{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T14:25:11Z","timestamp":1786890311252,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Xiamen Nursing Association of China","award":["XMSHLHX2320"],"award-info":[{"award-number":["XMSHLHX2320"]}]},{"name":"The first-class undergraduate program"},{"name":"The Science and Technology Development Plan Project of Siping","award":["2024038"],"award-info":[{"award-number":["2024038"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Family caregivers of terminal cancer patients experience anticipatory grief. Blended narrative nursing interventions remain insufficiently evaluated in palliative care. This single-group pre-post study examined changes in anticipatory grief following a four-week blended narrative nursing intervention and secondarily explored caregiver characteristics associated with the magnitude of change.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Sixty-three caregivers were recruited from five Chinese hospice and palliative care institutions; 55 completed the intervention and were included in the pre-post analyses. The intervention combined daily asynchronous online narrative activities with weekly in-person group workshops facilitated by nurses. Anticipatory grief was assessed using the 27-item Anticipatory Grief Scale at baseline (T\n                      <jats:sub>0<\/jats:sub>\n                      ) and post-intervention (T\n                      <jats:sub>1<\/jats:sub>\n                      ). Pre-post changes were examined using paired-samples t tests with Bonferroni correction and the absolute values of within-subject Cohen\u2019s d\n                      <jats:sub>z<\/jats:sub>\n                      (|d\n                      <jats:sub>z<\/jats:sub>\n                      |). Exploratory stepwise multiple linear regression examined caregiver characteristics associated with reduction scores. Engagement was summarized.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Statistically significant pre\u2013post reductions were observed across all seven anticipatory grief subdomains (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), with absolute within-subject Cohen\u2019s d\n                      <jats:sub>z<\/jats:sub>\n                      values ranging from 0.58 for anxiety to 2.08 for anger. Mean online completion was 78.5%; mean workshop attendance was 3.6 of 4 sessions. Higher caregiver-patient intimacy was associated with smaller reductions in five subdomains, whereas extraversion, religious affiliation, and socioeconomic characteristics were associated with larger reductions in specific domains.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Substantial pre-post reductions in anticipatory grief were observed following the intervention. However, the single-group design precludes causal attribution. Controlled studies with longer follow-up and prespecified moderator analyses are needed to evaluate intervention effectiveness and response heterogeneity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261477677","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T04:44:53Z","timestamp":1786682693000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pre-Post Changes in Anticipatory Grief Following a Blended Narrative Nursing Intervention Among Family Caregivers of Patients With Terminal Cancer"],"prefix":"10.1177","author":[{"given":"In Hye","family":"Park","sequence":"first","affiliation":[{"name":"Ajou University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Longfei","family":"Tao","sequence":"additional","affiliation":[{"name":"Xiamen University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingchun","family":"Chen","sequence":"additional","affiliation":[{"name":"Siping City Central People\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5453-5604","authenticated-orcid":false,"given":"Yang","family":"Liu","sequence":"additional","affiliation":[{"name":"Xiamen University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-022-01096-y"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163221074540"},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-022-00925-4"},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.1020517"},{"key":"e_1_3_9_6_2","doi-asserted-by":"publisher","DOI":"10.4103\/apjon.apjon-214"},{"key":"e_1_3_9_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163211066747"},{"key":"e_1_3_9_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djad075"},{"key":"e_1_3_9_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-9-17"},{"key":"e_1_3_9_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/20552076231171967"},{"key":"e_1_3_9_11_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.19.00018"},{"key":"e_1_3_9_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2018.02.009"},{"key":"e_1_3_9_13_2","volume-title":"Narrative Means to Therapeutic Ends","author":"White M","year":"1990","unstructured":"White M, Epston D. Narrative Means to Therapeutic Ends. New York, NY: WW Norton & Company; 1990."},{"key":"e_1_3_9_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10879-009-9135-3"},{"key":"e_1_3_9_15_2","doi-asserted-by":"publisher","DOI":"10.1037\/10397-000"},{"key":"e_1_3_9_16_2","doi-asserted-by":"publisher","DOI":"10.2190\/4KYG-J2E1-5KEM-LEBA"},{"key":"e_1_3_9_17_2","volume-title":"Study on Grief of Advanced Cancer Patients and Their Families [master\u2019s thesis]","author":"Xin DJ","year":"2016","unstructured":"Xin DJ. Study on Grief of Advanced Cancer Patients and Their Families [master\u2019s thesis]. Luzhou, China: Southwest Medical University; 2016."},{"key":"e_1_3_9_18_2","doi-asserted-by":"publisher","DOI":"10.3758\/BF03193146"},{"key":"e_1_3_9_19_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.3.361"},{"key":"e_1_3_9_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g1687"},{"key":"e_1_3_9_21_2","doi-asserted-by":"publisher","DOI":"10.4324\/9780429030499"},{"key":"e_1_3_9_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02293814"},{"key":"e_1_3_9_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-007-6857-4"},{"key":"e_1_3_9_24_2","doi-asserted-by":"publisher","DOI":"10.5116\/ijme.4dfb.8dfd"},{"key":"e_1_3_9_25_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2013.00863"},{"key":"e_1_3_9_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/bimj.201700067"},{"key":"e_1_3_9_27_2","doi-asserted-by":"publisher","DOI":"10.1080\/07481187.2021.1998935"},{"key":"e_1_3_9_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/20551029231184034"},{"key":"e_1_3_9_29_2","doi-asserted-by":"publisher","DOI":"10.2196\/36167"},{"key":"e_1_3_9_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-022-01703-5"},{"key":"e_1_3_9_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2021.06.018"},{"key":"e_1_3_9_32_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-019-1110-4"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261477677","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091261477677","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261477677","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T13:47:19Z","timestamp":1786888039000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091261477677"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,13]]},"references-count":31,"alternative-id":["10.1177\/10499091261477677"],"URL":"https:\/\/doi.org\/10.1177\/10499091261477677","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,13]]},"article-number":"10499091261477677"}}