The process of co-design with children of supporting kids in loss: An unguided internet cognitive behavior therapy intervention for grief

Grief is common in children. Internet interventions may increase access to help for grieving children. The co-design of a new internet intervention for grief with 11 children (mean age = 10.81 years; 64% girls, 36% boys) is described. Children emphasized the importance of colorful images and esthetics on the website, improved accessibility via audio recordings of each webpage, engaging interactive features, drawing as an alternative to written responses, and a reduction in the amount of text. We also outline plans for a randomized controlled trial, consisting of eight modules delivered over four weeks. Children aged six to 12 years, will be randomized to intervention or waitlist control. Intervention outcomes include the primary outcome of anxiety, and secondary outcomes of depression, well-being, posttraumatic stress and prolonged grief. Outcomes will be assessed at pre and post treatment and one month follow-up. Feasibility and acceptability will be assessed via attrition and qualitative interviews.