HospitalismHEALINGNCT04112121
Psychological, Neurological and Immunological Changes Following a Meeting With a Chaplain Coupled With Biblical Readings
A study testing Meeting with a Chaplain coupled with Biblical Readings in people with Hospitalism, run by Somogy Megyei Kaposi Mór Teaching Hospital at 1 site in Hungary.
Trial summary
The aim of the "HEALING" " (Hospital-based Ecumenical And Linguistic Immuno-NeuroloGic) Study was to examine immunological and neurological changes in hospitalized participants after meeting a chaplain and Biblical listenings, in order to evaluate whether these meetings affect the course of the disease. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hospitalism
- What is being tested?
- Meeting with a Chaplain coupled with Biblical Readings
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 57 participants
- Where
- 1 siteHungary
- Study dates
- 10 Sep 2015to 2 Jan 2017
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- adult age (>18 years)
- the condition of being hospitalized
- the ability for verbal communication
- alertness, orientation
- no sign of psychosis in their medical history
- willingness to participate in the study after written, informed consent
Who cannot join
- the inability to communicate verbally
- psychotic state, altered mental state
- unwillingness to participate
- active and treated malignant disease
- steroid, NSAID or metamizole- sodium use
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Hospital-based Ecumenical And Linguistical, Immuno- Neuro-Genetic (HEALING) Study - Randomized Clinical Trial - A Study on the Epigenetic Background of Neuro-immune-modulation in Clinical Environment
The aim of the "HEALING" " (Hospital-based Ecumenical And Linguistic Immuno-NeuroloGic) Study was to examine immunological and neurological changes in hospitalized participants after meeting a chaplain and Biblical listenings, in order to evaluate whether these meetings affect the course of the disease.
Read the detailed description
The authors pre-screened hospitalized participants to find those who were the most in need of an intervention by a chaplain. A passage from the Bible was read to the participants during a meeting with the chaplain at the bedside, or in the chapel of the hospital. No meeting occurred in the randomized control group, which was compiled in a way to get a group of participants with an approximatively similar pattern of diagnoses and treatment days than the intervention groups. The pace of enrollment was deliberately slow in order to assure the authenticity of the visits ("slow science"). Blood samples were taken 30 minutes prior, and 60 minutes after the meeting to measure White Blood Cell (WBC)-, lymphocyte counts, interferon gamma (IFN-γ)-, immunoglobulin M (IgM)-, immunoglobulin A (IgA)-, immunoglobulin G (IgG)-, and complement C3 levels. A subgroup of the visited participants was subjected to functional Magnetic Resonance Imaging (fMRI), where they were played an audiotape of readings of the same passage from the Bible. Associative tests, paired-samples t-test, network analysis was performed to search for any correlation between psychological and immunological parameters, completed with Statistical Parametric Mapping to search for correlations of the above with neurological parameters.
