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1- Research Center for Religion and Health, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Research Center for Religion and Health, Department of Public Health, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran ,leila_rabiei@yahoo.com
2- Research Center for Religion and Health, Department of Public Health, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran ,
Abstract: (41 Views)
Objectives: Global demographic shifts toward population aging necessitate comprehensive healthcare strategies. Although spiritual health is an integral component of successful aging, structured God-centered spiritual care interventions for older adults remain underdeveloped. This study aimed to determine the effectiveness of a God-centered spiritual care program based on the SHALOM model on social health, resilience, and death anxiety in Iranian older adults.
Methods: A quasi-experimental cluster study was conducted in 2024 in two urban health centers affiliated with Shahid Beheshti University of Medical Sciences, Tehran, Iran. Two centers were non-randomly assigned to the intervention (n=35) and control (n=35) groups. The intervention group received an 8-session God-centered spiritual care program based on the SHALOM model over two weeks. The control group received routine care. Outcomes included social health (Keyes Social Well-Being Scale), resilience (Connor-Davidson Resilience Scale), and death anxiety (Collett-Lester Fear of Death Scale) measured at three time points (pre-test, immediately post-intervention, and three-month follow-up). Data were analyzed using repeated measures ANOVA with SPSS version 21.
Results: The mean age of participants was 73 years, with no significant differences in demographic variables between groups (P>0.05). The time×group interaction effect was significant for all three outcomes (P<0.05). The intervention group showed significant improvement in social health (mean change: +8.0, Cohen's d=0.6) and resilience (mean change: +10.3, d=1.0), and a significant reduction in death anxiety (mean change: -6.5, d=0.8) compared to the control group. These effects were maintained at three-month follow-up (P<0.01).
Conclusion: The God-centered spiritual care program based on the SHALOM model is a promising intervention for improving key psychosocial well-being dimensions, including social health, resilience, and reducing death anxiety in older adults. Given the limitations of this single-center quasi-experimental study, these results should be interpreted as preliminary evidence.
Methods: A quasi-experimental cluster study was conducted in 2024 in two urban health centers affiliated with Shahid Beheshti University of Medical Sciences, Tehran, Iran. Two centers were non-randomly assigned to the intervention (n=35) and control (n=35) groups. The intervention group received an 8-session God-centered spiritual care program based on the SHALOM model over two weeks. The control group received routine care. Outcomes included social health (Keyes Social Well-Being Scale), resilience (Connor-Davidson Resilience Scale), and death anxiety (Collett-Lester Fear of Death Scale) measured at three time points (pre-test, immediately post-intervention, and three-month follow-up). Data were analyzed using repeated measures ANOVA with SPSS version 21.
Results: The mean age of participants was 73 years, with no significant differences in demographic variables between groups (P>0.05). The time×group interaction effect was significant for all three outcomes (P<0.05). The intervention group showed significant improvement in social health (mean change: +8.0, Cohen's d=0.6) and resilience (mean change: +10.3, d=1.0), and a significant reduction in death anxiety (mean change: -6.5, d=0.8) compared to the control group. These effects were maintained at three-month follow-up (P<0.01).
Conclusion: The God-centered spiritual care program based on the SHALOM model is a promising intervention for improving key psychosocial well-being dimensions, including social health, resilience, and reducing death anxiety in older adults. Given the limitations of this single-center quasi-experimental study, these results should be interpreted as preliminary evidence.
Keywords: Spiritual Care, Death Anxiety, SHALOM Model, Older Adults, Resilience, Quasi-Experimental Study
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