume":"60","year":"2012","journal-title":"J Am Geriatr Soc"},{"key":"B23","doi-asserted-by":"publisher","first-page":"26335565231156693","DOI":"10.1177\/26335565231156693","article-title":"Management of multimorbidity","volume":"13","author":"Bricca","year":"2023","journal-title":"J Multimorb Comorb"},{"key":"B24","doi-asserted-by":"publisher","first-page":"111287","DOI":"10.1016\/j.mad.2020.111287","article-title":"Facing multimorbidity in the precision medicine era","volume":"190","author":"Onder","year":"2020","journal-title":"Mech Ageing Dev"},{"key":"B25","doi-asserted-by":"publisher","first-page":"344","DOI":"10.3122\/jabfm.2022.220308R1","article-title":"A comprehensive clinical model of suffering","volume":"36","author":"Phillips","year":"2023","journal-title":"J Am Board Fam Med"},{"key":"B26","doi-asserted-by":"publisher","first-page":"79","DOI":"10.3390\/medicines4040079","article-title":"Are we ready for a true biopsychosocial-spiritual model? The many meanings of \u201cspiritual\u201d","volume":"4","author":"Saad","year":"2017","journal-title":"Medicines"},{"key":"B27","doi-asserted-by":"publisher","first-page":"104973","DOI":"10.1016\/j.ebiom.2024.104973","article-title":"Multimorbidity: a complex challenge to support and optimise individual health","volume":"99","year":"2024","journal-title":"eBioMedicine"},{"key":"B28","doi-asserted-by":"publisher","first-page":"756080","DOI":"10.3389\/fpsyg.2021.756080","article-title":"Defining spirituality in healthcare: a systematic review and conceptual framework","volume":"12","author":"De Brito Sena","year":"2021","journal-title":"Front Psychol"},{"key":"B29","doi-asserted-by":"publisher","first-page":"12473","DOI":"10.1038\/s41598-024-62801-w","article-title":"Spirituality is associated with immune parameters and disease activity in primary sj\u00f6gren\u2019s syndrome: a cross-sectional study","volume":"14","author":"M\u00f3dis","year":"2024","journal-title":"Sci Rep"},{"key":"B30","doi-asserted-by":"publisher","first-page":"505","DOI":"10.1016\/j.hoc.2018.01.011","article-title":"Spiritual considerations","volume":"32","author":"Puchalski","year":"2018","journal-title":"Hematol Oncol Clin North Am"},{"key":"B31","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1186\/s12877-020-01646-0","article-title":"Spirituality and quality of life in older adults: a path analysis model","volume":"20","author":"Lima","year":"2020","journal-title":"BMC Geriatr"},{"key":"B32","doi-asserted-by":"publisher","first-page":"e14021","DOI":"10.1111\/acel.14021","article-title":"Holistic care in healthy aging: caring for the wholly and holy human","volume":"23","author":"Acosta","year":"2024","journal-title":"Aging Cell"},{"key":"B33","article-title":"Spiritual assessment","volume-title":"StatPearls","author":"Henry","year":"2024"},{"key":"B34","first-page":"415","article-title":"The spiritual assessment","volume":"106","author":"Kuckel","year":"2022","journal-title":"Am Fam Physician"},{"key":"B35","doi-asserted-by":"publisher","first-page":"1636","DOI":"10.1001\/jamaoncol.2016.2631","article-title":"The potential of radiomic-based phenotyping in precision medicine: a review","volume":"2","author":"Aerts","year":"2016","journal-title":"JAMA Oncol"},{"key":"B36","first-page":"23743735211051541","article-title":"Examining the association between chaplain care and patient experience","volume":"8","author":"Damen","year":"2021","journal-title":"J Patient Exp"},{"key":"B37","doi-asserted-by":"publisher","first-page":"27536130231156857","DOI":"10.1177\/27536130231156857","article-title":"The association of multimorbidity with whole health activities among adults in the United States: evidence from the NHIS and BRFSS","volume":"12","author":"Neba","year":"2023","journal-title":"Glob Adv Integr Med Health"},{"key":"B38","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1503\/cmaj.050051","article-title":"A global clinical measure of fitness and frailty in elderly people","volume":"173","author":"Rockwood","year":"2005","journal-title":"Can Med Assoc J"},{"key":"B39","doi-asserted-by":"publisher","first-page":"914","DOI":"10.1001\/jama.1963.03060120024016","article-title":"Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function","volume":"185","author":"Katz","year":"1963","journal-title":"JAMA"},{"key":"B40","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1093\/geront\/9.3_Part_1.179","article-title":"Assessment of older people: self-maintaining and instrumental activities of daily living","volume":"9","author":"Lawton","year":"1969","journal-title":"Gerontologist"},{"key":"B41","doi-asserted-by":"publisher","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"key":"B42","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"key":"B43","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1177\/0164027504268574","article-title":"A short scale for measuring loneliness in large surveys: results from two population-based