Developing an ars moriendi nova in the face of the COVID-19 pandemic – a prospective mixed-methods survey
Organizational Data
- DRKS-ID:
- DRKS00023789
- Recruitment Status:
- Recruiting complete, study continuing
- Date of registration in DRKS:
- 2020-12-18
- Last update in DRKS:
- 2021-06-24
- Registration type:
- Prospective
Acronym/abbreviation of the study
ArsMoriendi-COVID
URL of the study
No Entry
Brief summary in lay language
Since the Spanish Flu in 1918, there has been no other virus disease in the past century with such high an impact on all societies around the globe as SARS-CoV-2. This is particularly true for Freiburg and its surrounding region since it was severely hit by the first wave and is still reporting high numbers of infections during the second wave of the Coronavirus pandemic in Germany. Globally, the scientific focus is on researching ways to treat the disease and on developing effective vaccinations. Those directly affected by the pandemic, specifically those working within the health care system and directly caring for COVID-19 patients need to cope with a multitude of practical and psychological challenges. Our aim is to describe attitudes and reactions of people during the Coronavirus pandemic. We would like to focus on stressful experiences during the pandemic, coping with stress and well-being and ask about meaning-making and posttraumatic growth in the context of the pandemic. Religious attitudes, faith and spirituality as possible resources that help coping will be explored. Design: This is a cross-sectional mixed-methods study using an online survey of students and staff member of both Freiburg university and Freiburg university hospital, and qualitative interviews via telephone to elicit more in-depth answers about the topics of coping during the Coronavirus crisis.
Brief summary in scientific language
Background: Since the Spanish Flu in 1918, there has been no other virus disease in the past century with such high an impact on all societies around the globe as SARS-CoV-2. Research to date focuses on the medical treatment of this infectious disease next to the short-term psychological impact on health care professionals and the general public. In this study, we propose to determine the holistic bio-psych-social-spiritual impact of the Coronavirus pandemic in a region in Germany characterised by high COVID-19 incidence. We propose to study how the pandemic may lead the individual to a different way of reflecting on uncertainty and mortality when witnessing infections of family members and friends or when being confronted with the fear of experiencing a severe infection themselves. The confrontation with vulnerability, finitude and mortality as part of the uncertainty and contingencies in life is a challenge and opportunity during the pandemic to develop, re-learn and practise a new ars moriendi. Aim: The aim of this project is to systematically develop, renew and empirically establish approaches to an ars moriendi nova in the face of the worldwide COVID-19 pandemic. The project focuses on bio-psycho- social-spiritual, philosophical, theological, and medical aspects of experiences, living with and coping with the pandemic. Our main objectives are: 1) To describe and establish changes in attitudes, behaviours and worldview/self-image; 2) To describe the specific psycho-social-spiritual impact of COVID-19 by exploring coping mechanisms, social and spiritual aspects; 3) To describe respondent’s quality of life, life satisfaction, and their degree of distress in response to trauma; 4) To measure and explore their death awareness and death-related cognitions; 5) To determine moderators (demographic, cultural and lifestyle factors) and mediators; 6) To integrate the quantitative and qualitative findings of the ars moriendi nova into a framework. Design: This is a prospective, mixed-methods cross-sectional study using a standardised online survey and qualitative, semi-structured interviews with staff members and students of both Freiburg University and Freiburg University Hospital. A quota sample of both scientific and non-scientific personnel and students as well as a purposive sample for interviews will be drawn. The online survey uses the following questionnaires: sociodemographic details and infection status (own infection or infection of family members/friends), health behaviour and spiritual/religious behaviour, negative consequences and stress due to the Coronavirus pandemic (Büssing et al., 2020a); Brief Multidimensional Life Satisfaction Scale BLMSS-10; Gratitude/Awe Questionnaire (Büssing, Rechia & Baumann, 2018), WHO-5 Wellbeing Index, Perceived Changes Questionnaire (Büssing et al., 2020b), Death Reflection Scale (Yuan et al., 2019). Topics of the online survey will be explored in-depth in the qualitative telephone interviews. Quantitative data will be analysed with multiple regression models and a multiple mediation model for modelling determinants and mediating factors for the outcome death reflection. The qualitative analysis will use interpretative-phenomenological methodology, combined with elements of Grounded theory and framework analysis. Quantitative and qualitative findings will be integrated into an ars moriendi nova model. Conclusion: This foundational framework can help vulnerable groups to make sense of their experiences during the pandemic. It can serve as a foundation for developing guidance, interventions, and resources to help people cope with the impact of the pandemic, particularly those at the frontline like health care workers.
Health condition or problem studied
- ICD10:
- U07.1 - COVID-19, virus identified
- Free text:
- Any medical conditions that may exist
- Healthy volunteers:
- No Entry
Interventions, Observational Groups
- Arm 1:
- Observational study - Students and staff members of Freiburg University and Freiburg University Hospital complete a cross-sectional online survey and qualitative telephone interviews about their experiences and change in attitudes during the Coronavirus pandemic.
