scholarly journals Online-group intervention after suicide bereavement through the use of webinars: study protocol for a randomized controlled trial

Trials ◽  
2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Birgit Wagner ◽  
Laura Hofmann ◽  
Ulrike Maaß

Abstract Introduction The death of a significant person through suicide is a very difficult experience and can have long-term impact on an individual’s psychosocial and physical functioning. However, there are only few studies that have examined the effects of interventions in suicide survivors. In the present study, we examine an online-group intervention for people bereaved by suicide using a group-webinar. Methods The intervention was developed based on focus groups with the target group. The cognitive-behavioral 12-module webinar-based group intervention focuses on suicide bereavement-related themes such as feelings of guilt, stigmatization, meaning reconstruction and the relationship to the deceased. Further, the webinar includes testimonial videos and psychoeducation. The suicide survivors are randomized to the intervention or the waiting list in a group-cluster randomized controlled trial. Primary outcomes are suicidality (Beck Scale for Suicide Ideation) and depression (Beck Depression Inventory-II) and secondary outcomes are symptoms of prolonged grief disorder (Inventory of Complicated Grief-German Version ), posttraumatic stress disorder ( Revised Impact of Event Scale ), stigmatization (Stigma of Suicide and Suicide Survivor ) and posttraumatic cognitions (Posttraumatic Cognitions Inventory). Discussion Previous studies of Internet-based interventions for the bereaved were based on writing interventions showing large treatment effects. Little is known about the use of webinars as group interventions. Advantages and challenges of this novel approach of psychological interventions will be discussed. Trial registration German Clinical Trials Register, DRKS00014426. Registered on 12 April 2018. Protocol Version 3, 21.10.2019.

2019 ◽  
Author(s):  
Birgit Wagner ◽  
Laura Hofmann ◽  
Ulrike Maaß

Abstract Introduction The death of a significant person through suicide is a very difficult experience and can have long-term impact on an individual’s psychosocial and physical functioning. However, there are only few studies which have examined the effects of interventions in suicide survivors. In the present study, we examined an online-group intervention for people bereaved by suicide using a group-webinar. Methods The intervention was developed based on focus groups with the target group. The cognitive-behavioral 12-module webinar-based group intervention focuses on suicide bereavement related themes such as feelings of guilt, stigmatization, meaning reconstruction and the relationship to the deceased. Further, the webinar includes testimonial videos and psychoeducation. The suicide survivors are randomized to the intervention or the waiting- list in a group cluster randomized controlled trial. Primary outcome were suicidality (BSSI) and depression (BDI-II), secondary outcomes are symptoms of prolonged grief disorder (ICG-D), PTSD (IES-R), stigmatization (STOSASS) and posttraumatic cognitions (PTCI). Discussion Previous studies of internet-based interventions for the bereaved were writing interventions showing large treatment effects. Little is known about the use of webinars as group interventions. Advantages and challenges of this novel approach of psychological interventions will be discussed.


2019 ◽  
Author(s):  
Birgit Wagner ◽  
Laura Hofmann ◽  
Ulrike Maaß

Abstract Introduction The death of a significant person through suicide is a very difficult experience and can have long-term impact on an individual’s psychosocial and physical functioning. However, there are only few studies which have examined the effects of interventions in suicide survivors. In the present study, we examined an online-group intervention for people bereaved by suicide using a group-webinar. Methods The intervention was developed based on focus groups with the target group. The cognitive-behavioral 12-module webinar-based group intervention focuses on suicide bereavement related themes such as feelings of guilt, stigmatization, meaning reconstruction and the relationship to the deceased. Further, the webinar includes testimonial videos and psychoeducation. The suicide survivors are randomized to the intervention or the waiting- list in a group cluster randomized controlled trial. Primary outcome were suicidality (BSSI) and depression (BDI-II), secondary outcomes are symptoms of prolonged grief disorder (ICG-D), PTSD (IES-R), stigmatization (STOSASS) and posttraumatic cognitions (PTCI). Discussion Previous studies of internet-based interventions for the bereaved were writing interventions showing large treatment effects. Little is known about the use of webinars as group interventions. Advantages and challenges of this novel approach of psychological interventions will be discussed.


2018 ◽  
Vol 69 (9) ◽  
pp. 978-985 ◽  
Author(s):  
Dror Ben-Zeev ◽  
Rachel M. Brian ◽  
Geneva Jonathan ◽  
Lisa Razzano ◽  
Nicole Pashka ◽  
...  

Death Studies ◽  
2004 ◽  
Vol 28 (3) ◽  
pp. 187-209 ◽  
Author(s):  
KATHLEEN J. SIKKEMA ◽  
NATHAN B. HANSEN ◽  
ARLENE KOCHMAN ◽  
DAVID C. TATE ◽  
WAYNE DIFRANCEISCO

2018 ◽  
Vol 33 (3) ◽  
pp. 399-411 ◽  
Author(s):  
Meghan Finch ◽  
Kirsty Seward ◽  
Taya Wedesweiler ◽  
Fiona Stacey ◽  
Alice Grady ◽  
...  

Purpose: To assess the effectiveness of an intervention including training, provision of written menu feedback, and printed resources on increasing childcare compliance with nutrition guidelines. Design: Parallel group randomized controlled trial. Setting: Hunter New England region, New South Wales, Australia. Participants: Forty-four childcare centers that prepare and provide food on-site to children while in care. Intervention: The intervention was designed using the Theoretical Domains Framework, targeted managers, and cooks and included implementation strategies that addressed identified barriers. Measures: Outcomes included the proportion of menus providing food servings (per child) compliant with overall nutrition guideline recommendations and each individual food group assessed via menu assessments. Cook knowledge of recommendations, intervention acceptability, adverse events, and barriers were also assessed via questionnaires with cooks and managers. Analysis: Logistic regression models, adjusted for baseline values of the outcome. Results: At baseline and follow-up, zero centers in the intervention and control groups were compliant with the overall menu guidelines or for the vegetable and meat food groups. Follow-up between-group differences in compliance for discretionary (33.3 vs 5, P = .18), dairy (41.7 vs 15, P = .16), breads and cereals (8.3 vs 10 P = 1.00), and fruit (16.7 vs 10, P = .48) were all nonsignificant. Relative to the control group, intervention centers showed a significantly greater increase in percentage of cooks with correct knowledge for vegetable servings (93.3 vs 36.4, P = .008). Conclusion: Although the application of the theoretical framework produced a broader understanding of the determinants of menu compliance, due to the complexity of guidelines, limited follow-up support, lower training uptake, and low intervention dose, the intervention was not effective in supporting the practice change required.


Addiction ◽  
2020 ◽  
Vol 115 (9) ◽  
pp. 1777-1785
Author(s):  
Yee Tak Derek Cheung ◽  
Ching Han Helen Chan ◽  
Kin Sang Ho ◽  
Wai‐Yin Patrick Fok ◽  
Mike Conway ◽  
...  

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