{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T01:04:42Z","timestamp":1777770282208,"version":"3.51.4"},"reference-count":25,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"unspecified","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"This Canadian Association of MAiD Assessors and Providers (CAMAP).","award":["NA"],"award-info":[{"award-number":["NA"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,4,8]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of this study was to understand how MAiDHouse\u2019s services shape the experiences of grief and bereavement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This was a qualitative study with semi-structured interviews. Interview transcripts were coded in duplicate and then analysed with a content-analysis approach through MaxQDA. We developed themes deductively based on a previously published framework and inductively from the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>MAiDHouse is a community-based, national, non-profit organisation and registered charity that provides those eligible to receive medical assistance in dying (MAiD) with a supportive and comfortable setting. MAiDHouse does not provide any MAiD assessments or MAiD provisions. Instead, MAiDHouse\u2019s supports may affect grief and bereavement for family and friends. The goal of this qualitative study was to understand how MAiDHouse\u2019s services shape the experiences of grief and bereavement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>We invited primary contacts of individuals who received MAiD at MAiDHouse between April and December 2022. 13 participants completed semi-structured interviews over Zoom.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants\u2019 perceptions of MAiDHouse\u2019s grief and bereavement supports ranged from net neutral to positive. The location\u2019s accessibility, staff\u2019s longitudinal follow-ups and the facilitation of logistics during an emotional time are valued. During the MAiD process, there are multiple sources of confusion with regard to MAiD access, provider responsibilities and organisational roles, all of which can affect future bereavement. Participants\u2019 appreciation for MAiDHouse is due to the responsiveness of staff, personalised and attentive communication and facilitation of logistics which in turn shaped the grief experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study explored the lived experiences of family and friends of individuals who received MAiD at MAiDHouse. Participants generally acknowledged that MAiDHouse\u2018s role in their bereavement journey exceeded beyond providing a physical location. Future implications for practice include strengthening expectation-setting before provision and building interdisciplinary grief supports. MAiDHouse was perceived to be an easily accessible community resource to address multiple factors surrounding grief and bereavement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-115453","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T16:31:39Z","timestamp":1777480299000},"page":"e115453","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["MAiDHouse: a qualitative study on structured community-based support for grief and bereavement in Canada"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0494-0214","authenticated-orcid":false,"given":"Han","family":"Yan","sequence":"first","affiliation":[{"name":"MAiDHouse, Toronto, Ontario, Canada"},{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7194-5648","authenticated-orcid":false,"given":"Jashnoor","family":"Chhina","sequence":"additional","affiliation":[{"name":"Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ari","family":"Kaplan","sequence":"additional","affiliation":[{"name":"MAiDHouse, Toronto, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mona","family":"Kornberg","sequence":"additional","affiliation":[{"name":"MAiDHouse, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Narges","family":"Hashemi","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarina","family":"Isenberg","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandy","family":"Buchman","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"North York General Hospital, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tekla","family":"Hendrickson","sequence":"additional","affiliation":[{"name":"MAiDHouse, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"2026042909302324000_16.4.e115453.1","first-page":"32","article-title":"End-of-Life Care: Medical Aid in Dying","volume":"498","author":"VandeKieft","year":"2020","journal-title":"FP Essent"},{"key":"2026042909302324000_16.4.e115453.2","unstructured":"Government of Canada D of J . Canada\u2019s medical assistance in dying (MAID) law, 2021. Available: https:\/\/www.justice.gc.ca\/eng\/cj-jp\/ad-am\/bk-di.html"},{"key":"2026042909302324000_16.4.e115453.3","unstructured":"Medical Assistance in Dying, 2024. Available: https:\/\/www.williamoslerhs.ca\/en\/visiting-us\/medical-assistance-in-dying.aspx"},{"key":"2026042909302324000_16.4.e115453.4","unstructured":"Our History . MAiDHouse, Available: https:\/\/www.maidhouse.ca\/our-history"},{"key":"2026042909302324000_16.4.e115453.5","unstructured":"Fourth annual report on Medical Assistance in Dying in Canada 2022, 2023. 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The emergence and development of life course theory. In: Mortimer JT , Shanahan MJ , eds. Handbook of the life course. Boston, MA: Springer US, 2003: 3\u201319.","DOI":"10.1007\/978-0-306-48247-2_1"},{"key":"2026042909302324000_16.4.e115453.12","doi-asserted-by":"crossref","unstructured":"Frolic AN , Swinton M , Murray L , et al . Double-edged MAiD death family legacy: a qualitative descriptive study. 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Draft report prepared for access alliance multicultural health and community services. 2021."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2025-115453","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T16:31:46Z","timestamp":1777480306000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2025-115453"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":25,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,4,29]]},"published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1136\/bmjopen-2025-115453"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2025-115453","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]}}}