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Do child and/or parent bereavement programs work?

G Schneiderman1, P Winders, S Tallett

  • 1Department of Psychiatry, Hospital for Sick Children, Toronto, Ontario.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|May 1, 1994
PubMed
Summary
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It remains unclear if bereavement programs effectively support grieving families. While some studies show benefits, all four reviewed had significant methodological flaws, necessitating further research.

Area of Science:

  • Pediatric healthcare
  • Psychological support services
  • Grief and bereavement research

Background:

  • Bereavement programs are increasingly offered by neonatal intensive care, pediatric oncology, and pediatric intensive care units.
  • Growing availability necessitates an evaluation of program effectiveness.

Purpose of the Study:

  • To determine the effectiveness of bereavement programs for families.
  • To review existing literature on treatment interventions for bereavement.

Main Methods:

  • Conducted a literature review dating back to 1964, focusing on treatment studies.
  • Selected randomized controlled trials (RCTs) for best evidence.
  • Assessed methodological features of RCTs, including sample description, group comparability, intervention details, outcome measures, and statistical significance.

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Main Results:

  • Identified four RCTs evaluating bereavement programs.
  • Two studies indicated program benefits, while two did not.
  • All four RCTs exhibited significant methodological limitations.

Conclusions:

  • Current evidence is insufficient to confirm the efficacy of bereavement programs.
  • Further high-quality research is needed to identify which families benefit and which program types are most effective.
  • Understanding program effectiveness is crucial given healthcare costs.