Actively Recruiting
Led by The Hong Kong Polytechnic University · Updated on 2024-10-10
170
Participants Needed
3
Research Sites
26 weeks
Total Duration
T
The Hong Kong Polytechnic University
Lead Sponsor
S
Shatin Hospital
Collaborating Sponsor
Researchers are evaluating the effectiveness of a structured, family-supported, patient-centred advance care planning (ACP) program for adult palliative care patients and their family members. This randomized controlled trial aims to determine if the ACP-Family intervention improves end-of-life decision making and psychological outcomes compared to usual palliative care. The study also explores whether the type of hospital setting influences the intervention's effectiveness. Participants will be randomly assigned to one of two groups: the ACP-Family group or the usual care group (ACP-UC). The ACP-Family intervention involves two face-to-face sessions lasting 45 to 60 minutes each, delivered within one month by a trained ACP facilitator. These sessions cover five key elements of advance care planning, including understanding illness, values and beliefs, possible future health conditions, advance directives, and the role of a substituted decision maker. If patients are discharged before completing the sessions, treatment continues at home. The usual care group receives standard palliative care available at the hospital. During the study, researchers will assess participants at 6 and 12 months to measure the accuracy of family members' predictions of patients' treatment preferences, new ACP documentation, whether patients' end-of-life care preferences were respected, patients' decisional conflict, quality of communication, and family members' decision-making confidence and mental health. All discussion sessions in the ACP group will be recorded for quality assurance. The total participation duration includes follow-ups at 6 and 12 months to monitor these outcomes and satisfaction with the intervention.
CONDITIONS
ACP-Family Programme for Palliative Care Patients and Their Family Member
You may qualify if you...
You will not qualify if you...
Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Within 1 month
Participants receive two face-to-face sessions of the family-supported, patient-centred ACP programme within one month, delivered by a trained ACP facilitator. Sessions may continue at home if the patient is discharged before completion.
2 visits (in-person) lasting 45-60 minutes each
Duration - 12 months
Participants are followed up to assess outcomes related to end-of-life decision making and psychological measures.
Visits at 6 months and 12 months
Total: 3 locations
1
Bradbury Hospice
Hong Kong, Hong Kong
Not Yet Recruiting
2
Shatin Hospital
Hong Kong, Hong Kong
Actively Recruiting
3
United Christian Hospital
Hong Kong, Hong Kong
Not Yet Recruiting
D
Doris YP Leung, PhD
J
Joyce OK Chung, PhD
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
2
Have more questions? Get in touch with our team for quick support
Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.
Already have an account? Log in here
Doris Y P Leung, Joyce O K Chung, Helen Y L Chan...
https://pubmed.ncbi.nlm.nih.gov/39511666