Bereavement Management - Description, Assessment and Care

This study has been completed.
Sponsor:
Collaborators:
Dæhnfeldt Foundation
TrygFonden, Denmark
Kræftens Bekæmpelse
Information provided by (Responsible Party):
University of Aarhus
ClinicalTrials.gov Identifier:
NCT01292512
First received: February 8, 2011
Last updated: March 9, 2012
Last verified: March 2012

February 8, 2011
March 9, 2012
June 2009
January 2012   (final data collection date for primary outcome measure)
Effect of the intervention measured by an increase in the diagnosis of complicated grief. [ Time Frame: 20 months ] [ Designated as safety issue: No ]
GPs receive updated information on bereavement related symptoms, how to identify complicated grief, and the Dual Process Model of coping.
Same as current
Complete list of historical versions of study NCT01292512 on ClinicalTrials.gov Archive Site
Effect of the intervention measured by register-based data. [ Time Frame: 20 months ] [ Designated as safety issue: No ]
Effect of the intervention measured by register-based data on frequency in contact with GP, referrals to psychological/psychiatric counselling, medicine consumption and use of emergency services.
Same as current
Not Provided
Not Provided
 
Bereavement Management - Description, Assessment and Care
Bereavement Management. Description, Assessment and Care. A Randomized Controlled Study.

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.

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.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Diagnostic
  • Bereavement
  • Grief
Other: Prognostic screening for complicated grief
Patients in the intervention group are prognostically screened for development of complicated grief to identify those in need of help.
  • Experimental: Interventiongroup

    A) Professional level. B) Patient level.

    Intervention

    Professional level:

    GPs receive updated information on bereavement related symptoms, how to identify complicated grief, and the 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.

    Intervention: Other: Prognostic screening for complicated grief
  • No Intervention: Control group
    Treatment as usual (in the Danish health care system).
    Intervention: Other: Prognostic screening for complicated grief
Guldin MB, Vedsted P, Jensen AB, Olesen F, Zachariae R. Bereavement care in general practice: a cluster-randomized clinical trial. Fam Pract. 2013 Apr;30(2):134-41. doi: 10.1093/fampra/cms053. Epub 2012 Sep 10.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
402
January 2012
January 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • 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

Exclusion Criteria:

  • Patients with known substance abuse.
  • Patients with recently (within 5 years) diagnosed psychopathological disorders that trigger psychotic episodes.
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Denmark
 
NCT01292512
Bereavement Management.
Yes
University of Aarhus
University of Aarhus
  • Dæhnfeldt Foundation
  • TrygFonden, Denmark
  • Kræftens Bekæmpelse
Study Chair: Frede Olesen, Professor Research Unit for General Practice, Aarhus University, Denmark
University of Aarhus
March 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP