Vol. 39 No. 2 February 2010 Schedule with Abstracts 383

IV. Results. The average distress level (0 to 10)reported by patients was M¼ 5.5 (SD¼ 3.22).Distress was significantly correlated with DSM-IV-TR depression criteria (r¼ .73, P < .001)and generalized anxiety criteria (r¼ .64, P <.001). Sixty-one percent of the sample met crite-ria for depression and 57% of the sample metcriteria for generalized anxiety. The most dis-tressing problems included pain, sleep difficulty,fatigue, financial difficulties, muscle tension,and worry. Many patients expressed regret thatthe supportive care assessment was notcompleted earlier in their disease trajectory.The majority of patients were willing to have in-formation from the assessment appear in theirmedical record, with a few exceptions.V. Conclusion. The OSU Center for PalliativeCare Supportive Care Assessment is a compre-hensive, feasible, valid assessment tool to iden-tify the level and nature of patient distress andtriage to appropriate team members and/orresources.VI. Implications for Research, Policy, or Practice. Thispresentation will inform clinicians and re-searchers about a measure for use in their prac-tice to elicit the multidimensional nature ofdistress.

DomainStructure and Processes of Care

Evaluation of an Interdisciplinary FacultyDevelopment Program at an AcademicHospiceAnnette Vollrath, MD, The Institute for PalliativeMedicine at San Diego Hospice, San Diego, CA.JJ Nadicksbernd, MSW, The Institute for Pallia-tive Medicine at San Diego Hospice, San Diego,CA. Matthew Soskins, PhD Esq, The Institute forPalliative Medicine at San Diego Hospice, SanDiego, CA. Charles von Gunten, and MD PhD,The Institute for Palliative Medicine at SanDiego Hospice, San Diego, CA.(All speakers have disclosed no relevant finan-cial relationships.)

Objectives1. Describe the Interdisciplinary Faculty Devel-

opment Program (IFDP) as one example ofa mentorship-model driven program to de-velop clinician-educators from all disciplinesinvolved in the delivery of palliative care.

2. Discuss pre-, post-, and long-term outcomedata of this program addressing its effects

on the participants’ academic activity, compe-tency, and job satisfaction.

3. Discuss the role of mentorship in the aca-demic palliative care setting.

I. Background. Palliative care as a rapidly growingfield in the world carries a significant educa-tional mission. The Institute for Palliative Med-icine (IPM) contributes to this mission withtraining programs for multiple disciplines. Hos-pice staff serves as faculty. Traditionally, facultydevelopment for clinician-teachers focuses onphysicians and nurses. Thus IPM createda new interdisciplinary faculty developmentprogram (IFDP) to develop clinician-educatorsfrom all disciplines involved in the delivery ofcare.II. Research Objectives1. Create a mentorship-model program to de-velop clinician-educators from all disciplinesinvolved in the delivery of palliative care.2. Evaluate the program’s effects on partici-pants’ academic activity, competency, and jobsatisfaction with pre-, post-, and long-term data.III. Methods. Following an application and selec-tion process, 6e10 participants per year frommultiple disciplines participated in a 9-monthprogram. Each participant was paired witha mentor, completed an educational project,and participated in three peer mentorship ses-sions, monthly seminars and a 2-day retreat fo-cusing on key topics in education. Participantspresented their projects at the completion ofthe program, and completed self-evaluation in-ventories before, immediately after and oneyear after completion of the program. Mentorscompleted one questionnaire.IV. Results. Participation in IFDP increases theparticipants’ feelings of academic competence,actual involvement in educational activities andoverall job satisfaction. This remains true oneyear after completion of the program.V. Conclusion. IFDP is one example of a programthat addresses the need to develop clinician-teachers from all disciplines involved in the de-livery of palliative care. Its most effective compo-nents are believed to be the participant selectionprocess, the project focus, as well as the twomentorship components.VI. Implications for Research, Policy, or Practice.IFDP is effective, low cost, and easy to duplicate.We encourage other academic palliative careproviders to explore and expand on IFDP intheir pursuit to grow interdisciplinary palliativecare faculty.

