This study is testing a new grief support program called Rise \& Renew (Remembering, Expressing, Navigating, Embracing, Witnessing) designed for Black women ages 40 and older who have experienced the loss of a close loved one, such as a spouse or significant other, parent, or child (including pregnancies). The program includes a weekend wellness retreat followed by 10 weeks of online group support. Participants will be randomly assigned to start weekly virtual sessions right away or after a 10-week delay. The study will help the investigators learn whether the program is helpful, easy to take part in, and meaningful for those who attend. The investigators believe that a culturally tailored program that focuses on healing, wellness, and community will improve emotional health, spiritual well-being, and resilience during the grief process.
Rise \& Renew (Remembering, Expressing, Navigating, Embracing, Witnessing) is a pilot randomized controlled trial (RCT) using a waitlist control design to evaluate the feasibility, acceptability, and preliminary outcomes of a culturally responsive hybrid grief support program for Black women aged 40 and older who have experienced the death of a spouse/significant other, parent, or child (including pregnancies). This study addresses critical gaps in bereavement support for Black women, who often face intersecting emotional, cultural, and spiritual needs. The Rise \& Renew program is rooted in wellness practices, spiritual care, and culturally grounded healing rituals. Study Design After completing the baseline assessment, participants will be randomly assigned (1:1) to one of two groups using a computer-generated randomization sequence: * Group A (Intervention Group): Will participate in an in-person weekend retreat and begin the 12-week Rise \& Renew virtual support program immediately. * Group B (Waitlist Control Group): Will attend the same in-person retreat but will delay participation in the 12-week virtual program for 12 weeks. This staggered model allows researchers to examine short-term changes in well-being and grief outcomes while providing all participants access to the full intervention. Intervention Description Rise \& Renew is a 12-week hybrid grief support program designed to affirm the cultural identity, spirituality, and healing traditions of Black women. The program consists of: * One In-Person Weekend Retreat: Focused on wellness, healing rituals, community building, and expressive arts. * 10 Weekly Virtual Support Sessions: Co-facilitated by a professional with group facilitation expertise and a Black faith leader. Session themes include: * Grief and emotional healing * Spiritual and personal growth * Financial empowerment * Self-care and wellness * Building social support networks Recruitment and Eligibility The study is open to self-identified Black women aged 40 and older, living in the U.S. South Region, including Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia. Recruitment will be conducted via digital outreach, including phone calls, text messages, and a study webpage. Data Collection This study uses a mixed-methods approach to collect both quantitative and qualitative data: * Needs Assessment Survey: Conducted before the retreat to gather information on participants' unique needs and expectations, allowing facilitators to tailor the program accordingly. * Baseline: Participants will complete a pre-intervention survey in Qualtrics assessing grief, stress, depression, physical wellness (including self-reported blood pressure and weight), social support, and financial resilience. * Post-Intervention: Surveys and optional focus groups/interviews will assess perceived benefits, changes in well-being, and overall program satisfaction. All participants will be invited to join Part 2 (10-week support group) after the retreat, regardless of initial group assignment. Participation is voluntary, and no compensation will be provided.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
40
The Rise \& Renew Hybrid Grief Support Program is a culturally responsive, multi-component behavioral intervention designed specifically for Black women aged 40 and older who have experienced the loss of a spouse, parent, or child. It integrates wellness practices, grief support, spiritual care, and community healing in a hybrid format that includes both an in-person and virtual component. This intervention is distinguished by its cultural tailoring for middle-aged and older Black women, co-facilitation by both a trained facilitator and a faith-based leader, and its combination of expressive arts, spiritual guidance, and practical wellness strategies delivered in a hybrid format. It addresses grief holistically through emotional, physical, spiritual, and social dimensions, and emphasizes culturally relevant healing practices often overlooked in conventional grief programs.
