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项目名称:远程干预缓解 COVID-19 大流行期间悲伤的可行性和可接受性研究。

The Project: Feasibility and Acceptability of a Remotely Delivered Intervention to Alleviate Grief during the COVID-19 Pandemic.

机构信息

Department of Family Medicine, University of Vermont, Burlington, Vermont, USA.

College of Arts and Sciences, University of Vermont, Burlington, Vermont, USA.

出版信息

J Palliat Med. 2023 Mar;26(3):327-333. doi: 10.1089/jpm.2022.0261. Epub 2022 Sep 2.

Abstract

The events surrounding the COVID-19 pandemic have created heightened challenges to coping with loss and grief for family and friends of deceased individuals, as well as clinicians who experience loss of their patients. There is an urgent need for remotely delivered interventions to support those experiencing grief, particularly due to growing numbers of bereaved individuals during the COVID-19 pandemic. To determine the feasibility and acceptability of the brief, remotely delivered StoryListening storytelling intervention for individuals experiencing grief during the COVID pandemic. A single-arm pilot study was conducted in the United States. Participants included adult English-speaking family members, friends, or clinicians of individuals who died during the COVID-19 pandemic. All participants engaged in a televideo StoryListening session with a trained StoryListening doula. Participants completed a brief follow-up telephone interview two weeks after the StoryListening session. We describe enrollment and retention data to assess feasibility and conducted a deductive thematic analysis of the follow-up interview data to assess acceptability. Sixteen clinicians and 48 friends/family members enrolled in the study ( = 64; 75% enrollment), 62 completed a StoryListening session; 60 completed the follow-up interview. Participants reported that the intervention was useful and offered a valuable opportunity to process their grief experience. The StoryListening intervention is feasible and acceptable for friends/family members and clinicians who have experienced grief during COVID. Our intervention may offer an accessible first-line option to address the increasing wave of bereavement-related distress and clinician burnout in the United States.

摘要

COVID-19 大流行带来的各种事件给死者亲友和失去患者的临床医生应对丧亲之痛带来了更大的挑战。迫切需要远程干预措施来支持那些正在经历丧亲之痛的人,尤其是在 COVID-19 大流行期间,丧亲的人数不断增加。

为了确定在 COVID 大流行期间经历丧亲之痛的个体使用简短的远程 StoryListening 干预措施的可行性和可接受性。

在美国进行了一项单臂试点研究。参与者包括在 COVID-19 大流行期间死亡的个体的成年英语使用者的家属、朋友或临床医生。所有参与者都与经过培训的 StoryListening 导乐进行了电视视频 StoryListening 会议。

参与者在 StoryListening 会议后两周完成了简短的后续电话访谈。我们描述了入组和保留数据以评估可行性,并对随访访谈数据进行了演绎主题分析,以评估可接受性。

16 名临床医生和 48 名朋友/家属参加了这项研究(n=64;75%的入组率),其中 62 人完成了 StoryListening 会议,60 人完成了随访访谈。参与者报告说,该干预措施非常有用,为他们处理悲伤经历提供了宝贵的机会。

StoryListening 干预措施对于在 COVID 期间经历丧亲之痛的朋友/家属和临床医生来说是可行和可接受的。我们的干预措施可能为解决美国不断增加的丧亲相关痛苦和临床医生倦怠浪潮提供了一种可及的一线选择。

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