Actively Recruiting
Motivational Interviewing to Enhance Advance Care Planning for Older Adults and Caregivers After Emergency Visits A Mixed-Method Randomized Controlled Trial
Led by The University of Hong Kong · Updated on 2026-06-02
300
Participants Needed
1
Research Sites
52 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to evaluate how well a motivational interviewing (MI) program helps older adults and their family caregivers with advance care planning (ACP) after visiting the Emergency Room (ER) within the past six months. The study focuses on whether this MI-based ACP approach increases the rate of completing advance directives (AD) compared to a self-education booklet. Older adults and their caregivers are the main participants, and the trial includes a comparison between those receiving MI education and those using self-learning materials. Participants are divided into groups: one group of older adults and family caregiver pairs will receive three MI counseling sessions designed to match their readiness to engage in ACP. These sessions include a short preparatory meeting followed by two longer motivational and planning sessions. Another group will receive only an educational booklet for self-study. Older adults without a family caregiver will receive the MI intervention alone. The intervention is delivered over weeks with follow-ups planned at 3, 6, and 12 months after the sessions. During the study, researchers will measure how prepared older adults and caregivers feel about ACP, their emotional responses, decisional conflicts, agreement on end-of-life care goals, completion of advance directives, and health service use. These assessments take place before the intervention and at three follow-up points. Additionally, interviews will explore participants' and stakeholders' experiences and views on the intervention's relevance and effectiveness. The total study period includes these multiple assessments to closely monitor outcomes and experiences related to advance care planning.
CONDITIONS
Brief Title
Motivational Interviewing to Enhance Advance Care Planning for Older Adults and Caregivers After Emergency Visits
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Older adults aged 65 or older
- Had at least one Emergency Room visit in the last six months
- Has a family caregiver available to participate during the intervention
- Able to communicate in Chinese
- Family caregivers aged 18 or older
- Family caregiver is an immediate or extended family member or friend nominated by the older adult
- Family caregiver able to communicate in Chinese
You will not qualify if you...
- Older adults who have already completed an advance directive
- Moderate to severe cognitive impairment or diagnosis of dementia in older adults
- Communication problems such as deafness or aphasia in older adults
- Moderate to severe cognitive impairment in family caregivers
- Communication problems such as deafness or aphasia in family caregivers
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit (in-person)
Duration - 3 weeks
Participants receive motivational interviewing-based advance care planning education, either as dyads (older adults and family caregivers) through three counseling sessions or as elderly alone in a similar MI-based education. The control group receives a self-learning ACP educational booklet.
3 in-person counseling sessions over 3 weeks
Duration - 12 months post-intervention
Participants are assessed on advance care planning readiness, emotional perception, decisional conflict, congruence in end-of-life care goals, completion of advance directives, health service utilization, and experience with the intervention at multiple time points.
3 follow-up assessments at 3, 6, and 12 months post-intervention
Trial Site Locations
Total: 1 location
1
University of Hong Kong, School of Nursing
Hong Kong, Hong Kong
Actively Recruiting
Research Team
C
Chia-Chin LIN, PhD,FAAN,RN
T
Tongyao Wang, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
OTHER
Number of Arms
3
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