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Text
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<a href="http://doi.org/10.1016/j.jpainsymman.2003.10.008" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.jpainsymman.2003.10.008</a>
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Title
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What works for therapists conducting family meetings: treatment integrity in family-focused grief therapy during palliative care and bereavement
Publisher
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Journal Of Pain And Symptom Management
Date
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2004
Subject
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Female; Humans; Male; Grief; Adult; Middle Aged; Treatment Outcome; bereavement; Family/psychology; Health Surveys; Quality Assurance; Australia/epidemiology; Family Therapy/methods/statistics & numerical data; Health Care/methods/standards; Hospice Care/methods/psychology/statistics & numerical data; Neoplasms/mortality/psychology; Palliative Care/psychology/statistics & numerical data; Professional Competence/statistics & numerical data; SSHRC CURA
Creator
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Chan EK; O'Neill I; McKenzie M; Love A; Kissane DW
Description
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The purpose of this study was to evaluate the treatment integrity of Family-Focused Grief Therapy (FFGT), a preventive intervention designed for families at high risk of poor functioning during palliative care and bereavement. From the 81 families participating in a randomized controlled trial (53 assigned to therapy), 28 were randomly selected for this study of treatment fidelity using the FFGT integrity measure. A total of 109 family sessions were appraised. This represented a review of 62% of treated families, 38% of total therapy sessions, and 87% of the 15 participating therapists. Weighted mean percentage occurrences of therapist behaviors permitted trends in therapy application to be observed. Inter-rater reliability using the FFGT integrity measure was satisfactory, with 88% overall agreement. Eighty-six percent of therapists adhered faithfully to core elements of the model. Therapist competence was evidenced by a strong therapeutic alliance (94%), affirmation of family strengths in over 90%, and focus on agreed themes in 76% of sessions. Therapists averaged 10 grief-related questions per session, 7 on communication-related issues during assessment, 7 on conflict late in therapy, and 4 on cohesiveness across the course of therapy. Consistent application of FFGT, with attention to its four key themes of family communication, cohesiveness, conflict resolution, and shared grief has been demonstrated. The model is generalizable when applied by family therapists.
2004
Identifier
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<a href="http://doi.org/10.1016/j.jpainsymman.2003.10.008" target="_blank" rel="noreferrer">10.1016/j.jpainsymman.2003.10.008</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2004
Adult
Australia/epidemiology
Backlog
Bereavement
Chan EK
Family Therapy/methods/statistics & numerical data
Family/psychology
Female
Grief
Health Care/methods/standards
Health Surveys
Hospice Care/methods/psychology/statistics & numerical data
Humans
Journal Article
Journal of Pain and Symptom Management
Kissane DW
Love A
Male
McKenzie M
Middle Aged
Neoplasms/mortality/psychology
O'Neill I
Palliative Care/psychology/statistics & numerical data
Professional Competence/statistics & numerical data
Quality Assurance
SSHRC CURA
Treatment Outcome