Papers by Joanne Cacciatore

NJAS: Wageningen Journal of Life Sciences, 2020
Highlights • Care-farming resulted in positive lifestyle changes that lasted beyond the intervent... more Highlights • Care-farming resulted in positive lifestyle changes that lasted beyond the intervention period.• Participants noted significant pivots toward healthier eating, less wastefulness, and a propensity toward sustainable production practices.• The emotional expression fostered during the intervention improved sleep outcomes for many participants.• Care-farming expanded participants’ sense of safety, social connection, and enhanced awareness of others and of nature.• These improved connections fostered a giving and receiving of compassion and chances to re-narrate residual effects of trauma. Abstract Care-farms are increasingly utilized as a means of providing care, support, and therapy for a wide range of different populations, enabling people to cultivate social, physical, mental, and emotional well-being. This study explores the impacts of a care-farm intervention for traumatically bereaved individuals, a population at high-risk of poor physical and psychological outcomes. ...

NJAS: Wageningen Journal of Life Sciences, 2020
Highlights • Care-farming resulted in positive lifestyle changes that lasted beyond the intervent... more Highlights • Care-farming resulted in positive lifestyle changes that lasted beyond the intervention period.• Participants noted significant pivots toward healthier eating, less wastefulness, and a propensity toward sustainable production practices.• The emotional expression fostered during the intervention improved sleep outcomes for many participants.• Care-farming expanded participants’ sense of safety, social connection, and enhanced awareness of others and of nature.• These improved connections fostered a giving and receiving of compassion and chances to re-narrate residual effects of trauma. Abstract Care-farms are increasingly utilized as a means of providing care, support, and therapy for a wide range of different populations, enabling people to cultivate social, physical, mental, and emotional well-being. This study explores the impacts of a care-farm intervention for traumatically bereaved individuals, a population at high-risk of poor physical and psychological outcomes. ...
Death Studies, 2021
Mindfulness-based interventions have recently been applied to grief-related distress. However, li... more Mindfulness-based interventions have recently been applied to grief-related distress. However, little is known about how bereaved participants experience them. This study explored bereaved parents' experiences of a mindfulness-based grief retreat through semi-structured interviews with 19 participants. Interview transcripts were thematically analyzed to gain an understanding of how participants experienced the retreat and its perceived effect on their lives. Four themes representing the perceived benefits of the retreat emerged: psychoeducation, mindfulness, mutual support and understanding, and relationships. The mindfulness-based retreat was generally experienced as beneficial in coping with the death of a child.
Death Studies, 2021
Mindfulness-based interventions have recently been applied to grief-related distress. However, li... more Mindfulness-based interventions have recently been applied to grief-related distress. However, little is known about how bereaved participants experience them. This study explored bereaved parents' experiences of a mindfulness-based grief retreat through semi-structured interviews with 19 participants. Interview transcripts were thematically analyzed to gain an understanding of how participants experienced the retreat and its perceived effect on their lives. Four themes representing the perceived benefits of the retreat emerged: psychoeducation, mindfulness, mutual support and understanding, and relationships. The mindfulness-based retreat was generally experienced as beneficial in coping with the death of a child.
Children and Youth Services Review, 2020
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Children and Youth Services Review, 2020
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Health & Place, 2020
The interrelationships between nature, health, and wellbeing are increasingly recognized and inco... more The interrelationships between nature, health, and wellbeing are increasingly recognized and incorporated into therapeutic interventions. Care farming, the concept of utilizing agricultural places and practices for providing care, therapy, and rehabilitation, is a paradigmatic example of this shift. This mixed method study empirically evaluates the efficacy of care farming as an intervention for individuals affected by traumatic grief, a complex experiential condition. Both quantitative and qualitative results suggest this care farm intervention was beneficial, yielding significant reductions in subjective distress to grief intensity. The study's findings add to the growing body of evidence on care farming and support green care as a therapeutic potential for individuals affected by traumatic grief.
Health & Place, 2020
The interrelationships between nature, health, and wellbeing are increasingly recognized and inco... more The interrelationships between nature, health, and wellbeing are increasingly recognized and incorporated into therapeutic interventions. Care farming, the concept of utilizing agricultural places and practices for providing care, therapy, and rehabilitation, is a paradigmatic example of this shift. This mixed method study empirically evaluates the efficacy of care farming as an intervention for individuals affected by traumatic grief, a complex experiential condition. Both quantitative and qualitative results suggest this care farm intervention was beneficial, yielding significant reductions in subjective distress to grief intensity. The study's findings add to the growing body of evidence on care farming and support green care as a therapeutic potential for individuals affected by traumatic grief.

