Sage Palliative Medicine & Chronic Care

The impacts and effectiveness of support for people bereaved through advanced illness: A systematic review and thematic synthesis

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Sinopsis

This episode features Dr Emily Harrop (Marie Curie Research Centre, Division of Population Medicine, Cardiff University, Cardiff, UK). The support needs of people experiencing bereavement vary significantly. Bereavement support in palliative care involves different types and levels of provision to accommodate these needs. Specialist grief therapy is known to be effective for those with high-level risk and needs. Bereavement interventions were wide ranging and included bereavement support and social groups, psychological and counselling interventions and other types of support such as arts-based, befriending and relaxation interventions. Good quality randomised controlled trial evidence was only available for targeted family therapy and a non-targeted group–based therapy intervention, both of which were introduced during the caregiving period and found to be partially effective. The synthesis of qualitative evidence identified three core impacts which were common across interventions: ‘loss and grief resolutio