The Effectiveness of Bereavement Support for Adult Family Caregivers in Palliative Care: A Meta-Analysis of Randomized Controlled Trials.
Adult caregiver
bereavement support
grief
meta-analysis
palliative care
randomized controlled trials
Journal
Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing
ISSN: 1547-5069
Titre abrégé: J Nurs Scholarsh
Pays: United States
ID NLM: 100911591
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
accepted:
30
11
2020
pubmed:
7
2
2021
medline:
27
7
2021
entrez:
6
2
2021
Statut:
ppublish
Résumé
This meta-analysis aimed to summarize and synthesize the effectiveness of bereavement support for adult family caregivers in palliative care. Meta-analysis was conducted. The databases of the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane, Embase, Medline, PubMed, Scopus, and Web of Science were comprehensively searched from inception until January 2020. This study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and standard methods for conducting a meta-analysis. Data analysis was performed using Comprehensive Meta-analysis version 3.0, and the random-effects model was adopted. In total, 19 randomized controlled trials with an overall sample size of 2,690 participants met the inclusion criteria. The study showed that bereavement support had a significant effect on reducing grief (Hedges' g score = -0.198; 95% confidence interval [CI] -0.310 to -0.087), depression (Hedges' g score = -0.252; 95% CI -0.406 to -0.098), and anxiety (Hedges' g score = -0.153; 95% CI -0.283 to -0.023); however, high heterogeneity was present. No statistically significant difference was shown for traumatic feelings. Based on moderator analysis, a group format was more effective for grief, a combined individual and group format for depression, and an individual format for anxiety. Bereavement support was more effective when delivered by professionals, when delivered in more than six sessions, and need to be evaluated within 6 months. Bereavement support was effective in reducing grief, depression, and anxiety. The majority of the included studies had moderate heterogeneity, which limited the comparability of the evidence. Therefore, more robust randomized controlled trials are needed to confirm these study results. This meta-analysis provides evidence that bereavement support delivered in the palliative care setting is effective for reducing grief, depression, and anxiety. Nurses and other healthcare professionals can make recommendations for adult family caregivers based on this study in reducing psychological symptoms due to a loss in the palliative care domain.
Types de publication
Journal Article
Meta-Analysis
Langues
eng
Sous-ensembles de citation
IM
Pagination
208-217Informations de copyright
© 2021 Sigma Theta Tau International.
Références
Aho, A. L., Tarkka, M. T., Astedt-Kurki, P., Sorvari, L., & Kaunonen, M. (2011). Evaluating a bereavement follow-up intervention for grieving fathers and their experiences of support after the death of a child-A pilot study. Death Studies, 35(10), 879-904.
Andriessen, K., Krysinska, K., Hill, N. T., Reifels, L., Robinson, J., Reavley, N., & Pirkis, J. (2019). Effectiveness of interventions for people bereaved through suicide: A systematic review of controlled studies of grief, psychosocial and suicide-related outcomes. BMC Psychiatry, 19(1), 1-15.
Breen, L. J., Aoun, S. M., Rumbold, B., McNamara, B., Howting, D. A., & Mancini, V. (2017). Building community capacity in bereavement support. American Journal of Hospice & Palliative Medicine, 34(3), 275-281.
Chu, H., Yang, C.-Y., Liao, Y.-H., Chang, L.-I., Chen, C.-H., Lin, C.-C., & Chou, K.-R. (2011). The effects of a support group on dementia caregivers’ burden and depression. Journal of Aging & Health, 23(2), 228-241.
Currier, J. M., Holland, J. M., & Neimeyer, R. A. (2007). The effectiveness of bereavement interventions with children: A meta-analytic review of controlled outcome research. Journal of Clinical Child & Adolescent Psychology, 36(2), 253-259.
Currier, J. M., Neimeyer, R. A., & Berman, J. S. J. (2008). The effectiveness of psychotherapeutic interventions for bereaved persons: A comprehensive quantitative review. Psychological Bulletin, 134(5), 648-661.
Dionne-Odom, J. N., Azuero, A., Lyons, K. D., Hull, J. G., Prescott, A. T., Tosteson, T., … Bakitas, M. A. (2016). Family caregiver depressive symptom and grief outcomes from the ENABLE III randomized controlled trial. Journal of Pain and Symptom Management, 52(3), 378-385.
