Internet interventions targeting grief symptoms

Web-based self-help interventions for coping with prolonged grief have established their efficacy. However, few programs address recent losses and investigate the effect of self-tailoring of the content. In an international project, the text-based self-help program LIVIA was adapted and complemented with an Embodied Conversational Agent, an initial risk assessment and a monitoring tool. The new program SOLENA was evaluated in three trials in Switzerland, the Netherlands and Portugal. The aim of the trials was to evaluate the clinical efficacy for reducing grief, depression and loneliness and to examine client satisfaction and technology acceptance. The talk will present the SOLENA program and report results of the Portuguese and Dutch trial as well as preliminary results of the Swiss RCT. The ongoing Swiss trial compares a standardised to a self-tailored delivery format and analyses clinical outcomes, the helpfulness of specific content and the working alliance. Finally, lessons learned in the development and evaluation of a web-based self-help intervention for older adults will be discusses.