Illness awareness in Hospice: Application of a semi-structured interview

Jessica Andruccioli, Alessandra Montesi, Silvia Di Leo, Donatella Sarti, Paola Turci, Cristina Pittureri, Maria Cristina Monterubbianesi, Tiziana Parma, William Raffaeli

Research output: Contribution to journalArticlepeer-review


This study describes the results of a semi-structured interview to assess the illness awareness of cancer patients in Hospice. The results of this study are based on the interviews made in Rimini and Savignano sul Rubicone Hospices (n = 51). Psychologists evaluated illness awareness of the participants interviewed independently from the code system that is provided for the interview. According to the psychologists, 18 patients (35%) were aware, 11 patients (22%) were unaware, and 22 patients (43%) were aware with defense mechanisms. According to the code system of the interview, the results were the following: 18 patients (35%) were aware, 2 patients (4%) were unaware, and 29 patients (57%) were aware with defense mechanisms. Two participants had to be reassessed because of inconsistency in some factors. In conclusion, the data analysis underlined that the congruence of the 2 assessment methods was found in 33 of the 51 patients examined (65%) and that the degree of concordance was rather low (κ =. 46; 95% CI = 0.24-0.68).

Original languageEnglish
Pages (from-to)384-391
Number of pages8
JournalAmerican Journal of Hospice and Palliative Medicine
Issue number5
Publication statusPublished - Oct 2009


  • Cancer
  • Diagnosis
  • Hospice
  • Illness awareness
  • Palliative care
  • Prognosis
  • Semi-structured interview

ASJC Scopus subject areas

  • Medicine(all)


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