Bereavement Management. Description, Assessment and Care. A Randomized Controlled Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 402
- 试验地点
- 1
- 主要终点
- Effect of the intervention measured by an increase in the diagnosis of complicated grief.
研究概览
简要总结
This study aims to develop a risk assessment tool to identify bereaved in risk of complicated grief reactions and to implement a bereavement management programme in primary health care based on the Dual Process Model of coping with bereavement. Furthermore to enhance bereavement care in general practice and to enhance patients' self-management in bereavement care.
详细描述
In Denmark alone there are approximately 55.000 deaths annually which leave approximately 200.000 bereaved close relatives. International studies show that 10-15% of bereaved persons develop complications following the death of a close relative. If those studies hold true, approximately 20 - 30.000 individuals annually will develop complications as a result of suffering a loss, and there is hardly any knowledge of how bereavement is treated or even legitimized in primary care and referred on to specialized (psychological or psychiatric) care. The field of bereavement is in need of studies that validate the theoretical underpinnings of the research area, enhanced assessment of predictive risk factors and updated intervention methods: in short a scientifically valid management programme.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Newly bereaved from one of the inclusion facilities.
- •18 years or older.
- •Danish citizen.
- •Able to understand and speak Danish.
- •Informed consent.
- •Mentally able to cooperate
排除标准
- •Patients with known substance abuse.
- •Patients with recently (within 5 years) diagnosed psychopathological disorders that trigger psychotic episodes.
研究组 & 干预措施
Intervention group
A) Professional level. B) Patient level.
Intervention
Professional level:
General Practitioners (GP) receive updated information on bereavement related symptoms, how to identify complicated grief, and the Dual Process Model (DPM) of coping.
GPs receive suggestions on how to provide psycho-educational support for the patient.
GPs are informed about the results of the initial assessment of their patient prognostic screening for complicated grief.
Patient level:
Patients receive updated information on bereavement related symptoms, the DPM of coping and suggestions on when to seek professional help.
Patients are informed of the results of their initial assessment of their prognostic grief screening.
Patients are encouraged to contact their GP if they worry about handling their bereavement reaction.
干预措施: Prognostic screening for complicated grief (Other)
Control group
Treatment as usual (in the Danish health care system).
干预措施: Prognostic screening for complicated grief (Other)
结局指标
主要结局
Effect of the intervention measured by an increase in the diagnosis of complicated grief.
时间窗: 20 months
GPs receive updated information on bereavement related symptoms, how to identify complicated grief, and the Dual Process Model of coping.
次要结局
- Effect of the intervention measured by register-based data.(20 months)