Table 1.
The structure of the phone-based psychological intervention for COVID-19 bereaved families.
Phases | Objectives and strategies | Skills and techniques |
---|---|---|
Opening | Check the respondent's identity, introduction with name and role (i.e., psychologist employed in the hospital), consent to proceed | Accurate presentation Use of verbal formulas to show caution Attention to the respondent's tone of voice to fine tune the intervention Question to check the willingness of the relative to proceed in the call |
Proactive offer | Reason of the call: offer a free space to talk | Clear focus on the reason of the call Use of pauses |
Active listening | Active listening of family member experiences, thoughts and emotions | Attentive silence Use of para-verbal signals to facilitate the spontaneous communication flow |
Assessment | Assessing psycho-emotional needs, psycho-social resources and risk factors | Open- and close-ended focused screening questions |
Need-based psychological actions | Information giving, education on stages of grief, emotional validation, small therapeutic actions like cognitive reframing and relaxation pills | Various, ranging from portioning, organizing and prioritizing education and information based on respondent's needs to supportive statements and reframing arguments under new angles |
Referral and connection | Indications about the resources offered by the hospital and the community-based services, eventual referral to further psychological support | Give information in small bits Check the family member's understanding |
Closure | Say goodbye | Use of tone of voice and verbal formulas to emphasize closeness/warmness |