Accelerated Resolution Therapy for Early Maladaptive Grief Study Protocol.

Cindy Tofthagen, Kathy Sheffield, Deirdre R Pachman, Jay Mandrekar, Laura A Szalacha, Sherry S Chesak, Lori M Rhudy, Molly Kilpatrick, Harleah Buck
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Abstract

The objective of this manuscript is to present the protocol of a study aiming to test the effects of Accelerated Resolution Therapy® (ART) on pre-loss grief and prolonged grief among older adult family caregivers. This study also aims to better understand predictors of response to ART®, and cognitive processes that occur among grieving individuals following ART®.

Design: The study is a double-blinded, randomized clinical trial.

Setting: This study takes place at both inpatient and outpatient palliative care and hospice programs at two Mayo Clinic sites.

Participants: Participants include older adult ( 60 years) immediate family members who are primary caregivers of someone with an advanced illness and life expectancy of less than 12 months.

Intervention: Participants are randomized to either the ART® intervention group or the attention control group. In the ART® intervention, caregivers engage in imaginal exposure, lateral eye movements, and imagery rescripting via 4 sessions lasting 1-1.5 hours each. The attention control group receives a standard social work intervention, including education, resources, and active listening, which is matched for time and attention. Both interventions will longitudinally follow caregivers from active caregiving into bereavement.

Outcomes measured: The primary outcomes of pre-loss grief and prolonged grief will be measured with the Pre-Loss Grief 12 item (PG-12-R) before the care recipient's death, and with the Prolonged Grief-13 (PG-13-R) afterwards.

早期适应性哀伤的加速解决疗法研究方案。
本手稿旨在介绍一项研究的方案,该方案旨在测试 "加速解决疗法®"(ART)对老年家庭照顾者失去亲人前的悲伤和长期悲伤的影响。本研究还旨在更好地了解对 ART® 反应的预测因素,以及悲伤者在接受 ART® 治疗后的认知过程:本研究是一项双盲随机临床试验:本研究在梅奥诊所两处的住院和门诊姑息治疗及临终关怀项目中进行:参与者包括老年人(≥ 60 岁)直系亲属,他们是晚期患者的主要照顾者,预期寿命少于 12 个月:参与者被随机分配到 ART® 干预组或注意力对照组。在 ART® 干预中,照顾者通过 4 个疗程(每个疗程持续 1-1.5 小时)进行意象暴露、侧向眼动和意象重写。注意力对照组则接受标准的社会工作干预,包括教育、资源和积极倾听,时间和注意力均匹配。两种干预措施都将纵向跟踪照顾者从积极照顾到丧亲之痛的过程:丧亲前悲伤和丧亲后长期悲伤的主要结果将在照顾者去世前用丧亲前悲伤 12 项(PG-12-R)进行测量,在照顾者去世后用丧亲后长期悲伤 13 项(PG-13-R)进行测量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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