Resilience in East Asian Immigrants for Advance Care Planning Discussions

Study Results

Results pending

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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Recruitment Status

RECRUITING

Total Enrollment

84 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-10-27

Study Completion Date

2026-06-30

Brief Summary

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The purpose of the study is to develop a culturally tailored digital resilience-building intervention to help East Asian immigrants engage in advance care planning discussions with their family caregivers.

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Detailed Description

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Advance care planning (ACP) is a process to facilitate decision-making for future care and document values and preferences. However, the advance directive completion rates in East Asian Americans are low, which may extend to disparities in end-of-life care, including rates of hospice use and prevalence of unwanted aggressive treatments. To address this, this study uses information technology to develop a culturally tailored digital resilience-building intervention with and for East Asian immigrants to help them engage in ACP discussions. There are two aims of this study: (1) Conduct semi-structured interviews with a total of 30 religious leaders to identify the barriers and facilitators associated with discussing ACP and death-related topics with immigrants from China/Taiwan, Japan, and Korea and (2) Develop a culturally tailored digital resilience-building intervention using think-aloud interviews with 27 pairs of East Asian immigrants with cancer and their family caregivers (9 pairs each for immigrants from China/Taiwan, Japan, and Korea).

Conditions

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Neoplasms Advance Care Planning

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Culturally Tailored Digital Resilience-Building

The culturally tailored resilience-building materials will be provided to East Asian immigrants with cancer and their family caregivers.

Culturally Tailored Digital Resilience-Building

Intervention Type BEHAVIORAL

The Culturally Tailored Digital Resilience-Building materials include an introduction to advance care planning and resilience skills that specifically address cultural beliefs and barriers.

Religious leaders

Religious leaders providing spiritual care to Asian Americans

Semi-structured interviews

Intervention Type BEHAVIORAL

Semi-structured interviews with religious leaders who provide spiritual care to Asian Americans/immigrants.

Interventions

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Culturally Tailored Digital Resilience-Building

The Culturally Tailored Digital Resilience-Building materials include an introduction to advance care planning and resilience skills that specifically address cultural beliefs and barriers.

Intervention Type BEHAVIORAL

Semi-structured interviews

Semi-structured interviews with religious leaders who provide spiritual care to Asian Americans/immigrants.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Serving as a chaplain or religious leader at a healthcare setting or religious organization
* Having experience providing pastoral or spiritual care to Chinese, Japanese, and Korean Americans in the US
* Being able to read and respond to questions in English, Mandarin, Cantonese, Japanese, or Korean.

* Age ≥ 18 years
* Having a cancer diagnosis
* Likely self-identifying as a Chinese, Japanese, or Korean American/immigrant
* Being able to read and respond to questions in either English, Mandarin, Japanese, Korean, or Chinese dialects, such as Cantonese, Shanghai, Taishanese, or Taiwanese.

* Age ≥ 18 years
* Being able to read and respond to questions in either English, Mandarin, Japanese, Korean, or Chinese dialects, such as Cantonese, Shanghai, Taishanese, or Taiwanese
* Having a family member who is likely to self-identify as a Chinese, Japanese, or Korean American/immigrant and has been diagnosed with cancer