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DomainStructure and Processes of Care

Paper Session (413)

Spiritual Care Needs and Expectations inOutpatient Palliative CareElizabeth Kvale, MD, University of Alabama Bir-mingham, Birmingham, AL.(Kvale has disclosed no relevant financialrelationships.)

Objectives1. Recognize the spiritual needs of palliative

care outpatients.2. Identify the expectation for spiritual care

among palliative care outpatients.I. Background. Spiritual and existential concernsmay have a significant impact on quality of lifeamong community-dwelling persons living withadvanced illness. The spiritual care needs of palli-ative care outpatients are not well-characterizedin the literature, yet are widely recognized as im-portant components in developing a patient cen-tered palliative care plan. To better guide thedevelopment of services needed to provide spiri-tual care to palliative care outpatients we under-took a qualitative study of the spiritual needsand expectations of a representative population.II. Research Objectives. We sought to understandthe spiritual care needs and preferences amongpalliative care outpatients in the SoutheasternUnited States.III. Methods. All study activities received IRBapproval through UAB. Twenty individuals were re-cruited from among palliative care outpatients seenat the UAB Supportive and Palliative Care Outpa-tient Clinic. Semi-structured telephone interviewswere conducted with volunteers by research per-sonnel who were not involved in the clinical careof patients. Descriptive analyses were undertakento describe the population, and frequencies, pro-portions, and means were generated for responses.Qualitative responses are reported verbatim.IV. Results. Seventeen participants (85%) identi-fied themselves with an organized religion or spir-itual organization, 2 participants (10%) did not.The majority (16, 80%) of participants felt thattheir physician should be aware of their spiritualbeliefs and needs, but 3 individuals (15%) didnot. Similarly, 16 participants (80%) felt the phy-sician should take their spiritual beliefs into ac-count in the development of a care plan, and 3participants (15%) did not. Ten participants

(50%) indicated that they felt it would be helpfulfor their palliative care provider to pray for them.All respondents (n¼ 19, 95%, 1 missing) indi-cated that their spiritual beliefs helped themcope with their illness.V. Conclusion. The majority of participants in thisassessment both affiliated themselves with an or-ganized religion, and felt that it was importantthat their palliative care provider be aware oftheir spiritual beliefs and incorporate them inthe development of a care plan. A minority ofparticipants did not have an interest in formalspiritual care through palliative care.VI. Implications for Research, Policy, or Practice. Rou-tine screening for spiritual needs is indicated inpalliative care, and measures for the incorpora-tion of the patients’ spiritual beliefs in a palliativecare plan should be developed.

DomainsStructure and Processes of Care; and Spiritual,Religious, and Existential Aspects of Care

Losing Hope: The Relationship betweenHope and Pain, Depression, and SpiritualWell-Being among Ambulatory CancerPatientsMichael Rabow, MD, University of California SanFrancisco, San Francisco, CA. Blake Rawdin, MDMPH, University of California San Francisco,San Francisco, CA.(All speakers have disclosed no relevant finan-cial relationships.)

Objectives1. Review the literature on the associations be-

tween hope, depression, and quality of life.2. Identify the level of hope among ambulatory

patients with cancer at an urban comprehen-sive cancer center.

3. Describe the relationships between hope andcancer-associated pain, as well as other clinicaloutcomes, including cancer stage, mood, andspiritual well-being.

I. Background. Although hope has been associatedwith depression and quality of life, there is little re-search about hope and other important clinicaloutcomes. Limited research has suggested thathope is inversely correlated with pain, but the rela-tionship between hope and pain among cancer pa-tients in the United States has not been studied.II. Research Objectives. (i) Assess the levels of hopeamong outpatients with cancer receiving concur-rent oncologic and palliative care; and (ii)