Implementing a Manualized Group Intervention for Bereaved Siblings: An Analysis of Feasibility and Barriers

The current study, conducted in two segments, assessed the feasibility of implementing a manualized support group for siblings who had experienced the death of a brother or sister from cancer. Part 1 was carried out with a convenience sample of 10 children, aged 6 - 14 years, who attended the program. With respect to acceptability, retention rates, and treatment fidelity, positive outcomes were obtained. Results of standardized questionnaires completed by parents indicated significant improvements in overall, emotional, and social quality of life, and trend-level reductions in problem behaviours and distress symptoms. Outcomes of siblings' self-report questionnaires reflected borderline decreases in problem behaviours. Part 2 of the investigation revealed significant recruitment barriers that impeded enrolment when rigorous sampling procedures were utilized. A qualitative analysis of phone recruitment interviews with parents yielded important themes explaining families' participation declines, including impediments to enrolment, communication with surviving children, and coping with grief.M.A.2018-02-28 00:00:0