M. Stewart et al., Promoting positive affect and diminishing loneliness of widowed seniors through a support intervention, PUBL HEAL N, 18(1), 2001, pp. 54-63
Seniors are most vulnerable to conjugal bereavement. Although social suppor
t buffers the effects of bereavement. widows and widowers have lower levels
of social support than married individuals. Self-help/support groups can s
upplement support from their depleted natural networks. Accordingly, the ai
m of this demonstration project was to examine the impact of support groups
on widowed seniors' loneliness. affect, and perceived support. Four face-t
o-face support groups for widowed seniors were conducted weekly for a maxim
um of 20 weeks.
Participants completed pretest, posttest, and delayed posttest measures of
support need and support satisfaction, positive and negative affect, and lo
neliness/isolation. The statistically significant impacts of the interventi
on were enhanced support satisfaction, diminished support needs, and increa
sed positive affect. There was a trend toward decreased social isolation an
d emotional loneliness. In postintervention semistructured interviews, bere
aved seniors reported increased hope, improved skills in developing social
relationships, enhanced coping, new role identities, and less loneliness. C
ommunity health nurse researchers could conduct randomized controlled trial
s of face-to-face and telephone support groups for bereaved people of all a
ges. Community health nurse practitioners could benefit from lessons learne
d about timing, duration, and selection of sensitive outcomes.