The Chit-Chat Educational Intervention to Promote Advance Care Planning in the Community

Not Applicable

Completed

• Conditions: Old Age; Family Members
• Interventions: Other: Chit-Chat

• Registration Number: NCT06296719
• Lead Sponsor: The Hong Kong Polytechnic University

Brief Summary

The purpose of this study is to estimate the effect size of the Chit-Chat intervention on ACP engagement among family members of older adults with multi-morbidity.

Detailed Description

After being informed about the study and potential risks, all eligible participants will be asked to provide written informed consent for study entry. At week 0, participants will be randomized in an assessor-blinded randomized controlled trial in a 1:1 ratio to received the Chit-Chat intervention (two 2-hr weekly educational sessions) or wait-list control group.

Study Timeline

• Status Verified: 2024-02
• Study First Submitted: 2024-02-27
• Study First Submitted QC: 2024-03-04
• Study First Posted: 2024-03-06
• Study Start: 2024-05-30
• Primary Completion: 2024-08-31
• Study Completion: 2024-08-31
• Last Update Submitted: 2024-10-08
• Last Update Posted: 2024-10-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• age 18 or above;
• a family member of a relative who aged 60 or above and lives with at least two severe chronic diseases such as cancer, dementia, lung, heart, liver, and renal disease.
• they perceived themselves will take part in taking care of their relatives in the near future;
• able to read and communicate in Cantonese.
• they are self-reported as cognitively intact

Exclusion Criteria

• their relatives have been referred to palliative care service before the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Chit-Chat	Chit-Chat	The Chit-Chat intervention, covering five areas, including (1) Serious illness in older adults, (2) Realities of caring and dying from a carer's perspective, (3) Introduction to the importance of advance care planning for individuals and communities, (4) Effective communication between older adults, family members, and healthcare professionals in ACP conversations (i.e. listening to the wishes and preferences of older adults regarding their needs), and (5) audience participation and clarification including questions, answers and concerns.

Primary Outcome Measures

Name	Time	Method
ACP engagement	2 Weeks; 1-month follow-up	The validated Chinese version of the ACP Engagement Survey - Surrogate Decision Maker consists of 17 items covering 4 dimensions: role cognition, contemplation, self-efficacy, and readiness. The questionnaire used a 5-point Likert scale to gather response. The total score can range between 17 and 85, with higher score indicating higher level of ACP engagement.

Secondary Outcome Measures

Name	Time	Method
Knowledge of ACP	2 Weeks; 1-month follow-up	The Knowledge Questionnaire consists of five items which address the purposes of ADs, EOL discussion, and issues related to ACP. The possible range of the total score is 0-5, with higher scores indicating better knowledge.

Trial Locations

Locations (1)

Hong Kong Polytechnic University; 🇭🇰 Hong Kong, Hong Kong