title: Development of the Bereavement Risk Inventory and Screening Questionnaire (BRISQ): Item generation and expert panel feedback.
abstract: Following the loss of a loved one to cancer, a significant subset of bereaved family members are at heightened risk for mental and physical health problems; however, these family members often "fall through the cracks" of the healthcare system. A brief, clinically useful self-report bereavement risk-screening tool could facilitate more effective identification of family members in need of psychosocial support before and after a cancer loss. Thus, the purpose of this study was to develop and refine the Bereavement Risk Inventory and Screening Questionnaire (BRISQ), a self-report bereavement screening tool, and to assess its utility using feedback from bereavement experts.
  
  
  
  Quantitative and qualitative feedback from a panel of 15 clinical and research experts in bereavement was obtained through an online survey to identify the most clinically useful items and understand expert opinion on bereavement screening.
  
  
  
  The qualitative and quantitative feedback were synthesized, resulting in a 22% reduction of the item pool. While there was a general consensus between experts on the most clinically useful risk factors for bereavement-related mental health challenges and on the utility of screening, they also offered feedback on language and formatting that guided substantial revisions to the BRISQ.
  
  
  
  These findings were utilized to refine the BRISQ in preparation for a second study to obtain family member feedback on the measure. By incorporating both expert and family member feedback, the intention is to create a screening tool that represents top clinical and research knowledge in bereavement in a way that effectively addresses barriers to care.
authors: Department of Psychiatry and Behavioral Sciences,Memorial Sloan Kettering Cancer Center,New York,New York.
authors: Kailey
authors: K
authors: Roberts
authors: Department of Psychiatry and Behavioral Sciences,Memorial Sloan Kettering Cancer Center,New York,New York.
authors: Jimmie
authors: J
authors: Holland
authors: Department of Sociology in Medicine and Weill Department of Medicine,Weill Cornell Medical College,New York,New York.
authors: Holly G
authors: HG
authors: Prigerson
authors: Department of Psychiatry and Behavioral Sciences,Memorial Sloan Kettering Cancer Center,New York,New York.
authors: Corinne
authors: C
authors: Sweeney
authors: Department of Psychology,University of Southern California,Los Angeles,California.
authors: Geoffrey
authors: G
authors: Corner
authors: Department of Psychiatry and Behavioral Sciences,Memorial Sloan Kettering Cancer Center,New York,New York.
authors: William
authors: W
authors: Breitbart
authors: Department of Psychiatry and Behavioral Sciences,Memorial Sloan Kettering Cancer Center,New York,New York.
authors: Wendy G
authors: WG
authors: Lichtenthal
mesh_terms: D001293:Attitude to Death; D001601:Bereavement; D005260:Female; D006801:Humans; D008297:Male; D009369:Neoplasms / Q000150:complications / Q000523:psychology; D011594:Psychometrics / Q000295:instrumentation* / Q000379:methods / Q000592:standards*; D011788:Quality of Life / Q000523:psychology; D018570:Risk Assessment / Q000379:methods / Q000592:standards*; D011795:Surveys and Questionnaires
keywords: Bereavement; Family-centered care; Grief; High risk; Screening