Serenity Haven
Lithonia, Georgia, United States
Feasibility of Intervention Measure (FIM)
The 4-item Feasibility of Intervention Measure was developed for evaluating the success of feasibility, demonstrating encouraging psychometric properties. The items that are scored on a scale of 0 to 4, where 0 indicates "completely disagree," and 4 indicates "completely agree". Thus, the range for each scale extends from 0 - 16, with higher scores indicating higher feasibility.
Time frame: From baseline to the end of the 10-week support group intervention
Acceptability of Intervention Measure (AIM)
The 4-item Acceptability of Intervention Measure was developed for evaluating the success of acceptability, demonstrating encouraging psychometric properties. The items are scored on a scale of 0 to 4, where 0 indicates "completely disagree," and 4 indicates "completely agree". Thus, the range for each scale extends from 0 - 16, with higher scores indicating higher acceptability.
Time frame: FroFrom baseline to the end of the 10-week support group intervention
Intervention Appropriateness Measure (IAM)
The 4-item Acceptability of Intervention Measure was developed for measuring the perceived fit, relevance, or compatibility of the innovation or evidence-based practice for a given practice setting, provider, or consumer, and/or perceived fit of the innovation to address a particular issue or problem. The items are scored on a scale of 0 to 4, where 0 indicates "completely disagree," and 4 indicates "completely agree". Thus, the range for each scale extends from 0 - 16, with higher scores indicating higher appropriateness.
Time frame: From baseline to the end of the 10-week support group intervention
Change from Baseline in Coping Strategies Measured by the Brief COPE at Week 10
The Brief Coping Orientation to Problems Experienced Inventory (Brief COPE) is a 28-item self-report questionnaire used to assess a person's coping strategies in response to stress. The Brief COPE includes 14 subscales, each with 2 items, scored on a 4-point Likert scale with scores ranging from 0 to 3. Whether higher scores are better or worse depends on the subscale being interpreted.
Time frame: From baseline (Week 0) to Week 10 (end of intervention)
Change from Baseline in Religious Coping Strategies Measured by the Brief RCOPE at Week 10
The Brief Religious Coping Scale (Brief RCOPE) is designed to assess the extent to which individuals use religious coping in response to stress. The 14 items measure both positive and negative forms of religious coping. Items are on a 4-point Likert scale that ranges from 1 to 4. Higher PRC scores indicate greater use of positive religious coping. Higher NRC scores indicate greater use of negative religious coping.
Time frame: From baseline (Week 0) to Week 10
Change from Baseline in Depression Symptoms Measured by the PHQ-8 at Week 10
The Patient Health Questionnaire-8 (PHQ-8) is an 8-item self-report measure of depression symptoms. Items are on a 4-point Likert scale that ranges from 0 to 3. Total scores range from 0 to 24. Higher scores indicate worse outcomes, i.e., more severe depressive symptoms.
Time frame: From baseline (Week 0) to Week 10
Change from Baseline in Perceived Social Support Measured by the MSPSS at Week 10
The Multidimensional Scale of Perceived Social Support (MSPSS) measures improvement in perceived support from family, friends, and community. 12 items total, each rated on a 7-point Likert scale from 1 to 7. Higher scores indicate greater perceived social support.
Time frame: From baseline (Week 0) to Week 10
Change from Baseline in Posttraumatic Growth Measured by the PTGI at Week 10
The Posttraumatic Growth Inventory (PTGI) assesses positive psychological changes experienced as a result of struggling with highly challenging life circumstances or trauma. 21 items. Each item is scored using a 6-point Likert scale ranging from 0 to 5. Higher scores indicate greater perceived posttraumatic growth.
Time frame: From baseline (Week 0) to Week 10
Change from Baseline in Perceived Social Support Measured by the SCSSS at Week 10
The Spiritual Connectedness Subscale of the Spirituality Scale (SCSSS) assesses a person's perceived connection with the sacred, divine, or transcendent. 5 items total, each rated on a 5-point Likert scale from 1 to 5. Higher scores reflect greater spiritual connectedness.
Time frame: From baseline (Week 0) to Week 10
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.