From: Development and evaluation of the Good Grief program for young people bereaved by familial cancer
Concept/variable – measure name | No of items/subscales | Response scale | Example item/s | Validity and reliability evidence |
---|---|---|---|---|
Acceptability: End of session engagement (measuring perceived session helpfulness, meaningfulness and interestingness) | 3 items | 11-point discrete visual analogue scales (Not helpful/ meaningful/ interesting at all to Very helpful/ meaningful/ interesting) | “How helpful did you find this session?” | N/A |
Acceptability: End of program satisfaction | ||||
Overall program helpfulness | 1 item | Four-point Likert item (Not helpful to Very helpful) | “Overall, how helpful was the program?” | N/A |
Overall program satisfaction | 1 item | Four-point Likert item (Not at all satisfied to Very satisfied) | “Overall, how satisfied were you with the program?” | N/A |
Enjoyment of recreational activities | 1 item | 11-point scale (Not enjoyable at all to Extremely enjoyable | “Overall, on a scale of 1 to 10, how much did you enjoy the recreational activities you participated in on camp?” | N/A |
Program recommendation to other bereaved young people | 1 item | Yes/no question | “Would you recommend the program to other young people who have a parent who has died from cancer?” | N/A |
Satisfaction questions (liked most, most useful, why recommend/not recommend, improvements suggestions) | 4 items | Open ended | “What did you like most about the program?” | N/A |
Satisfaction with facilitators (listening, supportiveness, understanding, respectfulness, creating a safe space, taking participant views/concerns seriously, knowledge, coping strategy provision) | 8 items | Six-point Likert scale (Strongly disagree to Strongly agree) | During the program, I felt that the facilitators… “listened to me”; “understood what I was going through” | N/A |
Appropriateness of program topicsa (perceived usefulness/ relevance/ practicability for day-to-day life in the months following GG attendance) | 9 items | Five-point Likert scale (Very unhelpful to Very helpful) | “There are ways to manage intense emotions that come from your grief”; “You share strengths and values with the person who died” | N/A |
Outcome measures | ||||
Grief intensity – Texas Revised Inventory of Grief (TRIG; Present Feelings subscale) [49] | 13 items | Five-point Likert scale (Completely false to Completely true) | “I still cry when I think about the person who died” | Present Feelings subscale scores showed sufficient internal consistency (α = .86) and split-half reliability (r = .88) [49]. |
Meaning-making – Grief and Meaning Reconstruction Inventory (GMRI; Personal Growth and Valuing Life subscales) [50] | 11 items, 2 subscales (Personal Growth - one’s sense of having experienced positive change and increased resilience following the loss; Valuing Life - one’s sense of desire to live life to the fullest) | Five-point Likert scale (Strongly disagree to Strongly agree). | “Since this loss, I’m a stronger person”; “I value and appreciate life more” | The GMRI (overall and its subscales) has good convergent and discriminant validity [51]. Subscales demonstrated good internal consistency (αPersonal Growth = .83; αValuing Life = .76) [51]. |
Trauma coping abilities – Perceived Ability to Cope with Trauma Scale (PACT) [52] | 20 items, 2 subscales (Trauma Focus - one’s ability to spend time processing the trauma; Forward Focus - one’s ability to move beyond the trauma) | Seven-point numeric rating scale (Not at all able to to Extremely able to | “Look for the positive in things” | The Coping Flexibility Scale shows good incremental, convergent and discriminant validity [52]. |
Unmet needs – Bereaved Cancer Needs Instrument (BCNI) [15] | 57 items, 7 subscales (Help and Information About Grief, Time-Out From Grief, Planning For The Future, Support From Friends, Talking To Others With Similar Experiences, Dealing With Feelings, Family Connectedness) | Four-point Likert-type scale (No need to Strong need). | e.g., “I currently need to be informed about grief and loss in a way that I can understand” | Good convergent validity with a measure of psychological distress and high internal consistency for all subscales when validated in a sample of cancer-bereaved sibling and offspring AYAs [15]. |