{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T15:54:57Z","timestamp":1775577297513,"version":"3.50.1"},"reference-count":57,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T00:00:00Z","timestamp":1752710400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"APPsyCI\u2013Applied Psychology Research Center Capabilities and Inclusion","award":["FCT\/UIDB\/05299\/2020"],"award-info":[{"award-number":["FCT\/UIDB\/05299\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Grief reactions among relatives of palliative care patients are often overlooked, with most interventions targeting Prolonged Grief Disorder (PGD) rather than its prevention. Few interventions have been developed for individuals at risk. This study aimed to evaluate the efficacy of Empower-Grief, a selective intervention designed to address early problematic grief reactions and to explore predictors of its effectiveness. This exploratory randomized controlled trial (RCT) compared Empower-Grief with Treatment as Usual (TAU) among relatives or caregivers of palliative and oncological patients at risk of developing PGD. A total of 46 participants were assessed at baseline, post-intervention, and six months later. The primary outcome was PGD symptoms, with additional measures including anxiety, depression, coping strategies, attachment style, psychological flexibility, post-traumatic growth, social support, and therapeutic alliance. The final analyses indicate equivalence between Empower-Grief and TAU, suggesting that both interventions yielded comparable outcomes in reducing PGD symptoms and associated psychological distress. The initial symptoms and therapeutic alliance were predictors of the results in both post- and follow-up moments. This study contributes to the evidence on grief interventions in palliative care, highlighting the importance of structured support for bereaved caregivers. While Empower-Grief demonstrated comparable effectiveness to TAU, its lower intensity, ease of training, and application make it a promising treatment option.<\/jats:p>","DOI":"10.3390\/bs15070972","type":"journal-article","created":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T14:13:43Z","timestamp":1752761623000},"page":"972","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Empower-Grief for Relatives of Cancer Patients: Implementation and Findings from an Exploratory Randomized Controlled Trial"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3129-262X","authenticated-orcid":false,"given":"David Dias","family":"Neto","sequence":"first","affiliation":[{"name":"APPsyCI\u2014Applied Psychology Research Center Capabilities & Inclusion, ISPA\u2014Instituto Universit\u00e1rio, 1149-041 Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2883-415X","authenticated-orcid":false,"given":"Alexandra","family":"Coelho","sequence":"additional","affiliation":[{"name":"APPsyCI\u2014Applied Psychology Research Center Capabilities & Inclusion, ISPA\u2014Instituto Universit\u00e1rio, 1149-041 Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7125-716X","authenticated-orcid":false,"given":"Ana Nunes da","family":"Silva","sequence":"additional","affiliation":[{"name":"Centro de Investiga\u00e7\u00e3o em Ci\u00eancia Psicol\u00f3gica (CICPSI), Faculdade de Psicologia, Universidade de Lisboa, 1649-004 Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6233-0799","authenticated-orcid":false,"given":"Teresa Garcia","family":"Marques","sequence":"additional","affiliation":[{"name":"WJCR\u2014William James Center for Research, ISPA\u2014Instituto Universit\u00e1rio, 1149-041 Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0687-1352","authenticated-orcid":false,"given":"Sara","family":"Albuquerque","sequence":"additional","affiliation":[{"name":"HEI-Lab: Digital Human-Environment Interaction Labs, Lus\u00f3fona University, 1749-024 Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1177\/0269216309102525","article-title":"A comparison of the quality of care provided to cancer patients in the UK in the last three months of life in in-patient hospices compared with hospitals, from the perspective of bereaved relatives: Results from a survey using the VOICES questionnaire","volume":"23","year":"2009","journal-title":"Palliative Medicine"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2022). 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