A Pilot Study of Adaptation of the Transtheoretical Model to Narratives of Bereaved Family Members in the Bereavement Life Review

Abstract

This study aimed to examine the possibility of adaptation of the transtheoretical model (TTM) to narratives from the Bereavement Life Review. Narratives from 19 bereaved family members were recorded, transcribed into sentences, and allocated into stages based on the TTM criteria. Those who lived in fantasy were allocated to the precontemplation stage and who recognized the patient's death but could not adjust to the death were allocated to the contemplation stage. Those who understood the need for changes and had new plans were allocated to the preparation stage, and those who were coping were allocated to the action stage, and those who had confidence to remember the loved one who died were allocated to the maintenance stage. These results provide deeper understanding of a bereaved family member and suggest that a different intervention method may be useful in each stage.

A review of biographical work in palliative care

“…Within the 18 included studies providing qualitative data, we found 2 reports[912] with qualitative evaluations from RCTs,[815] 15 other studies,[111720222526272829303132333435] and 1 qualitative evaluation of transcripts of dignity therapy. [36] In addition to the reports from RCTs, three studies followed a mixed methods approach.…”