Web-based Advance Care Planning Intervention for Patients With Kidney Failure on Dialysis: Pilot Testing of 'My Voice'
NCT ID: NCT07309367
Last Updated: 2025-12-30
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
100 participants
INTERVENTIONAL
2025-10-02
2026-12-30
Brief Summary
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Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Intervention group
Patients will view My Voice website intervention and complete patient module. They will also receive standard of care for advance care planning \[namely serious illness conversation (SIC)\] with the health care provider at the dialysis centers.
Caregivers will view My Voice website intervention and complete caregiver module.
My Voice website intervention with patient and caregiver modules
'My Voice' is an interactive web-based ACP intervention tailored for patients with kidney failure on dialysis, and their caregivers, and includes patient and caregiver modules. Patient module has 6 steps consisting of a series of videos, value-clarification exercise (VCE) identifying goals and values for care, and knowledge quiz, and a summary My Voice document that is generated shared with patients, designated surrogates and HCPs. Automated reminders are sent to revisit My Voice. Caregiver module has 4 steps with videos and quiz, with access to their loved one's summary My Voice document containing goals of care and values.
Usual care group
Patients will receive standard of care for advance care planning -namely the serious illness conversation (SIC) with the health care provider at the dialysis centres.
Caregivers will receive no intervention.
No interventions assigned to this group
Interventions
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My Voice website intervention with patient and caregiver modules
'My Voice' is an interactive web-based ACP intervention tailored for patients with kidney failure on dialysis, and their caregivers, and includes patient and caregiver modules. Patient module has 6 steps consisting of a series of videos, value-clarification exercise (VCE) identifying goals and values for care, and knowledge quiz, and a summary My Voice document that is generated shared with patients, designated surrogates and HCPs. Automated reminders are sent to revisit My Voice. Caregiver module has 4 steps with videos and quiz, with access to their loved one's summary My Voice document containing goals of care and values.
Eligibility Criteria
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Inclusion Criteria
* CKD stage 5; receiving dialysis
* Identified as eligible for SIC by NKF HCPs based on one or more of the following:
1. clinical deterioration with a terminal condition or
2. intolerability to dialysis or
3. having two or more unplanned hospitalizations for renal complications in the past 6 months (from medical records); or
4. known to palliative care or under conservative care as indicated in the discharge summary or
5. poor functional status indicated by the Fragility Assessment for Elders (FIFE) score \>4
* Normal cognitive function as indicated by Mini Mental Scale Examination (MMSE) score of 24 or more (based on medical record)
* Able to speak and read English, Mandarin or Malay
* Agreeable to be audio-recorded
* Aged 21 years old and above
* Family caregivers of the patients recruited i.e. Caregiver primarily involved in providing care, ensuring provision of care, and/or in making decisions regarding patient's care, with no expectation of financial compensation
* Able to speak and read English, Mandarin or Malay
* Have a phone and/or an electronic device with internet access.
* Agreeable to be audio-recorded
Exclusion Criteria
* Patients who had prior serious illness conversations (SIC) will be excluded
* Are not easily contactable via mobile phone or landline
* Those who are foreign domestic workers/maids
* Are not easily contactable via mobile phone or landline
21 Years
ALL
Yes
Sponsors
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National Kidney Foundation, Singapore
OTHER
Duke-NUS Graduate Medical School
OTHER
Responsible Party
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Chandrika Ramakrishnan
Research Fellow
Locations
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Duke NUS Medical School
Singapore, , Singapore
Countries
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Central Contacts
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Facility Contacts
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Chandrika Ramakrishnan, MBBS; MPH
Role: primary
Other Identifiers
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NUS-IRB-2024-713
Identifier Type: -
Identifier Source: org_study_id