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Table 2 Measurement tools

From: Internet-based grief therapy for bereaved individuals after loss due to Haematological cancer: study protocol of a randomized controlled trial

Construct

Instrument (abbreviation) [original and German source], additional information

 

Rating

 

Reliability

T-1

T0

Monitoring

T1-T4

Item No.

Likert scale wording (scores)

Time frame

Prolonged grief

Inventory of Complicated Grief (ICG) [48, 55], Cut-offa: ≥25 (sum score) [48]

19

never-always (0–4)

last month

α=.87, rtt = .69 [55]

x

x

 

x

Additional items [56], German version received from A. Maercker

3

never-always (0–4)

x

x

 

x

Prolonged Grief-13 – Interview version (IKT), [49, 61]

13

various formats (mostly 5-pointlLikert scales)

last month

x

   

Depression

Patient Health Questionnaire (PHQ-9) [53, 62], Cut-off: ≥20 (sum, for severe depression) [63]

9

not at all-nearly every day (0–3)

last 2 weeks

α=.88 [64]

x

x

x

x

Posttraumatic stress

Impact of Event Scale-Revised (IES-R) [65, 66], Cut-off: > 0 (regression formula) [66], Screening: due to an event other than the loss, Baseline and post-assessments: due to loss

22

not at all-often (0,1,3,5)

last week

α=.71–.90, rtt = .66–.80 [66]

x

x

 

x

Suicidal Ideation

Scale for Suicide Ideation (BSS or BSIS) [67, 68]

21

various formats (3 nuances each)

last week

α=.84–.89 [69]

x

   

Psychosis

Dutch Screening Device for Psychotic Disorder (SDPD) [57], own translation from previous project, Cut-off: ≥13 (sum) [57]

8

not at all-completely true (1–5)

last 5 years

α=.68–.86 [57]

x

   

Dissociation

Somatoform Dissociation Questionnaire (SDQ-5) [70, 71], Cut-off: ≥8 (sum) [70]

5

not applicable-highly applicable (1–5)

past year

α=.91, rtt = .89 (long form) [71]

x

   

Somatization

Patient Health Questionnaire (PHQ-15) [53, 62]

15

not bothered at all-bothered a lot (0–2)

last 4 weeks

α=.79 [64]

 

x

 

x

Anxiety

Generalized Anxiety Disorder Screener (GAD-7) [72, 73]

7

not at all-nearly every day (0–3)

last 2 weeks

α=.89 [73]

 

x

 

x

Health-related quality of life

Short-Form Health Survey (SF-12) [74, 75]

12

various formats

last 4 weeks

α=.57–.94 [75]

 

x

 

x

Sleep quality

Pittsburgh Sleep Quality Index (PSQI) [76, 77]

10

various formats

last 4 weeks

α=.85, rtt = .87 [77]

 

x

 

x

Posttraumatic Growth

Posttraumatic Growth Inventory (PGI) [78, 79]

21

not at all-to a very great degree (0–5)

present

α=.92 [79]

 

x

 

x

Avoidance

Depressive and Anxious Avoidance in Prolonged Grief Questionnaire (DAAPGQ) [80], own translation

9

not at all true-completely true (0–7)

last month

α=.74–.90 [80]

 

x

 

x

Religiousness

Systems of Belief Inventory (SBI-15R) [81, 82]

15

completely true-not at all true (1–4)

present

α>.87 [82]

 

x

  

Separation anxiety

Adult Separation Anxiety Questionnaire (ASA-27) [58], own translation

27

this has never happened-this happens very often (0–3)

lifetime

α=.95 [58]

 

x

  

Attachment style

Relationships Questionnaire (RQ) [83, 84]

4

disagree strongly-agree strongly (1–7)

present/lifetime

 

x

  

Quality of relationship to the deceased

Quality of Relationships Inventory (QRI) [85, 86] – adapted

25

not true-almost always true (1–4)

time before loss

α=.82–.89 [86]

 

x

  

Childhood abuse and neglect

Childhood Trauma Questionnaire (CTQ) [87, 88]

28

never-very often (1–5)

childhood

α=.55–.89 [89]

 

x

  

Circumstances surrounding the death, preparedness

Perception of circumstances surrounding the death and preparedness [59], own translation

4

various formats (7 nuances each)

time of loss

 

x

  

Social support

Berlin Social Support Sales (BSSS) [90] (originally German), recipient version

32

strongly disagree-strongly agree (1–4)

present

α=.63–.83 [91]

 

x

 

x

Dependency

Depressive Experience Questionnaire (DEQ) dependency subscale [92, 93]

26

strongly disagree-strongly agree (1–7)

present

rtt = .75 [93]

 

x

 

x

Self-esteem

Rosenberg self-esteem scale [94, 95]

10

not at all true-completely true (0–3)

present

α=.72–.85 [95]

 

x

 

x

Self-efficacy

Skala zur Allgemeinen Selbstwirksamkeitserwartung (Self-Efficacy Scale, SWE) [96] (originally German)

10

not at all true-completely true (1–4)

present

α=.80–.90 [96]

 

x

 

x

Coping strategies

Brief COPE [97, 98]

28

not at all-a lot (1–4)

lifetime

α=.61–.81 [98]

 

x

 

x

Stigma

Grief Experience Questionnaire (GEQ), subscale Stigmatization [60], own translation

10

never-almost always (1–5)

since loss

α=.86 (English version) [60]

 

x

 

x

Working alliance

Working Alliance Inventory Short Form (WAI-S) [54, 99] (only Monitoring and T1)

12

never-always (1–7)

intervention

α=.81–.91 [99]

  

x

x

Mood

Self-Assessment Manikin (SAM) [52]

3

(1–9)

present

  

x

 
  1. aWhere a cut-off value is provided, it is used at T-1 to determine whether a participant fulfils eligibility criteria
  2. Abbreviations: α=Chronbach’s alpha (internal consistency); rtt = test-retest reliability