Bereavement, Grief
Conditions
Keywords
Randomized controlled trial, Primary Care
Brief summary
The purpose of this study is to evaluate the efficacy of Primary Bereavement Care (PBC) -a standardized bereavement intervention- delivered by family physicians (FP), in widows.
Detailed description
Nowadays there is little evidence about what is the best bereavement intervention in primary care and each family physician (FP) assists bereaved people in a different way. The death of a loved one is the most stressful life event that can face a person; in fact, bereavement is associated with an increased risk of depression, generalized anxiety and panic disorder, alcohol abuse and use of medications, sudden cardiac events, suicide, and an increased demand for health resources. The FP is the only specialist who -through his position in the health system and in the community- can give emotional support to the bereaved and simultaneously deal with the health problems associated with the process. In response to this, our work group has designed a guide specifically for FP: Primary Bereavement Care (PBC), and is currently testing its efficacy in a randomized controlled study. Comparison (s): Recently widows attended by FP trained in PBC through seven PBC sessions, compared to recently widows attended by FP not trained in PBC through seven ordinary sessions.
Interventions
a standardized bereavement intervention in Primary Care
the non-standardized bereavement care that usually provided family physicians in primary care
Sponsors
Study design
Eligibility
Inclusion criteria
* Partner death during the last 3 months.
Exclusion criteria
* Partner death through suicide or AIDS. * Son or daughter death during the last 3 years. * Parent or sibling death the year before. * Alcohol or drug abuse. * Psychotic disorder or dementia. * To be confined to bed * Illiteracy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Texas Revised Inventory of Grief (TRIG) | at 3, 9, 15 and 21 months since death |
Secondary
| Measure | Time frame |
|---|---|
| Grief Experience Inventory (GEI) | at 3, 9, 15 and 21 months since death |
| General Health Questionnaire - 28 items (GHQ-28) | at 3, 9, 15 and 21 months since death |
| SF-36 Health Profile (SF-36) | at 3, 9, 15 and 21 months since death |
Countries
Spain