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Efficacy of Self-education Program for Advanced Care Planning(RCT) for General Population

Not Applicable
Completed
Conditions
Healthy
Interventions
Other: Videos about ACP
Other: Brochure about Life-Sustaining Treatment Act
Registration Number
NCT03638934
Lead Sponsor
Seoul National University Hospital
Brief Summary

This study verifies efficacy of Self-education program for advanced care planning in general population. Half of participants will receive a 20 minutes video about advanced care planning while the other half will receive a 13-page brochure entitled, Understanding the Life-Sustaining Treatment Act.

Detailed Description

This study validates effectiveness of decision aid that the investigators developed due to the rates of completing Advanced care planning are considerably low, which is led by the lack of information available to general population; whether they elevate the preference of healthy general population toward Advanced Care planning, reduce the burden of decision making, and support general population to overcome their crisis, compare to educational resources that are currently available.

Previous studies inform that educational video about advanced care planning increases the knowledge of care for life prolongation and affects the preference towards care for life prolongation and palliative care. However, previous studies focused mainly on patient populations, and the general population might differ in its understanding of disease, health care services, and ACP. In this study, we constructed ACP video decision support materials for the general population and compared their effectiveness in an RCT.

Primary outcome of this study is attitude and behavior change toward advanced care planning. Participants of this study will fill out the baseline questionnaire about ACP preference, end-of-life care preference, knowledge of ACP, etc. After that, participants will be allocated equally into the intervention group and the control group. Participants assigned to the intervention arm viewed the 20-minute educational decision support video entitled Advance Care Planning, which had been used and tested in studies with advanced cancer patients. Participants randomized to the attention-control arm received and read a 13-page brochure entitled, Understanding the Life-Sustaining Treatment Act, which was developed by the Ministry of Health and Welfare. After reading and watching the educational materials, patients will get another questionnaire about knowledge of ACP, satisfaction on the materials, ACP Preference, etc.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
250
Inclusion Criteria
  • Subject 20 years old and more
  • Subject who understands the purpose of the study and signs with informed consent form
Exclusion Criteria
  • Inability to speak, understand, or write Korean
  • Inability to understand the contents of the provided materials due to poor eyesight and hearing

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Videos about ACPVideos about ACPSubjects in experimental group get three videos about advanced care planning based on Smart Management Strategy for Health (SMASH). After they finish watching the materials, they fill out the questionnaire.
Brochure for Life-Sustaining TreatmentBrochure about Life-Sustaining Treatment ActSubjects in the group get 13-page brochure entitled, Understanding the Life-Sustaining Treatment Act. After they finish watching the materials, they fill out the questionnaire.
Primary Outcome Measures
NameTimeMethod
Changes in Advance Care PreferenceBaseline, within 1 week

Comparison the result of Advance Care Preference questionnaire

Secondary Outcome Measures
NameTimeMethod
Changes in Hospital Anxiety and Depression ScaleBaseline, within 1 week

Comparison the result of Hospital Anxiety and Depression Scale questionnaire

Satisfaction on educational materialsBaseline, within 1 week

The result of Satisfaction on educational materials questionnaire

Changes in palliative care / advance care planning knowledge scoreBaseline, within 1 week

Comparison the result of Changes in palliative care / advance care planning knowledge score questionnaire

Changes in CPR knowledgeBaseline, within 1 week

Comparison the result of Changes in CPR knowledge questionnaire

Changes in No CPR preference in terminal statusBaseline, within 1 week

Comparison the result of No CPR preference in terminal status questionnaire

Changes in End-of-Life careBaseline, within 1 week

Comparison the result of End-of-Life care preference questionnaire

Trial Locations

Locations (1)

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

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