Overview
The purpose of this study is to compare three types of support programs for parents who have lost a child. The study will see how these support programs affect participants' grief and depression symptoms. The three support programs are called Meaning-Centered Grief Therapy, Supportive Counseling, and Enhanced Usual Care.
Eligibility
Inclusion Criteria:
- A biological, adoptive, step-parent or legal guardian from across the United States who lost a child diagnosed with cancer as indicated by self-report
- Age 18 or older as indicated by self-report
- Experienced the loss of a child diagnosed with cancer at least 6 months prior to enrollment as indicated by self-report
- Elevated prolonged grief (PG) symptoms (PG-13-R scores of 30 or above)
- Resides in a state in which a study clinical supervisor is licensed to permit telepsychology practice or otherwise able to comply with current telehealth regulations as indicated by self-report
- English-speaking as per the language assessment items below and willing to receive the intervention in English.
- What is the participant's preferred language?
°(Specify Lang)___________________________
- How well does the participant speak English?
- Very well (PARTICIPANT IS ELIGIBLE)
- Well (PARTICIPANT is NOT ELIGIBLE)
- Not well (PARTICIPANT is NOT ELIGIBLE)
- Not at all (PARTICIPANT is NOT ELIGIBLE)
Support Provider Inclusion Criteria:
- Must be age 18 or over as indicated by self-report
- Has been identified by the bereaved parent participant as a support or someone important to bereaved parent
- Resides in a state in which a study clinical supervisor is licensed to permit telepsychology practice or otherwise able to comply with current telehealth regulations as indicated by self-report
- English-speaking as per the language assessment items below and willing to receive the intervention in English
- What is the participant's preferred language?
°(Specify Lang)___________________________
- How well does the participant speak English?
- Very well (PARTICIPANT IS ELIGIBLE)
- Well (PARTICIPANT is NOT ELIGIBLE)
- Not well (PARTICIPANT is NOT ELIGIBLE)
- Not at all (PARTICIPANT is NOT ELIGIBLE)
Family Participant Inclusion Criteria:
- A biological, adoptive, step-parent or legal guardian from across the United States who lost a child diagnosed with cancer as indicated by self-report
- Age 18 or older as indicated by self-report
- Experienced the loss of a child diagnosed with cancer at least 6 months prior to enrollment as indicated by self-report
- Resides in a state in which a study clinical supervisor is licensed to permit telepsychology practice or otherwise able to comply with current telehealth regulations as indicated by self-report
- English-speaking as per the language assessment items below and willing to receive the intervention in English
- What is the participant's preferred language?
°(Specify Lang)___________________________
- How well does the participant speak English?
- Very well (PARTICIPANT IS ELIGIBLE)
- Well (PARTICIPANT is NOT ELIGIBLE)
- Not well (PARTICIPANT is NOT ELIGIBLE)
- Not at all (PARTICIPANT is NOT ELIGIBLE)
Training Case Inclusion Criteria:
- A biological, adoptive, step-parent, or legal guardian from across the United States as indicated by self-report
- Age 18 or older as indicated by self-report
- Experienced the loss of a child at least 6 months prior to enrollment as indicated by self-report
- Score of 29 or below on the PG-13-R OR lost a child to a cause other than cancer OR child's additional guardian has consented as a Parent Participant and has not provided permission to share participation status
- Resides in a state in which a study clinical supervisor is licensed to permit telepsychology practice or otherwise able to comply with current telehealth regulations as indicated by self-report
- English-speaking as per the language assessment items below and willing to receive the intervention in English
- What is the participant's preferred language?
° (Specify Lang)___________________________
- How well does the participant speak English?
- Very well (PARTICIPANT IS ELIGIBLE)
- Well (PARTICIPANT is NOT ELIGIBLE)
- Not well (PARTICIPANT is NOT ELIGIBLE)
- Not at all (PARTICIPANT is NOT ELIGIBLE)
Training Case Support Provider Inclusion Criteria:
- Must be age 18 or over as indicated by self-report
- Has been identified by the bereaved parent training case participant as a support or someone important to bereaved parent
- Resides in a state in which a study clinical supervisor is licensed to permit telepsychology practice or otherwise able to comply with current telehealth regulations as indicated by self-report
- English-speaking as per the language assessment items below and willing to receive the intervention in English
- What is the participant's preferred language?
° (Specify Lang)___________________________
- How well does the participant speak English?
- Very well (PARTICIPANT IS ELIGIBLE)
- Well (PARTICIPANT is NOT ELIGIBLE)
- Not well (PARTICIPANT is NOT ELIGIBLE)
- Not at all (PARTICIPANT is NOT ELIGIBLE)
Participant Exclusion Criteria:
- Significant psychiatric disturbance sufficient, in the investigator/study staff's judgment, to preclude completion of the assessment measures, interview or informed consent
- Inability to access a functional device for videoconferencing and declines offer to use a study loaner device as indicated by self-report
- Prisoners
- Participants unable to consent
Support Provider Exclusion Criteria:
- Significant psychiatric disturbance sufficient, in the investigator/study staff's judgment, to preclude informed consent
- Inability to access a computer with Internet as indicated by self-report
- Prisoners
- Participants unable to consent
Family Participant Exclusion Criteria:
- Significant psychiatric disturbance sufficient, in the investigator/study staff's judgment, to preclude informed consent
- Inability to access a computer with Internet as indicated by self-report
- Prisoners
- Participants unable to consent
Training Case Exclusion Criteria:
- Significant psychiatric disturbance sufficient, in the investigator/study staff's judgment, to preclude completion of the assessment measures, interview or informed consent
- Inability to access a functional device for videoconferencing and declines offer to use a study loaner device as indicated by self-report
- Prisoners
- Participants unable to consent
Training Case Support Provider Exclusion Criteria
- Significant psychiatric disturbance sufficient, in the investigator/study staff's judgment, to preclude informed consent
- Inability to access a computer with Internet as indicated by self-report
- Prisoners
- Participants unable to consent