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LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy): Proposal for an Online Service Development and Evaluation
BACKGROUND: Loss of a spouse is a frequent occurrence in later life. While most older adults successfully process this loss and will return to a normal life, about 10% of the individuals are unable to cope, and progress to prolonged grief (PG). PG, in turn, can result in mental and physical problems...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7509633/ https://www.ncbi.nlm.nih.gov/pubmed/32897238 http://dx.doi.org/10.2196/19344 |
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author | van Velsen, Lex Cabrita, Miriam op den Akker, Harm Brandl, Lena Isaac, Joana Suárez, María Gouveia, Afonso Dinis de Sousa, Rute Rodrigues, Ana Maria Canhão, Helena Evans, Nathaniel Blok, Marije Alcobia, Carlos Brodbeck, Jeannette |
author_facet | van Velsen, Lex Cabrita, Miriam op den Akker, Harm Brandl, Lena Isaac, Joana Suárez, María Gouveia, Afonso Dinis de Sousa, Rute Rodrigues, Ana Maria Canhão, Helena Evans, Nathaniel Blok, Marije Alcobia, Carlos Brodbeck, Jeannette |
author_sort | van Velsen, Lex |
collection | PubMed |
description | BACKGROUND: Loss of a spouse is a frequent occurrence in later life. While most older adults successfully process this loss and will return to a normal life, about 10% of the individuals are unable to cope, and progress to prolonged grief (PG). PG, in turn, can result in mental and physical problems including poor sleep, cardiovascular problems, depression, and suicidal tendencies. OBJECTIVE: LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy) is an online bereavement program that will support the prevention and treatment of PG, so that elderly mourners can continue to lead an active, meaningful, and dignified life. LEAVES will cater to secondary end users (eg, family, informal caregivers) by reducing stress. METHODS: LEAVES will help older adults to process the loss of a spouse in an online environment, which consists of (1) an existing online grief self-help program LIVIA, (2) the Before You Leave program that allows for storing personal memories, (3) a virtual agent platform, and (4) an accessible front-end design. LEAVES can detect persons at risk for complications, reveal negative trends in their emotional life, and act to counter such trends. The service relies on online support whenever possible but is blended with telephone or face-to-face counseling when necessary. RESULTS: The project will take place between February 2020 and January 2023 and includes a real-life evaluation in which 315 end users will use the service across 3 countries (the Netherlands, Portugal, and Switzerland). The evaluation of LEAVES will focus on clinical effect, its business case, and technology acceptance. The results will pave the way for smooth integration into existing care paths and reimbursement schemes. CONCLUSIONS: The LEAVES service aims to soften the mourning process, prevents depression or social isolation, strengthens widow(er)s resilience and well-being, and quickens one’s return to societal participation. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/19344 |
format | Online Article Text |
id | pubmed-7509633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-75096332020-10-05 LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy): Proposal for an Online Service Development and Evaluation van Velsen, Lex Cabrita, Miriam op den Akker, Harm Brandl, Lena Isaac, Joana Suárez, María Gouveia, Afonso Dinis de Sousa, Rute Rodrigues, Ana Maria Canhão, Helena Evans, Nathaniel Blok, Marije Alcobia, Carlos Brodbeck, Jeannette JMIR Res Protoc Proposal BACKGROUND: Loss of a spouse is a frequent occurrence in later life. While most older adults successfully process this loss and will return to a normal life, about 10% of the individuals are unable to cope, and progress to prolonged grief (PG). PG, in turn, can result in mental and physical problems including poor sleep, cardiovascular problems, depression, and suicidal tendencies. OBJECTIVE: LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy) is an online bereavement program that will support the prevention and treatment of PG, so that elderly mourners can continue to lead an active, meaningful, and dignified life. LEAVES will cater to secondary end users (eg, family, informal caregivers) by reducing stress. METHODS: LEAVES will help older adults to process the loss of a spouse in an online environment, which consists of (1) an existing online grief self-help program LIVIA, (2) the Before You Leave program that allows for storing personal memories, (3) a virtual agent platform, and (4) an accessible front-end design. LEAVES can detect persons at risk for complications, reveal negative trends in their emotional life, and act to counter such trends. The service relies on online support whenever possible but is blended with telephone or face-to-face counseling when necessary. RESULTS: The project will take place between February 2020 and January 2023 and includes a real-life evaluation in which 315 end users will use the service across 3 countries (the Netherlands, Portugal, and Switzerland). The evaluation of LEAVES will focus on clinical effect, its business case, and technology acceptance. The results will pave the way for smooth integration into existing care paths and reimbursement schemes. CONCLUSIONS: The LEAVES service aims to soften the mourning process, prevents depression or social isolation, strengthens widow(er)s resilience and well-being, and quickens one’s return to societal participation. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/19344 JMIR Publications 2020-09-08 /pmc/articles/PMC7509633/ /pubmed/32897238 http://dx.doi.org/10.2196/19344 Text en ©Lex van Velsen, Miriam Cabrita, Harm op den Akker, Lena Brandl, Joana Isaac, María Suárez, Afonso Gouveia, Nathaniel Evans, Rute Dinis de Sousa, Ana Maria Rodrigues, Helena Canhão, DELA Natura- En Levensverzekeringen NV, Marije Blok, Carlos Alcobia, Jeannette Brodbeck. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 08.09.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included. |
spellingShingle | Proposal van Velsen, Lex Cabrita, Miriam op den Akker, Harm Brandl, Lena Isaac, Joana Suárez, María Gouveia, Afonso Dinis de Sousa, Rute Rodrigues, Ana Maria Canhão, Helena Evans, Nathaniel Blok, Marije Alcobia, Carlos Brodbeck, Jeannette LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy): Proposal for an Online Service Development and Evaluation |
title | LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy): Proposal for an Online Service Development and Evaluation |
title_full | LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy): Proposal for an Online Service Development and Evaluation |
title_fullStr | LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy): Proposal for an Online Service Development and Evaluation |
title_full_unstemmed | LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy): Proposal for an Online Service Development and Evaluation |
title_short | LEAVES (optimizing the mentaL health and resiliencE of older Adults that haVe lost thEir spouSe via blended, online therapy): Proposal for an Online Service Development and Evaluation |
title_sort | leaves (optimizing the mental health and resilience of older adults that have lost their spouse via blended, online therapy): proposal for an online service development and evaluation |
topic | Proposal |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7509633/ https://www.ncbi.nlm.nih.gov/pubmed/32897238 http://dx.doi.org/10.2196/19344 |
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