- Conditions
- Hospitalism
- Being tested
- Meeting with a Chaplain coupled with Biblical Readings
- Keywords
- faith, religion, hospitalization, immunology, psychoneuroimmunology, theology, fMRI
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Meeting with a Chaplain coupled with Biblical ReadingsBehavioural
| Study group | Role | What they receive |
|---|---|---|
| Patients Meeting the Chaplain at the Bedside | Experimental | First meeting with the chaplain, coupled with biblical readings at the bedside. Receives: Behavioral: Meeting with a Chaplain coupled with Biblical Readings |
| Patients Meeting the Chaplain at the Chapel | Experimental | First meeting with the chaplain, coupled with biblical readings at the hospital's chapel Receives: Behavioral: Meeting with a Chaplain coupled with Biblical Readings |
| Patients Not Meeting the Chaplain | No intervention | In the control group we enrolled patients whose diagnoses and number of days in the hospital was similar to the intervention groups (covariate-adaptive, blocked, stratified randomization method). |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in lymphocyte count
lymphocyte count measured with automatised laboratory measurement and microscopic blood smear examination
Measured: Change from baseline at 120 minutes
Change in total white blood cell (WBC) count
WBC count measured with automatised laboratory measurement and microscopic blood smear examination
Measured: Change from baseline at 120 minutes
Change in interferon-gamma level
enzyme-linked immunosorbent assay
Measured: Change from baseline at 120 minutes
Change in immunoglobulin M level
enzyme-linked immunosorbent assay
Measured: Change from baseline at 120 minutes
Change in immunoglobulin A level
enzyme-linked immunosorbent assay
Measured: Change from baseline at 120 minutes
Change in immunoglobulin G level
enzyme-linked immunosorbent assay
Measured: Change from baseline at 120 minutes
Change in complement C3 level
enzyme-linked immunosorbent assay
Measured: Change from baseline at 120 minutes
Change in functional Magnetic Resonance Imaging activity
Statistical Parametric Mapping analysis of Blood Oxygenation Level Dependent (BOLD) answers
Measured: Change from baseline during the 60 second long activation block
Participants' satisfaction with the visit as assessed by Scores given on the "Healing - after" Questionnaire
Participants' assessement of their satisfaction on single-item rating scales in a Questionnaire designed for the Study. Answers range from 1 to 5, with higher values representing better outcomes.
Measured: within 1 hour after intervention
Chaplain's satisfaction with the visit as assessed by Scores given on the "Healing - after" Questionnaire
Chaplain's assessement of her satisfaction on single-item rating scales in a Questionnaire designed for the Study. Answers range from 1 to 5, with higher values representing better outcomes.
Measured: within 1 hour after intervention
Participants' level of distress in the month preceding the measurement as assessed with the total Score of the Perceived Stress Scale 14 (PSS-14)
PSS-14 Scale uses 14 questions with answers ranging from 0 to 4, with higher values indicating higher levels of distress on the seven negative-, and lower levels of distress on the seven positive items. Scores are obtained by reversing the scores on the seven positive items, then summing across all to give the total PSS-14 Score.
Measured: within 30 minutes before intervention
Participants' spiritual and psychological needs, religious practice, thoughts about how they became sick, and how they could heal, as assessed by Scores given on the "Healing - before" Questionnaire
Participants' assessement on single-item rating scales in a Questionnaire designed for the Study ("Healing - before" Questionnaire). Answers range from 1 to 5, with higher values representing better outcomes.
Measured: within 30 minutes before intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Oct 2019
- Study start10 Sep 2015
- Primary completion2 Jan 2017
- Study completion2 Jan 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HospitalismStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- parallel, randomized, open-labeled, controlled clinical trial
- Masking
- None (open label)
- Enrolment
- 57 participants (actual)
Sponsor and investigators
- Lead sponsor
- Somogy Megyei Kaposi Mór Teaching Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Dr. András Béres, Somogy Megyei Kaposi Mór Teaching Hospital
- Investigators
- András Béres, M.D., Principal investigator, Physician
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04112121
- Sponsor's protocol ID
- HEALING STUDY IG/3355/2013
- Acronym
- HEALING
- Status last verified
- Oct 2019
- First submitted
- 29 Sep 2019
- Last updated
- 15 Oct 2019
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Beres A, Emri M, Aranyi C, Fajtai D, Nagy F, Szabo P, Bodecs P, Horcsik E, Perpekne Papp E, Tomanek F, Kuti M, Petofalvine A, Kisdeakne H, Biro G, Kovacs D, Bakos B, Vinczen E, Gal E, Sillinger R, Szalai Z, Szilagyi A, Kiss-Merki M, Nagyeri G, Fodor J, Nemeth T, Papp E, Repa I. Healing through faith: Meeting a chaplain coupled with biblical readings could produce lymphocyte changes that correlate with brain activity (HEALING study). F1000Res. 2024 Oct 30;10:1295. doi: 10.12688/f1000research.74504.5. eCollection 2021.