Duberstein, P. R., MacIejewski, P. K., Epstein, R. M., Fenton, J. J., Chapman, B., Norton, S. A., … Prigerson, H. G. (2019). Effects of the values and options in cancer care communication intervention on personal caregiver experiences of cancer care and bereavement outcomes. Journal of Palliative Medicine, 22(11), 1394-1400.
Forte, A. L., Hill, M., Pazder, R., & Feudtner, C. J. (2004). Bereavement care interventions: A systematic review. BMC Palliative Care, 3(1), 1-14.
Garcia, J. A., Landa, V., Grandes, G., Pombo, H., & Mauriz, A. (2013). Effectiveness of "primary bereavement care" for widows: A cluster randomized controlled trial involving family physicians. Death Studies, 37(4), 287-310.
Goodkin, K., Blaney, N. T., Feaster, D. J., Baldewicz, T., Burkhalter, J. E., & Leeds, B. (1999). A randomized controlled clinical trial of a bereavement support group intervention in human immunodeficiency virus type 1-seropositive and -seronegative homosexual men. Archives of General Psychiatry, 56(1), 52-59.
Gramm, J., Trachsel, M., & Berthold, D. (2020). Psychotherapeutisches Arbeiten in Palliative Care. Verhaltenstherapie Journal, 30(4), 323-333.
Guldin, M.-B., Vedsted, P., Jensen, A. B., Olesen, F., & Zachariae, R. J. (2013). Bereavement care in general practice: A cluster-randomized clinical trial. Family Practice, 30(2), 134-141.
Higgins, J. P., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003). Measuring inconsistency in meta-analyses. British Medical Journal, 327(7414), 557-560.
Holland, J. M., Currier, J. M., & Gallagher-Thompson, D. (2009). Outcomes from the Resources for Enhancing Alzheimer's Caregiver Health (REACH) program for bereaved caregivers. Psychology and Aging, 24(1), 190-202.
Huedo-Medina, T. B., Sánchez-Meca, J., Marín-Martínez, F., & Botella, J. (2006). Assessing heterogeneity in meta-analysis: Q statistic or I2 index? Psychological Methods, 11(2), 193-206.
Johannsen, M., Damholdt, M., Zachariae, R., Lundorff, M., Farver-Vestergaard, I., & O'Connor, M. (2019). Psychological interventions for grief in adults: A systematic review and meta-analysis of RCTs. Journal of Affective Disorders, 253, 69-86.
Kentish-Barnes, N., Chevret, S., Champigneulle, B., Thirion, M., Souppart, V., Gilbert, M., … Famirea Study Group. (2017). Effect of a condolence letter on grief symptoms among relatives of patients who died in the ICU: A randomized clinical trial. Intensive Care Medicine, 43(4), 473-484.
Kissane, D. W., McKenzie, M., Bloch, S., Moskowitz, C., McKenzie, D. P., & O'Neill, I. (2006). Family focused grief therapy: A randomized, controlled trial in palliative care and bereavement. American Journal of Psychiatry, 163(7), 1208-1218.
Kissane, D. W., Zaider, T. I., Li, Y., Hichenberg, S., Schuler, T., Lederberg, M., … Del Gaudio, F. (2016). Randomized controlled trial of family therapy in advanced cancer continued into bereavement. Journal of Clinical Oncology, 34(16), 1921-1927.
Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Frontiers in Psychology, 4, 1-12.
Lichtenthal, W. G., & Cruess, D. G. (2010). Effects of directed written disclosure on grief and distress symptoms among bereaved individuals. Death Studies, 34(6), 475-499.
Lichtenthal, W. G., Nilsson, M., Kissane, D. W., Breitbart, W., Kacel, E., Jones, E. C., & Prigerson, H. G. (2011). Underutilization of mental health services among bereaved caregivers with prolonged grief disorder. Psychiatric Services, 62(10), 1225-1229.
Lilford, R. J., Stratton, P., Godsil, S., & Prasad, A. (1994). A randomised trial of routine versus selective counselling in perinatal bereavement from congenital disease. BJOG: An International Journal of Obstetrics Gynaecology, 101(4), 291-296.
