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Systematic Support for Relatives of Palliative Care Patients

Not Applicable
Recruiting
Conditions
Prolonged Grief Disorder
Interventions
Other: Support of relatives
Registration Number
NCT05274841
Lead Sponsor
Rigshospitalet, Denmark
Brief Summary

The primary purpose of this study is to validate the prognostic screening tool from The Aarhus Bereavement Study (TABS) and to implement a systematic support for relatives of palliative care patients in order to prevent the development of prolonged grief disorder. Depending on their identified support needs, the relatives are offered different interventions. It is evaluated whether this procedure of screening and intervening are able to reduce the risk of developing prolonged grief disorder.

Detailed Description

PRIMARY OUTCOME: identification of the support needs of relatives of palliative care patients

SECONDARY OUTCOME: evaluation of the initiated interventions and whether these are able to reduce the risk of developing prolonged grief disorder

PARTICIPANTS: Relatives (age 18-90) of patients affiliated with specialized palliative care in The Capital Region of Denmark.

The relatives will complete a survey and prognostic screening tool at respectively 2 weeks (T1) and every 6 months (T2) from the time that the patients is affiliated to the specialized palliative care and until the death of the patient. This will happen regardless the status of the patient - that is, whether or not the patient continues being affiliated with specialized palliative care, or the patient is being referred to another palliative care units or doesn't need palliative care anymore.

Furthermore the relatives will complete a follow-up survey and the diagnostic questionnaire PGD-13 at respectively 6 months (T3) and 18 months (T4) after the death of the patient (post loss). It will be evaluated whether there are any diffences in the grief symptoms of relatives of patients with a malign versus non-malign disease. It will also be evaluated whether there is an association between the intervention the relatives received from the palliative care unit at Rigshospital and their grief symptoms post loss.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • relatives of palliative care patients with relation to Department of Palliative Care, (Rigshospitalet)
  • relatives identified by the patient
Exclusion Criteria
  • relatives who do not read or understand danish
  • relatives who are cognitive disabled

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Identified support needsSupport of relativesIdentified need of either support from a psychologist, nurse, doctor, socialworker or a combination of theese.
Primary Outcome Measures
NameTimeMethod
Support needs of relatives of palliative patients (baseline)1 month from the time that the patient is referred to the palliative care team.

Identification of support needs of relatives assessed by the prognostic screening tool from The Aarhus Bereavement Study (TABS).

Change in Support needs of relatives of palliative patients from baseline18 months

Identification of support needs of relatives assessed by the prognostic screening tool from

Secondary Outcome Measures
NameTimeMethod
Prolonged grief18 months post-loss.

Symptoms of prolonged grief measured using the Prolonged Grief Disorder - 13 (PG-13, Prigerson et al, 2009). Scores ranging from 11 to 55 are used in the current study, and a higher score indicates a worse outcome. However, there are no officially recommended cut-off scores (Pohlkamp et al, 2018).

Trial Locations

Locations (1)

Julie Høgh Rasmussen

🇩🇰

Copenhagen, Vesterbro, Denmark

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