studies","volume":"26","author":"Hughes","year":"2004","journal-title":"Res Aging"},{"key":"B44","first-page":"81","article-title":"Spirituality and medical practice: using the HOPE questions as a practical tool for spiritual assessment","volume":"63","author":"Anandarajah","year":"2001","journal-title":"Am Fam Physician"},{"key":"B45","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1089\/jpm.2000.3.129","article-title":"Taking a spiritual history allows clinicians to understand patients more fully","volume":"3","author":"Puchalski","year":"2000","journal-title":"J Palliat Med"},{"key":"B46","doi-asserted-by":"publisher","first-page":"2009","DOI":"10.1111\/jgs.15465","article-title":"Feasibility of implementing patient priorities care for older adults with multiple chronic conditions","volume":"66","author":"Blaum","year":"2018","journal-title":"J Am Geriatr Soc"},{"key":"B47","doi-asserted-by":"publisher","first-page":"1115","DOI":"10.1007\/s11606-009-1073-y","article-title":"Index to predict 5-year mortality of community-dwelling adults aged 65 and older using data from the national health interview survey","volume":"24","author":"Schonberg","year":"2009","journal-title":"J Gen Intern Med"},{"key":"B48","doi-asserted-by":"publisher","first-page":"1883","DOI":"10.3390\/ijerph18041883","article-title":"Implementing precision medicine in human frailty through epigenetic biomarkers","volume":"18","author":"Garc\u00eda-Gim\u00e9nez","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"B49","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1007\/s11912-020-00977-w","article-title":"Biological and functional biomarkers of aging: definition, characteristics, and how they can impact everyday cancer treatment","volume":"22","author":"Colloca","year":"2020","journal-title":"Curr Oncol Rep"},{"key":"B50","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1007\/s40122-017-0069-2","article-title":"Genetic testing for opioid pain management: a primer","volume":"6","author":"Agarwal","year":"2017","journal-title":"Pain Ther"},{"key":"B51","doi-asserted-by":"publisher","first-page":"1747285","DOI":"10.3389\/fpubh.2026.1747285","article-title":"The influence of social support on active aging in chronic disease patients among older adults: mediating role of coping strategies","volume":"14","author":"Jian","year":"2026","journal-title":"Front Public Health"},{"key":"B52","doi-asserted-by":"publisher","first-page":"767","DOI":"10.1016\/j.mcna.2020.06.002","article-title":"Identifying goals of care","volume":"104","author":"Comer","year":"2020","journal-title":"Med Clin N Am"},{"key":"B53","doi-asserted-by":"publisher","first-page":"e224","DOI":"10.1093\/geront\/gnab071","article-title":"Assessing what matters most in older adults with multicomplexity","volume":"62","author":"Moye","year":"2022","journal-title":"Gerontologist"},{"key":"B54","doi-asserted-by":"publisher","first-page":"1929","DOI":"10.1111\/jgs.19402","article-title":"Home-based comprehensive geriatric assessment for community-dwelling, at-risk, frail older adults: a systematic review and meta-analysis","volume":"73","author":"Hayes","year":"2025","journal-title":"J Am Geriatr Soc"},{"key":"B55","doi-asserted-by":"publisher","first-page":"9292","DOI":"10.3390\/ijerph19159292","article-title":"Age-friendly communities and older adults\u2019 health in the United States","volume":"19","author":"Kim","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"B56","first-page":"67","article-title":"The role of chaplains in healthcare","volume":"18","author":"Fitchett","year":"2012","journal-title":"Health Care Chaplain"},{"key":"B57","doi-asserted-by":"publisher","first-page":"e0218249","DOI":"10.1371\/journal.pone.0218249","article-title":"Challenges and strategies in patients\u2019 health priorities-aligned decision-making for older adults with multiple chronic conditions","volume":"14","author":"Tinetti","year":"2019","journal-title":"PLoS One"},{"key":"B58","doi-asserted-by":"publisher","first-page":"108161","DOI":"10.1016\/j.pec.2024.108161","article-title":"How does patient-centered communication influence patient trust?: the roles of patient participation and patient preference","volume":"122","author":"Jiang","year":"2024","journal-title":"Patient Educ Couns"},{"key":"B59","doi-asserted-by":"publisher","first-page":"436","DOI":"10.1080\/29949769.2025.2572638","article-title":"A scoping review of a multidisciplinary approach to the care of community-living older adults","volume":"35","author":"Kelvin Tan","year":"2025","journal-title":"Asia Pac J Soc Work Dev"},{"key":"B60","doi-asserted-by":"publisher","first-page":"23","DOI":"10.5334\/ijic.7022","article-title":"Improving multidisciplinary team working to support integrated care for people with frailty amidst the COVID-19 pandemic","volume":"23","author":"Barber","year":"2023","journal-title":"Int J Integr Care"},{"key":"B61","doi-asserted-by":"publisher","first-page":"8856","DOI":"10.3390\/jcm14248856","article-title":"Impact