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The Grief Recovery Method® Instrument: Development and validation for construct validity of the treatment

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2018, PHD, Kent State University, College of Public Health.
Most people have experienced a death-associated loss over the course of their lives, which has been shown to produce a wide range of emotions, most commonly characterized as grief. As of 2017, the annual number of United States (US) deaths almost reached three million. For each one of these deaths, the National Institutes of Health (2009) reported that four to five grievers remained to cope and mourn the loss. Due the essential provision of services required in order to recover from the grief experienced, grief has become a public health issue that has necessitated a population approach. Although several programs exist that aim to influence grief, many have not been theoretically evaluated for their effectiveness and have lacked valid and reliable instrumentation. Using The Grief Recovery Method®, a program that aimed to influence grief and promote grief recovery, this study described the development and validation of an instrument used to measure program variables. Using a construct validation of the treatment approach, a self-report instrument was developed to measure program variables believed to influence grief and promote grief recovery identified as a griever’s 1) knowledge, 2) attitudes, 3) beliefs, 4) behaviors of grief (STERBs); and 5) behaviors of grief recovery as an outcome. The instrument was field tested using expert panel and peer-review. Pilot and validity tests were used to validate instrument. Confirmatory analysis (n=279) showed an overall adequate fit of the data to the hypothesized factorial structure (NFI=0.97; RFI=0.83; IFI=0.97; TLI=0.87; CFI=0.98; PNFI=0.19; PCFI=0.20; and RMSEA=0.09). The chi-square goodness of fit (CMIN=7.26) with two degrees of freedom (CMIN/df = 3.63) was large and significant (p=0.03), which suggested a potential area of misfit within the model. Internal consistency for the full measure was acceptable with Cronbach’s alpha=0.87. This study established a content valid and reliable measure. With impending use of the measure for future evaluation and testing of the implicit theoretical structure of the grief recovery program, research will be able to show how and to what extent programmatic aspects influenced variables of grief and grief recovery.
Jeffrey Hallam, Dr. (Committee Chair)
Mary Step, Dr. (Committee Member)
Clare Stacey, Dr. (Committee Member)
Lois Hall, Mrs. (Committee Member)
Douglas Delahanty, Dr. (Other)
206 p.

Recommended Citations

Citations

  • Nolan, R. D. (2018). The Grief Recovery Method® Instrument: Development and validation for construct validity of the treatment [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1524146919647605

    APA Style (7th edition)

  • Nolan, Rachael. The Grief Recovery Method® Instrument: Development and validation for construct validity of the treatment. 2018. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1524146919647605.

    MLA Style (8th edition)

  • Nolan, Rachael. "The Grief Recovery Method® Instrument: Development and validation for construct validity of the treatment." Doctoral dissertation, Kent State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=kent1524146919647605

    Chicago Manual of Style (17th edition)