title: Evaluation of the Bereavement Risk Index (BRI): a community hospice care protocol.
abstract: OBJECTIVE
  to test the validity, reliability and feasibility of using a modified version of Parkes' (1993) Bereavement Risk Index (BRI) and bereavement support protocol in an Australian home hospice care setting. In addition, the study aimed to explore what types of family members are most likely to experience a more difficult grief reaction.
  
  
  METHODS
  a prospective, descriptive study was used. One hundred and fifty bereaved family members participated. Bereaved family members were classified as high, medium or low risk and received a structured bereavement support protocol based on their level of risk as measured by the BRI.
  
  
  RESULTS
  results indicated that a shorter 4-item version of the BRI was more internally consistent than the longer version and demonstrated good predictive validity when correlated with outcome measures at 3 months following the patient's death.
  
  
  CONCLUSIONS
  the modified 4-item BRI demonstrated acceptable reliability and validity and was brief and simple to use. Nurses were able to use the instrument with minimal training and were able to adhere to a matched bereavement support protocol.
authors.affiliation: Silver Chain Hospice Care Services, Churchlands, Western Australia. l.krisjanson@ecu.edu.au
authors.forename: Linda J
authors.initials: LJ
authors.lastname: Kristjanson
authors.forename: Kerry
authors.initials: K
authors.lastname: Cousins
authors.forename: Joanna
authors.initials: J
authors.lastname: Smith
authors.forename: Gill
authors.initials: G
authors.lastname: Lewin
mesh_terms: D000275:Adjustment Disorders / Q000175:diagnosis*; D000368:Aged; D001601:Bereavement; D005190:Family / Q000523:psychology*; D005260:Female; D017051:Hospice Care; D006801:Humans; D008297:Male; D008875:Middle Aged; D009730:Nursing Assessment / Q000379:methods*; D011446:Prospective Studies; D015203:Reproducibility of Results; D018570:Risk Assessment; D014904:Western Australia