Towards a framework for a culturally centered evidence based prolonged grief group therapy intervention.

Abstract

Background: Black Americans are twice as likely to die from the leading causes of death in the US due to economic and social disparities, which exacerbate the emotional and social burdens of bereavement and increase the risk of prolonged grief (PG). Untreated, PG leads to depression, self-harm risk, deteriorating health, elevated healthcare use and mortality risk. Studies reveal a reluctance among Black Americans to seek bereavement support, compounded by limited care access, mental health stigma, biased providers and cultural gaps.

Aims: To evaluate the acceptability and efficacy of a culturally adapted Prolonged Grief Group Therapy intervention for Black Americans.

Methods: This protocol outlines a study employing a pilot three-arm quasi-experimental design. The study aims to explore cultural, systemic and psychological factors shaping grief in this population and refine the intervention to enhance its relevance and effectiveness.

Conclusions: By addressing this significant gap, the research seeks to provide evidence for an accessible and culturally sensitive therapeutic approach, ultimately improving emotional wellbeing and mitigating the adverse impacts of prolonged grief in this underrepresented population.