Endpoints
- Primary outcome:
- Changes in attitudes, behaviours and well-being, dealing with one’s own mortality during and through the Coronavirus pandemic (measured via validated, self-report questionnaires)
- Secondary outcome:
- Self-reported experiences, attitudes and changes in these, reflection of one’s own mortality and dealing with one’s own finiteness during the Coronavirus pandemic (measured via semi-structured qualitative telephone interviews)
Study Design
- Purpose:
- Other
- Retrospective/prospective:
- No Entry
- Study type:
- Non-interventional
- Longitudinal/cross-sectional:
- No Entry
- Study type non-interventional:
- No Entry
Recruitment
- Recruitment Status:
- Recruiting complete, study continuing
- Reason if recruiting stopped or withdrawn:
- No Entry
Recruitment Locations
- Recruitment countries:
-
- Germany
- Number of study centers:
- Multicenter study
- Recruitment location(s):
-
- University medical center Freiburg im Breisgau
- Other Albert-Ludwigs-Universität Freiburg Freiburg im Breisgau
Recruitment period and number of participants
- Planned study start date:
- 2021-02-01
- Actual study start date:
- 2021-03-01
- Planned study completion date:
- No Entry
- Actual Study Completion Date:
- No Entry
- Target Sample Size:
- 850
- Final Sample Size:
- 2085
Inclusion Criteria
- Sex:
- All
- Minimum Age:
- 18 Years
- Maximum Age:
- no maximum age
- Additional Inclusion Criteria:
- Staff members of two institutions with main work contract and including all status groups (scientific and non-scientific staff members, health care professionals involved in patient care at the university hospital), students of Freiburg University
Exclusion Criteria
Staff members and students not directly affiliated with Freiburg University or Freiburg University Hospital.
Addresses
Primary Sponsor
- Address:
- Universitätsklinikum FreiburgHugstetter Strasse 4979095 FreiburgGermany
- Telephone:
- No Entry
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- http://www.uniklinik-freiburg.de
- Investigator Sponsored/Initiated Trial (IST/IIT):
- Yes
Contact for Scientific Queries
- Address:
- Klinik für Palliativmedizin, Universitätsklinikum FreiburgProf. Dr. Gerhild BeckerRobert-Koch-Str. 379106 FreiburgGermany
- Telephone:
- +49 761 270 95417
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- https://www.uniklinik-freiburg.de/palliativmedizin.html
Contact for Public Queries
- Address:
- Klinik für Palliativmedizin, Universitätsklinikum FreiburgDr. Christina RamsenthalerRobert-Koch-Str. 379106 FreiburgGermany
- Telephone:
- +49 761 270 94230
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- https://www.uniklinik-freiburg.de/palliativmedizin.html
Principal Investigator
- Address:
- Klinik für Palliativmedizin, Universitätsklinikum FreiburgProf. Dr. Gerhild BeckerRobert-Koch-Str. 379106 FreiburgGermany
- Telephone:
- +49 761 270 95417
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- https://www.uniklinik-freiburg.de/palliativmedizin.html
Sources of Monetary or Material Support
Institutional budget, no external funding (budget of sponsor/PI)
- Address:
- Klinik für Palliativmedizin, Universitätsklinikum FreiburgRobert-Koch-Str. 379106 FreiburgGermany
- Telephone:
- +49 761 270 95417
- Fax:
- No Entry
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- https://www.uniklinik-freiburg.de/palliativmedizin.html
Ethics Committee
Address Ethics Committee
- Address:
- Ethik-Kommission der Albert-Ludwigs-Universität FreiburgEngelberger Str. 2179106 FreiburgGermany
- Telephone:
- +49-761-27072600
- Fax:
- +49-761-27072630
- Contact per E-Mail:
- Contact per E-Mail
- URL:
- No Entry
Vote of leading Ethics Committee
- Vote of leading Ethics Committee
- Date of ethics committee application:
- 2020-10-06
- Ethics committee number:
- 20-1160
- Vote of the Ethics Committee:
- Approved
- Date of the vote:
- 2020-11-05
Further identification numbers
- Other primary registry ID:
- No Entry
- EudraCT Number:
- No Entry
IPD - Individual Participant Data
- Do you plan to make participant-related data (IPD) available to other researchers in an anonymized form?:
- Yes
- IPD Sharing Plan:
- Individual participant quantitative data underlying the results can be shared after de-identification and in the format of a correlation matrix to individuals whose proposed use of the data has been approved by an independent review committee identified for this purpose. Researchers wishing to work with the data need to contact Prof. Dr. Gerhild Becker gerhild.becker@uniklink-freiburg.de with a research proposal and analysis plan for data usage. Proposals for individual participant meta-analysis may be submitted up to 36 months following article publication. Data from the qualitative interviews are not available for data sharing.
Study protocol and other study documents
- Study protocols:
- Prüfprotokoll Studie
- Study abstract:
- No Entry
- Other study documents:
- No Entry
- Background literature:
- No Entry
- Related DRKS studies:
- No Entry
Publication of study results
- Planned publication:
- No Entry
- Publikationen/Studienergebnisse:
- No Entry
- Date of first publication of study results:
- No Entry
- DRKS entry published for the first time with results:
- No Entry
Basic reporting
- Basic Reporting / Results tables:
- No Entry
- Brief summary of results:
- No Entry