Effectiveness of a Brief Intervention for Bereaved Individuals

NCT07317622 | Completed

• 1 other identifier: CHUC_2024_91
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Grief is the response to the death of a loved one. The loss of a loved one requires a grieving process that allows one to adapt to the new situation. The main objective of this study is to identify people in a situation of bereavement who attend nursing consultations in Primary Care on the island of Tenerife, through opportunistic recruitment with the aim of carrying out a brief nursing intervention on those who are classified as being in a situation of bereavement.

Conditions

Bereavement

Keywords

bereavement; primary care nursing; community health nursing

Outcome Measures

Primary Outcomes (6)

• Number of participants with Clinical manifestations of their grief situation

  According to the defining characteristics and risk factors of NANDA-I grief diagnoses

  Pre and post intervention (at 4 or 6 weeks)

• Number of participants with Continuity of Bonds internalized or externalized

  The Continuity of Bonds Scale is an instrument that explores how the bereaved person continues to relate symbolically and emotionally to the deceased. It consists of 16 questions with two dimensions (internalized, 10 items, and externalized, 6 items). Responses are on a Likert scale from 1 to 4 points (1 = "not at all", 4 = "constantly").

  Pre and post intervention (at 4 or 6 weeks)

• Number of participants with Pssychosocial problems

  The Psychosocial Nursing Diagnosis Questionnaire (PSDN) is a validated tool. This instrument includes up to 28 psychosocial nursing diagnoses, grouped into six dimensions: health perception/management, behavior/social interaction, emotional/self-perception, caregiver burden, loss/grief, and body image disturbance. It uses Likert-type scales and dichotomous questions to grade responses, assigning different diagnostic labels based on predefined combinations.

  Pre and post intervention (at 4 or 6 weeks)

• Number of participants willing to improve their grief

  Nursing diagnosis " Readiness for enhanced grief " (Yes/No) and presence/absence of the following defining characteristics: Desire to carry on the deceased's legacy; Desire to engage in previous activities; Desire to enhance grief coping; Desire to enhance forgiveness; Desire to enhance hope; Desire to enhance personal growth; Desire to enhance sleep-wake cycle; Desire to integrate feelings of anger; Desire to integrate feelings of despair; Desire to integrate feelings of guilt; Desire to integrate feelings of remorse; Desire to integrate positive feelings; Desire to integrate positive memories of the deceased; Desire to integrate the possibilities of a happy life; Desire to integrate the possibilities of a meaningful life; Desire to integrate the possibilities of a purposeful life; Desire to integrate the possibilities of a satisfying life; Desire to integrate the loss; Desire to invest energy in new interpersonal relationships.

  Pre and post intervention (at 4 or 6 weeks)

• Number of participants with maladaptive grief

  Nursing diagnosis " maladaptive grief " (Yes/No) and presence/absence of the following defining characteristics: Anger; Anxiety Decreased performance in life roles; Depressive symptoms; Distress over the deceased; Excessive stress; Feelings of emptiness; Avoidance of grief Non-acceptance of death; Persistent painful memories; Preoccupation with thoughts about the deceased person; Rumination (obsessive ideas) about the deceased person; Searching for the deceased person; Self-blame.

  Pre and post intervention (at 4 or 6 weeks)

• Number of participants at risk of maladaptive grief

  Nursing diagnosis " risk of maladaptive grief " (Yes/No) and presence/absence of the following defining characteristics: Difficulty dealing with recurrent crises; Excessive emotional disturbance; Inadequate social support; Anxious attachment (in their relationship with others); Avoidant attachment (in their relationship with others).

  Pre and post intervention (at 4 or 6 weeks)

Secondary Outcomes (5)

• Number of participants with chronic health problems

  Pre-intervention

• Number of participants receiving pharmacological treatment

  Pre-intervention

• Number of caregiver participants

  Pre-intervention

• Time since death

  Pre-intervention

• Cause of death

  Pre-intervention

Study Arms (1)

Participant group

EXPERIMENTAL

Other: Facilitating Grief

Interventions

Facilitating Grief OTHER

This intervention, called "Facilitating Grief," begins with an initial nursing assessment using the Psychosocial Nursing Diagnosis Questionnaire (PSDQ), the Relationship Continuity Scale, and an exploration of manifestations related to the grief situation. This initial assessment lasted between one and three hours, depending on the individual. Subsequently, a personalized care plan was established using standardized language, applying the most appropriate interventions for each person experiencing grief. The intervention also includes follow-up through several subsequent consultations (between two and four), in which the care plan is reviewed and adjusted according to the individual's progress, and a final assessment to evaluate the results achieved.

Participant group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Be over 18 years old.
• That they answer affirmatively to at least one of the following two questions:
• Have you lost a loved one in the last year? Are you grieving the loss of a loved one?
• \- After being informed, agree to participate in the study and sign the informed consent.

You may not qualify if:

• People with language barriers.
• People with cognitive impairment.
• People with severe sensory deficits.
• People with a history of anxiety disorders, diagnosed severe depression, or other problems (emotional, coping, etc.) that prevent them from participating in the collection of information necessary for this study.

Sponsors & Collaborators

• Servicio Canario de Salud: lead

Study Sites (1)

Gerencia Atención Primaria Tenerife

Santa Cruz de Tenerife, 38003, Spain

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 19, 2025
• First Posted: January 5, 2026
• Study Start: October 14, 2024
• Primary Completion: February 22, 2025
• Study Completion: April 22, 2025
• Last Updated: January 5, 2026

Record last verified: 2025-12

Locations

ES (1)