[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100626243":3},{"organization":4,"armGroups":7,"interventions":23,"overallOfficials":29,"centralContacts":38,"locations":45,"responsibleParty":62,"collaborators":29,"id":64,"slug":65,"hasResults":66,"nctId":67,"briefTitle":68,"officialTitle":69,"acronym":70,"eligibilityCriteria":71,"healthyVolunteers":66,"sex":72,"minAge":73,"maxAge":29,"enrollmentInfo":74,"targetDuration":29,"studyType":77,"phases":78,"briefSummary":80,"conditions":81,"keywords":83,"overallStatus":91,"whyStopped":29,"lastUpdateSubmitDate":92,"lastUpdatePostDateStruct":93,"startDateStruct":96,"completionDateStruct":98,"leadSponsor":100,"locationsCount":101},{"fullName":5,"class":6},"ISPA - Instituto Universitario de Ciencias Psicologicas, Sociais e da Vida","OTHER",[8,13,18],{"label":9,"type":6,"description":10,"interventionNames":11},"Arm 1: Information and Grief Literacy (IGLiteracy)","Assigned Intervention: Information and Grief Literacy Participants allocated to this arm will receive a low-intensity informational intervention aimed at enhancing grief literacy and normalizing the bereavement experience. IGLiteracy consists of a single group session (delivered online or in person) focused on psychoeducation about common and uncommon grief reactions, the grieving process, and available resources for support.\n\nFollowing the session, participants will receive bi-weekly brief reminders (via SMS or equivalent) over a three-month period, reinforcing key concepts and providing practical information and self-care suggestions. This arm represents the minimum active intervention and serves as a universal, low-intensity support condition.",[12],"Behavioral: IGLiteracy",{"label":14,"type":6,"description":15,"interventionNames":16},"Arm 2: Individual Self-Help Program (ISelfHP)","Assigned Intervention: Individual Self-Help Program Participants allocated to this arm will receive a structured, low-intensity psychological self-help intervention delivered through a digital WebApp designed for older adults. The ISelfHP aims to promote emotional regulation, psychological well-being, and adaptive grief processing.\n\nThe intervention includes three main components:\n\n1. psychoeducation about grief and emotional processes;\n2. emotional regulation and well-being promotion;\n3. grief elaboration and acceptance-based exercises. Participants are encouraged to complete at least one activity per week over a three-month period, although no fixed sequence or minimum dosage is imposed, allowing flexibility according to individual needs and preferences. Engagement is supported through automated reminders and brief motivational contacts by phone from the research team.\n\nParticipants with low digital literacy - a non-digital alternative (printed materials with equivalent content)",[17],"Behavioral: Arm 2 - Individual Self-Help Program (ISelfHP)",{"label":19,"type":6,"description":20,"interventionNames":21},"Arm 3: Moderated Self-Help Groups (MSHGroups)","Assigned Intervention: Moderated Self-Help Groups Participants allocated to this arm will take part in a manualized group-based intervention facilitated by a trained psychologist. MSHGroups are semi-structured peer support groups aimed at fostering shared understanding, emotional expression, and social connection in grief.\n\nThe intervention consists of weekly group sessions over a three-month period. Each session addresses key themes related to the grief process, including emotional regulation, acceptance, guilt, meaning-making, and coping strategies. Sessions are designed to last approximately three hours and follow a standardized protocol to ensure consistency across groups.\n\nThe final session focuses on relapse prevention and the promotion of ongoing adaptive coping. Attendance and participant feedback will be systematically recorded. Group facilitators will receive specific training and ongoing supervision to ensure fidelity to the intervention model.",[22],"Other: Arm 3 - Moderated Self-Help Groups (MSHGroups)",[24,30,34],{"type":25,"name":26,"description":27,"armGroupLabels":28,"otherNames":29},"BEHAVIORAL","IGLiteracy","A low-intensity intervention with one group psychoeducation session on grief reactions and available support, followed by bi-weekly SMS reminders for three months. It represents the minimum active support.",[9],null,{"type":25,"name":31,"description":32,"armGroupLabels":33,"otherNames":29},"Arm 2 - Individual Self-Help Program (ISelfHP)","A digital self-help program promoting emotional regulation and adaptive grief processing through psychoeducation and exercises. Participants complete activities over three months, supported by reminders and brief phone contacts. Printed materials are available if needed.",[14],{"type":6,"name":35,"description":36,"armGroupLabels":37,"otherNames":29},"Arm 3 - Moderated Self-Help Groups (MSHGroups)","Weekly psychologist-led peer groups for three months, focusing on emotional expression, acceptance, meaning-making, and coping, using a standardized protocol.",[19],[39,44],{"name":40,"role":41,"phone":42,"phoneExt":29,"email":43},"David Neto, PhD","CONTACT","+351933220520","dneto@ispa.pt",{"name":40,"role":41,"phone":29,"phoneExt":29,"email":43},[46],{"facility":47,"status":29,"city":48,"state":29,"zip":29,"country":49,"countryCode":50,"cosmosGeoPoint":51,"geoPoint":56,"contacts":57},"InLuto Association","Lisbon","Portugal","PT",{"type":52,"coordinates":53},"Point",[54,55],-9.1498,38.72509,{"lat":55,"lon":54},[58],{"name":59,"role":41,"phone":60,"phoneExt":29,"email":61},"Alexandra Coelho, PhD","+351919957534","alexandra.moura.coelho@gmail.com",{"type":63,"investigatorFullName":29,"investigatorTitle":29,"investigatorAffiliation":29,"oldNameTitle":29,"oldOrganization":29},"SPONSOR","100626243","understanding-and-responding-to-grief-related-needs-a-differentiated-community-approach-100626243",false,"NCT07433101","Understanding and Responding to Grief-Related Needs: A Differentiated Community Approach","Responding to Grief-Related Needs: Study Protocol for a Pilot Randomized Controlled Trial","GriefDiff","Inclusion Criteria:\n\n* Portuguese adults aged 60 years or older\n* Bereaved 1 to 12 months prior to recruitment\n\nExclusion Criteria:\n\n* Recent serious mental illness\n* Significant cognitive impairment at screening","ALL","60 Years",{"count":75,"type":76},246,"ESTIMATED","INTERVENTIONAL",[79],"NA","The GriefDiff study is a randomized controlled trial evaluating a differentiated, community-based model of grief support for older adults. It compares three intervention levels-Information and Grief Literacy (IGLiteracy), Individual Self-Help Program (ISelfHP), and Moderated Self-Help Groups (MSHGroups)-to assess their effectiveness in reducing prolonged grief and psychological distress. Participants are screened for risk of Prolonged Grief Disorder and relational needs, then randomized to matched or non-matched interventions. Outcomes are measured at baseline, post-intervention (3 months), and follow-up (6 months), focusing primarily on prolonged grief symptoms and secondarily on depression, anxiety, stress, attachment, social support, and traumatic stress. The study aims to provide evidence for a cost-effective, scalable, and preventive public health model of bereavement care.",[82],"Prolonged Grief Disorder (PGD)",[84,85,86,87,88,89,90],"Prolonged grief disorder","Bereavement","Older adults","Tiered intervention","Community-based care","Self-help","Randomized controlled trial","NOT_YET_RECRUITING","2026-02-19",{"date":94,"type":95},"2026-02-25","ACTUAL",{"date":97,"type":76},"2026-03-01",{"date":99,"type":76},"2028-12-31",{"name":5,"class":6},1]