Linde, K., Treml, J., Steinig, J., Nagl, M., & Kersting, A. (2017). Grief interventions for people bereaved by suicide: A systematic review. PLoS One, 12(6), 1-20.
Lundorff, M., Holmgren, H., Zachariae, R., Farver-Vestergaard, I., & O'Connor, M. (2017). Prevalence of prolonged grief disorder in adult bereavement: A systematic review and meta-analysis. Journal of Affective Disorders, 212, 138-149.
Maass, U., Hofmann, L., Perlinger, J., & Wagner, B. (2020). Effects of bereavement groups-A systematic review and meta-analysis. Death Studies, Advance online publication, 1-11. doi:10.1080/07481187.2020.1772410
MacKinnon, C. J., Smith, N. G., Henry, M., Milman, E., Chochinov, H. M., Körner, A., … Cohen, S. R. (2015). Reconstructing meaning with others in loss: A feasibility pilot randomized controlled trial of a bereavement group. Death Studies, 39(7), 411-421.
Nam, I. (2017). Restoration-focused coping reduces complicated grief among older adults: A randomized controlled study. European Journal of Psychiatry, 31(3), 93-98.
Nam, I. S. (2016). Effects of psychoeducation on helpful support for complicated grief: A preliminary randomized controlled single-blind study. Psychological Medicine, 46(1), 189-195.
Näppä, U., Lundgren, A. B., & Axelsson, B. (2016). The effect of bereavement groups on grief, anxiety, and depression-A controlled, prospective intervention study. BMC Palliative Care, 15(1), 1-8.
Osterweis, M., Solomon, F., & Green, M. (1984). Bereavement intervention programs. In Bereavement: Reactions, consequences, and care. Washington, DC: National Academies Press.
Prigerson, H. G., Horowitz, M. J., Jacobs, S. C., Parkes, C. M., Aslan, M., Goodkin, K., … Maciejewski, P. K. (2009). Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Medicine, 6(8), 1-12.
Rosenbaum, J. L., Smith, J. R., Yan, Y., Abram, N., & Jeffe, D. B. (2015). Impact of a neonatal-bereavement-support DVD on parental grief: A randomized controlled trial. Death Studies, 39(1-5), 191-200.
Rosner, R., Kruse, J., & Hagl, M. (2010). A meta-analysis of interventions for bereaved children and adolescents. Death Studies, 34(2), 99-136.
Sanderson, C., Lobb, E. A., Mowll, J., Butow, P. N., McGowan, N., & Price, M. A. (2013). Signs of post-traumatic stress disorder in caregivers following an expected death: A qualitative study. Palliative Medicine, 27(7), 625-631.
Sandler, I., Tein, J. Y., Cham, H., Wolchik, S., & Ayers, T. (2016). Long-term effects of the Family Bereavement Program on spousally bereaved parents: Grief, mental health problems, alcohol problems, and coping efficacy. Development and Psychopathology, 28(3), 801-818.
Serghiou, S., & Goodman, S. N. (2019). Random-effects meta-analysis: Summarizing evidence with caveats. Journal of the American Medical Association, 321(3), 301-302.
Shear, M. K., Simon, N., Wall, M., Zisook, S., Neimeyer, R., Duan, N., … Keshaviah, A. (2011). Complicated grief and related bereavement issues for DSM-5. Depression and Anxiety, 28(2), 103-117.
Sikkema, K. J., Hansen, N. B., Kochman, A., Tate, D. C., & Difranceisco, W. (2004). Outcomes from a randomized controlled trial of a group intervention for HIV positive men and women coping with AIDS-related loss and bereavement. Death Studies, 28(3), 187-209.
Sterne, J. A., Savovič, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., … Higgins, J. P. T. (2019). RoB 2: A revised tool for assessing risk of bias in randomised trials. British Medical Journal, 366, l4898.
Wiegand, D., & La, I. S. (2019). Bereavement interventions for grieving family members: A systematic review. Journal of Pain and Symptom Management, 57(2), 521-522.
Wittouck, C., Van Autreve, S., De Jaegere, E., Portzky, G., & van Heeringen, K. (2011). The prevention and treatment of complicated grief: A meta-analysis. Clinical Psychology Review, 31(1), 69-78.