Who needs bereavement support? A population based survey of bereavement risk and support need.

Who needs bereavement support? A population based survey of bereavement risk and support need.
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DOI:
10.1371/journal.pone.0121101
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发表时间:
2015
期刊:
影响因子:
3.7
通讯作者:
Hegney D
Hegney D
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Aoun SM;Breen LJ;Howting DA;Rumbold B;McNamara B;Hegney D

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本研究确定并描述了在澳大利亚的社区样本的丧亲风险和支持需求的配置文件,并测试适合的数据与三层公共卫生模型丧亲支持。在调查前6-24个月失去亲人的家庭成员以及四家殡仪馆的客户参加了调查(2013年5月至7月)。一个邮政调查被用来收集信息丧亲之痛的人的经验,照顾和感知满意度提供的任何丧亲之痛的支持。调查问卷包括经过验证的长期悲伤障碍(PG-13)风险评估筛选措施。共有678名丧亲者做出了回应。该模型预测,60%的样本将是低风险,30%的中度风险和10%的高风险。实际数字非常接近,分别为58.4%、35.2%和6.4%。人口特征,经验和影响的照顾和丧亲之痛,并从各种来源收到的支持满意度的分析显示不同的经验和需求,符合预期的低,中,高丧亲之痛的支持需要,阐述了在公共卫生模型。这是对丧亲支持公共卫生模型的首次实证测试。由于缺乏明确的证据来指导丧亲支持计划的开发和分配,研究结果有可能告知服务,社区组织和非正式网络的能力,根据丧亲需要的每一个层次来优先考虑护理。这对于实现具有成本效益和公平的资源分配至关重要。
This study identifies and describes the profiles of bereavement risk and support needs of a community sample in Australia and tests the fit of the data with the three-tiered public health model for bereavement support. Family members who were bereaved 6–24 months prior to the survey and who were clients of four funeral providers participated (May-July 2013). A postal survey was used to collect information about bereaved people’s experience of caring and perceived satisfaction with any bereavement support provided. The questionnaire included a validated risk assessment screening measure for Prolonged Grief Disorder (PG-13). A total of 678 bereaved people responded. The model predicted that 60% of the sample would be low risk, 30% moderate risk, and 10% high risk. Actual figures were very close at 58.4%, 35.2% and 6.4% respectively. The analysis of the demographic characteristics, experience and impact of caring and bereavement, and satisfaction with support received from a variety of sources revealed differential experiences and needs that align with the expectation of low, moderate, and high bereavement support need, as articulated in the public health model. This is the first empirical test of the public health model of bereavement support. As there is a lack of clear evidence to guide development and allocation of bereavement support programs, the findings have the potential to inform the ability of services, community organizations and informal networks to prioritize care according to each level of bereavement need. This is essential to achieve cost-effective and equitable resource allocation.
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