Evidence map›Paper›PMID 32419630›Full record

SynthesisPalliative medicine2020

The impacts and effectiveness of support for people bereaved through advanced illness: A systematic review and thematic synthesis.

Emily Harrop, Fiona Morgan, Mirella Longo, Lenira Semedo, Jim Fitzgibbon, Sara Pickett, Hannah Scott, Kathy Seddon, Stephanie Sivell, Annmarie Nelson and 1 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Palliative medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
2.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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  10. Depression and Complicated Grief among Parents of Pediatric Cancer Patients in Cameroon: Implications for Cancer Education in Low-income Countries.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Emily HarropMarie Curie Research Centre, Division of Population Medicine, Cardiff University, Cardiff, UK.ORCID 0000-0003-2820-0023
Fiona MorganMarie Curie Research Centre and SURE, Cardiff University, Cardiff, UK.
Mirella LongoMarie Curie Research Centre, Division of Population Medicine, Cardiff University, Cardiff, UK.
Lenira SemedoMarie Curie Research Centre, Division of Population Medicine, Cardiff University, Cardiff, UK.
Jim FitzgibbonMarie Curie Research Centre, Division of Population Medicine, Cardiff University, Cardiff, UK.
Sara PickettSwansea Centre for Health Economics, Swansea University, Swansea, UK.
Hannah ScottSchool of Dentistry, Cardiff University, University Hospital Wales, Cardiff, UK.
Kathy SeddonMarie Curie Research Centre, Division of Population Medicine, Cardiff University, Cardiff, UK.
Stephanie SivellMarie Curie Research Centre, Division of Population Medicine, Cardiff University, Cardiff, UK.
Annmarie NelsonMarie Curie Research Centre, Division of Population Medicine, Cardiff University, Cardiff, UK.ORCID 0000-0002-6075-8425
Anthony ByrneMarie Curie Research Centre, Division of Population Medicine, Cardiff University, Cardiff, UK.
Marie Curie · GBSwansea University · GBUniversity Hospital of Wales · GB

Funding

Marie Curie MCCC-FCO-11-CMarie Curie MCCC-RP-16-A20999
6 · The paper itself

Abstract

backgroundBereavement support is a key component of palliative care, with different types of support recommended according to need. Previous reviews have typically focused on specialised interventions and have not considered more generic forms of support, drawing on different research methodologies.

aimTo review the quantitative and qualitative evidence on the effectiveness and impact of interventions and services providing support for adults bereaved through advanced illness.

designA mixed-methods systematic review was conducted, with narrative synthesis of quantitative results and thematic synthesis of qualitative results. The review protocol is published in PROSPERO ( www.crd.york.ac.uk/prospero , CRD42016043530). DATA SOURCES: The databases MEDLINE, Embase, PsycINFO, CINAHL and Social Policy and Practice were searched from 1990 to March 2019. Studies were included which reported evaluation results of bereavement interventions, following screening by two independent researchers. Study quality was assessed using GATE checklists.

resultsA total of 31 studies were included, reporting on bereavement support groups, psychological and counselling interventions and a mix of other forms of support. Improvements in study outcomes were commonly reported, but the quality of the quantitative evidence was generally poor or mixed. Three main impacts were identified in the qualitative evidence, which also varied in quality: 'loss and grief resolution', 'sense of mastery and moving ahead' and 'social support'.

conclusionConclusions on effectiveness are limited by small sample sizes and heterogeneity in study populations, models of care and outcomes. The qualitative evidence suggests several cross-cutting benefits and helps explain the impact mechanisms and contextual factors that are integral to the support.

Indexed as

BereavementTerminal CareAdultGriefHumansPalliative CareSocial SupportbereavementgriefPalliative caresystematic review

Identifiers

PMID32419630
PMCPMC7341024
OpenAlexW3026404106

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.