PubMed 40496603
Study at a glance
From the registry record, last updated by the sponsor on 15 Oct 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Hospital-based Ecumenical And Linguistical, Immuno- Neuro-Genetic (HEALING) Study - Randomized Clinical Trial - A Study on the Epigenetic Background of Neuro-immune-modulation in Clinical Environment
- ClinicalTrials.gov ID
- NCT04112121
- Acronym / sponsor ID
- HEALING / HEALING STUDY IG/3355/2013
- Conditions
- Hospitalism
- Keywords
- faith, religion, hospitalization, immunology, psychoneuroimmunology, theology, fMRI
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 57 participants (actual)
- Lead sponsor
- Somogy Megyei Kaposi Mór Teaching HospitalUniversity, hospital or other
- Study start
- 10 Sep 2015 (actual)
- Primary completion
- 2 Jan 2017 (actual)
- Study completion
- 2 Jan 2017 (actual)
- First posted
- 2 Oct 2019 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of the "HEALING" " (Hospital-based Ecumenical And Linguistic Immuno-NeuroloGic) Study was to examine immunological and neurological changes in hospitalized participants after meeting a chaplain and Biblical listenings, in order to evaluate whether these meetings affect the course of the disease.
Detailed description
The authors pre-screened hospitalized participants to find those who were the most in need of an intervention by a chaplain. A passage from the Bible was read to the participants during a meeting with the chaplain at the bedside, or in the chapel of the hospital. No meeting occurred in the randomized control group, which was compiled in a way to get a group of participants with an approximatively similar pattern of diagnoses and treatment days than the intervention groups. The pace of enrollment was deliberately slow in order to assure the authenticity of the visits ("slow science"). Blood samples were taken 30 minutes prior, and 60 minutes after the meeting to measure White Blood Cell (WBC)-, lymphocyte counts, interferon gamma (IFN-γ)-, immunoglobulin M (IgM)-, immunoglobulin A (IgA)-, immunoglobulin G (IgG)-, and complement C3 levels. A subgroup of the visited participants was subjected to functional Magnetic Resonance Imaging (fMRI), where they were played an audiotape of readings of the same passage from the Bible. Associative tests, paired-samples t-test, network analysis was performed to search for any correlation between psychological and immunological parameters, completed with Statistical Parametric Mapping to search for correlations of the above with neurological parameters.
Study design
- Primary purpose
- Basic science
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- parallel, randomized, open-labeled, controlled clinical trial
| Arm | Type | Receives |
|---|---|---|
| Patients Meeting the Chaplain at the Bedside | Experimental | Behavioral: Meeting with a Chaplain coupled with Biblical ReadingsFirst meeting with the chaplain, coupled with biblical readings at the bedside. |
| Patients Meeting the Chaplain at the Chapel | Experimental | Behavioral: Meeting with a Chaplain coupled with Biblical ReadingsFirst meeting with the chaplain, coupled with biblical readings at the hospital's chapel |
| Patients Not Meeting the Chaplain | No intervention | –In the control group we enrolled patients whose diagnoses and number of days in the hospital was similar to the intervention groups (covariate-adaptive, blocked, stratified randomization method). |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- adult age (>18 years)
- the condition of being hospitalized
- the ability for verbal communication
- alertness, orientation
- no sign of psychosis in their medical history
Key exclusion criteria (5 listed)
- the inability to communicate verbally
- psychotic state, altered mental state
- unwillingness to participate
- active and treated malignant disease
- steroid, NSAID or metamizole- sodium use
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Meeting with a Chaplain coupled with Biblical Readings | Behavioural | Patients Meeting the Chaplain at the Bedside, Patients Meeting the Chaplain at the Chapel |
Primary outcome
Change in lymphocyte count
Time frame: Change from baseline at 120 minutes
lymphocyte count measured with automatised laboratory measurement and microscopic blood smear examination