of an interdisciplinary care program on health outcomes in older patients with multimorbidity","volume":"14","author":"Cubo-Romano","year":"2025","journal-title":"J Clin Med"},{"key":"B62","doi-asserted-by":"publisher","first-page":"2077","DOI":"10.1017\/S1041610213001452","article-title":"Impact of a structured multidisciplinary intervention on quality of life of older adults with advanced cancer","volume":"25","author":"Chock","year":"2013","journal-title":"Int Psychogeriatr"},{"key":"B63","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1186\/s12904-022-01121-0","article-title":"Impact of interprofessional collaborative practice in palliative care on outcomes for advanced cancer inpatients in a resource-limited setting","volume":"21","author":"Pornrattanakavee","year":"2022","journal-title":"BMC Palliat Care"},{"key":"B64","doi-asserted-by":"publisher","first-page":"1134","DOI":"10.1186\/s12909-024-06151-1","article-title":"Training clinical professionals to deliver a patient centered intervention in healthcare settings","volume":"24","author":"Matthieu","year":"2024","journal-title":"BMC Med Educ"},{"key":"B65","doi-asserted-by":"publisher","first-page":"987","DOI":"10.1186\/s12909-024-05945-7","article-title":"Advancing a new model of collaborative practice: a decade of whole health interprofessional education across veterans health administration","volume":"24","author":"Liao","year":"2024","journal-title":"BMC Med Educ"},{"key":"B66","doi-asserted-by":"publisher","first-page":"1438","DOI":"10.1016\/j.amjmed.2025.05.048","article-title":"A call for health care providers to address faith, religiosity, and spirituality among older adults","volume":"138","author":"Abu","year":"2025","journal-title":"Am J Med"},{"key":"B67","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1177\/1542305015572955","article-title":"Spiritual care training provided to healthcare professionals: a systematic review","volume":"69","author":"Paal","year":"2015","journal-title":"J Pastor Care Couns"},{"key":"B68","volume-title":"Framework on Integrated, People-Centered Health Services: Report by the Secretariat. A69\/39","year":"2016"},{"key":"B69","doi-asserted-by":"publisher","first-page":"1708960","DOI":"10.3389\/fdgth.2025.1708960","article-title":"Impact of telehealth on health outcomes and quality of life in the older adults population: a systematic review","volume":"7","author":"Fernandes","year":"2025","journal-title":"Front Digit Health"},{"key":"B70","doi-asserted-by":"publisher","first-page":"e63881","DOI":"10.7759\/cureus.63881","article-title":"Revolutionizing healthcare: how telemedicine is improving patient outcomes and expanding access to care","volume":"16","author":"Ezeamii","year":"2024","journal-title":"Cureus"},{"key":"B71","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1080\/08854726.2022.2040895","article-title":"The changing face of spiritual care: current developments in telechaplaincy","volume":"29","author":"Winiger","year":"2023","journal-title":"J Health Care Chaplain"},{"key":"B72","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-030-47070-8_1","article-title":"Introduction","volume-title":"Charting Spiritual Care: The Emerging Role of Chaplaincy Records in Global Health Care","author":"Peng-Keller","year":"2020"},{"key":"B73","doi-asserted-by":"publisher","first-page":"e44638","DOI":"10.2196\/44638","article-title":"Mindfulness-based mobile apps and their impact on well-being in nonclinical populations: systematic review of randomized controlled trials","volume":"25","author":"Schwartz","year":"2023","journal-title":"J Med Internet Res"},{"key":"B74","doi-asserted-by":"publisher","first-page":"1061","DOI":"10.1056\/NEJMp2310498","article-title":"Physicians, spirituality, and compassionate patient care","volume":"390","author":"Sulmasy","year":"2024","journal-title":"N Engl J Med"},{"key":"B75","doi-asserted-by":"publisher","first-page":"278730","DOI":"10.5402\/2012\/278730","article-title":"Religion, spirituality, and health: the research and clinical implications","volume":"2012","author":"Koenig","year":"2012","journal-title":"ISRN Psychiatry"},{"key":"B76","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1001\/jama.2022.11086","article-title":"Spirituality in serious illness and health","volume":"328","author":"Balboni","year":"2022","journal-title":"JAMA"}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1892671\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:29:32Z","timestamp":1790569772000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2026.1892671\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":76,"alternative-id":["10.3389\/fmed.2026.1892671"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2026.1892671","relation":{},"ISSN":["2296-858X"],"issn-type":[{"value":"2296-858X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"article-number":"1892671"}}