Social Work Education, 2018
Mindfulness and empathy are protective factors for social workers and may also improve client out... more Mindfulness and empathy are protective factors for social workers and may also improve client outcomes. They may be especially important when dealing with clients experiencing grief and deathrelated challenges. This study replicated a previous study assessing empathy and mindfulness in social work students before and after an experiential death education course with a focus on traumatic grief. The Empathy Assessment Index and the Five Facet Mindfulness Questionnaire were used to measure changes in empathy and mindfulness in 111 primarily MSW-level social work students after the completion of the course. Results showed statistically significant improvements in overall empathy, on three of five empathy subscales, and on four of five mindfulness facets. A qualitative analysis of responses to an open-ended question asking about ways in which the course was meaningful to students found themes of increased awareness, a deepened sense of connection, and preparation for clinical practice.
MCN: The American Journal of Maternal/Child Nursing, 2018
Perinatal death often incites traumatic grief in parents, just as any child' s death.
Seminars in Fetal and Neonatal Medicine, 2017
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Health & Place, 2017
Traumatic grief is a complex biopsychosocial experience, frequently (and contentiously) medicaliz... more Traumatic grief is a complex biopsychosocial experience, frequently (and contentiously) medicalized in the Western world. Care farming is an increasingly popular place-based intervention utilizing agricultural settings to care for vulnerable groups. We sought to establish the extent of care farming in relation to traumatic grief and query the potential of care farming as an intervention for this specific population. A systematic review highlights that whilst understudied, the success of care farming as an intervention for other populations experiencing psychological distress demonstrates the huge potential for care farming as a means to therapeutically engage with individuals experiencing traumatic grief.
Marriage & Family Review, 2007
... miles (238,391 S Km) with varied and proportionate relief, that includes mountains (maximum a... more ... miles (238,391 S Km) with varied and proportionate relief, that includes mountains (maximum altitude on Moldoveanu Peak with 2 ... the Middle Ages as in modernity, Romanian principalities have experienced constant and considerable pressures from different geo-political poles ...

Journal of Integrative and Complementary Medicine, 2022
Objectives: Women who experience stillbirth are more likely to develop post-traumatic stress diso... more Objectives: Women who experience stillbirth are more likely to develop post-traumatic stress disorder (PTSD), and anxious and depressive symptoms than those who deliver live healthy babies. Participants in a recent study of online yoga (OY) reported a desire for more social support, which may help reduce PTSD related to grief and aid in coping. Facebook (FB) has been used successfully to deliver support for online interventions, but little is known about its use in conjunction with OY. The purpose of this study was to examine the feasibility of a FB support group in conjunction with an 8-week OY intervention. Design: Randomized parallel feasibility trial with a 1:1 study group allocation ratio. Setting/Location: Online. Subjects: Women (N = 60) who experienced stillbirth within the past 3 years. Interventions: Participants were recruited nationally to participate and randomized into one of two groups: OY only (n = 30) or online yoga with Facebook (OYFB) (n = 30). Both groups were asked to complete 60 min of OY per week. Women in the OY group were asked to log on to a FB page at least once per week. Outcome measures: Acceptability (i.e., satisfaction) and demand (i.e., attendance), PTSD, anxiety, depressive symptoms, social support. Results: Participants were satisfied with and enjoyed OY, and 8/13 FB acceptability benchmarks were met. There were no significant differences between groups in minutes of yoga per week. Conclusions: The addition of a FB group to an OY intervention for women who have experienced stillbirth is feasible, although more research is needed to increase its efficacy. Trial registration: NCT04077476. Registered September 4, 2019. Retrospectively registered (https://clinicaltrials.gov/ct2/show/NCT04077476).
Thematic sentences, frequency effect sizes (FES) and quotes from extracted findings in the metasu... more Thematic sentences, frequency effect sizes (FES) and quotes from extracted findings in the metasummary with all studies included in systematic review. (DOC 108Â kb)
Demographic information of included studies and intensity effect sizes (IES). (DOC 298Â kb)

Despite the frequency of stillbirths, the subsequent implications are overlooked and underappreci... more Despite the frequency of stillbirths, the subsequent implications are overlooked and underappreciated. We present fi ndings from comprehensive, systematic literature reviews, and new analyses of published and unpublished data, to establish the eff ect of stillbirth on parents, families, health-care providers, and societies worldwide. Data for direct costs of this event are sparse but suggest that a stillbirth needs more resources than a livebirth, both in the perinatal period and in additional surveillance during subsequent pregnancies. Indirect and intangible costs of stillbirth are extensive and are usually met by families alone. This issue is particularly onerous for those with few resources. Negative eff ects, particularly on parental mental health, might be moderated by empathic attitudes of care providers and tailored interventions. The value of the baby, as well as the associated costs for parents, families, care providers, communities, and society, should be considered to pr...

BMC Complementary Medicine and Therapies, 2020
Background About 1 in every 150 pregnancies end in stillbirth. Consequences include symptoms of p... more Background About 1 in every 150 pregnancies end in stillbirth. Consequences include symptoms of post traumatic stress disorder (PTSD), depression, and anxiety. Yoga has been used to treat PTSD in other populations and may improve health outcomes for stillbirth mothers. The purpose of this study was to determine: (a) feasibility of a 12-week home-based, online yoga intervention with varying doses; (b) acceptability of a “stretch and tone” control group; and (c) preliminary efficacy of the intervention on reducing symptoms of PTSD, anxiety, depression, perinatal grief, self-compassion, emotional regulation, mindfulness, sleep quality, and subjective health. Methods Participants (N = 90) were recruited nationally and randomized into one of three groups for yoga or exercise (low dose (LD), 60 min per week; moderate dose (MD), 150 min per week; and stretch-and-tone control group (STC)). Baseline and post-intervention surveys measured main outcomes (listed above). Frequency analyses were ...
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Papers by Joanne Cacciatore