Change in total white blood cell (WBC) count
Time frame: Change from baseline at 120 minutes
WBC count measured with automatised laboratory measurement and microscopic blood smear examination
Change in interferon-gamma level
Time frame: Change from baseline at 120 minutes
enzyme-linked immunosorbent assay
Change in immunoglobulin M level
Time frame: Change from baseline at 120 minutes
enzyme-linked immunosorbent assay
Change in immunoglobulin A level
Time frame: Change from baseline at 120 minutes
enzyme-linked immunosorbent assay
Change in immunoglobulin G level
Time frame: Change from baseline at 120 minutes
enzyme-linked immunosorbent assay
Change in complement C3 level
Time frame: Change from baseline at 120 minutes
enzyme-linked immunosorbent assay
Change in functional Magnetic Resonance Imaging activity
Time frame: Change from baseline during the 60 second long activation block
Statistical Parametric Mapping analysis of Blood Oxygenation Level Dependent (BOLD) answers
Participants' satisfaction with the visit as assessed by Scores given on the "Healing - after" Questionnaire
Time frame: within 1 hour after intervention
Participants' assessement of their satisfaction on single-item rating scales in a Questionnaire designed for the Study. Answers range from 1 to 5, with higher values representing better outcomes.
Chaplain's satisfaction with the visit as assessed by Scores given on the "Healing - after" Questionnaire
Time frame: within 1 hour after intervention
Chaplain's assessement of her satisfaction on single-item rating scales in a Questionnaire designed for the Study. Answers range from 1 to 5, with higher values representing better outcomes.
Participants' level of distress in the month preceding the measurement as assessed with the total Score of the Perceived Stress Scale 14 (PSS-14)
Time frame: within 30 minutes before intervention
PSS-14 Scale uses 14 questions with answers ranging from 0 to 4, with higher values indicating higher levels of distress on the seven negative-, and lower levels of distress on the seven positive items. Scores are obtained by reversing the scores on the seven positive items, then summing across all to give the total PSS-14 Score.
Participants' spiritual and psychological needs, religious practice, thoughts about how they became sick, and how they could heal, as assessed by Scores given on the "Healing - before" Questionnaire
Time frame: within 30 minutes before intervention
Participants' assessement on single-item rating scales in a Questionnaire designed for the Study ("Healing - before" Questionnaire). Answers range from 1 to 5, with higher values representing better outcomes.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Oct 2019.
- Derived from this study: PubMed 40496603Beres A, Emri M, Aranyi C, Fajtai D, Nagy F, Szabo P, Bodecs P, Horcsik E, Perpekne Papp E, Tomanek F, Kuti M, Petofalvine A, Kisdeakne H, Biro G, Kovacs D, Bakos B, Vinczen E, Gal E, Sillinger R, Szalai Z, Szilagyi A, Kiss-Merki M, Nagyeri G, Fodor J, Nemeth T, Papp E, Repa I. Healing through faith: Meeting a chaplain coupled with biblical readings could produce lymphocyte changes that correlate with brain activity (HEALING study). F1000Res. 2024 Oct 30;10:1295. doi: 10.12688/f1000research.74504.5. eCollection 2021.
Related trials for Hospitalism
Recruiting
Immersive Sensory Projections for Hospitalized Patients
Hospitalism
Recruiting
Mindfulness-Based Emotion Regulation Training for Hospitalized Children
Fear, Child, Only
Not yet recruiting
IVC Collapsibility Index or CVP as a Predictor of Fluid Responsiveness in Pediatric Sepsis
Sepsis, Septic Shock
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
András Béres, M.D. principal investigator
Physician
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Meeting with a Chaplain coupled with Biblical Readings in people with Hospitalism, run by Somogy Megyei Kaposi Mór Teaching Hospital at 1 site in Hungary.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Oct 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Hungary. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in lymphocyte count (time frame: Change from baseline at 120 minutes). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04112121, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Oct 2019.