A Decision Aid on End-of-life Care for Patients With Advanced COPD and Their Family
NCT ID: NCT06008210
Last Updated: 2024-05-23
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
226 participants
INTERVENTIONAL
2023-09-01
2025-05-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Intervention Group
Decision Support Intervention
Decision Support Intervention
The participants will receive two 60-minute consultation sessions delivered by a trained nurse in four weeks at home. Participant's family members will be encouraged to attend the sessions. In the first session, the nurse will explore the participant's understanding of the current health condition, introduce the concept of advance care planning and discuss their decisional needs for end-of-life care decision-making. In the second session, the nurse will ask the participants to complete a value clarification exercise individually.
Control Group
Health coaching
Health Coaching
The participants will receive two 60-minute health coaching sessions delivered by a trained nurse in four weeks at home. This intervention will focus on lifestyle modification and self-care management unrelated to the tested intervention content or outcomes.
Interventions
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Decision Support Intervention
The participants will receive two 60-minute consultation sessions delivered by a trained nurse in four weeks at home. Participant's family members will be encouraged to attend the sessions. In the first session, the nurse will explore the participant's understanding of the current health condition, introduce the concept of advance care planning and discuss their decisional needs for end-of-life care decision-making. In the second session, the nurse will ask the participants to complete a value clarification exercise individually.
Health Coaching
The participants will receive two 60-minute health coaching sessions delivered by a trained nurse in four weeks at home. This intervention will focus on lifestyle modification and self-care management unrelated to the tested intervention content or outcomes.
Eligibility Criteria
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Inclusion Criteria
* have been diagnosed with COPD
* are cognitively sound (scored \> 5 on the validated Abbreviated Mental Test (Hong Kong version) \[AMT-HK\])
* meet at least two of the six specific clinical indicators related to advanced COPD in the Gold Standards Framework (GSF) Proactive Identification Guidance, 6th Edition
* can nominate a family member who would take part in their healthcare decision- making.
* are aged 18 years or over,
* can communicate in Cantonese,
* have at least one personal contact per week with the patient in the past 6 months and
* are willing to join the study. Family members will be excluded if they score \< 6 on the AMT-HK or are expecting to leave Hong Kong within the next 6 months.
Exclusion Criteria
* are receiving palliative care services or
* have already completed ACP or an advance directive.
50 Years
ALL
No
Sponsors
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Hospital Authority, Hong Kong
OTHER_GOV
Food and Health Bureau, Hong Kong
OTHER_GOV
Responsible Party
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Helen YL Chan
Professor
Principal Investigators
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Helen Chan, Ph.D.
Role: PRINCIPAL_INVESTIGATOR
Chinese University of Hong Kong
Locations
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Prince of Wales Hospital
Hong Kong, , China
Tai Po Hospital
Hong Kong, , China
Countries
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Central Contacts
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Facility Contacts
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Helen Chan, Ph.D.
Role: primary
Helen Chan, Ph.D.
Role: primary
Other Identifiers
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14118622
Identifier Type: -
Identifier Source: org_study_id
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