Effects of a Motivational Interviewing Tailored Programme for Promoting Advance Care Planning Behaviours Among Patients With Palliative Care Needs: A Randomised Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 204
- 试验地点
- 2
- 主要终点
- Advance Care Planning Behaviour
研究概览
简要总结
This proposed study is designed to test the effects of motivational interviewing (MI) in increasing the uptake of ACP behaviours among patients with palliative care needs. A randomised controlled trial with repeated blinded outcome assessment will be conducted to assess the effects of a MI-tailored ACP (MI-ACP) programme on palliative care patients recruited from the outpatient palliative care clinics and home palliative care services of two hospitals. A total of 204 patients will be recruited and randomly assigned to experimental and control groups. The patients in the experimental group will receive a MI-ACP programme facilitated by a trained nurse, whereas the patients in the control group will receive usual care. Primary outcome is the behavioural changes in ACP. Secondary outcomes are perceived stress, decisional conflict and quality of life. Study outcomes will be measured at baseline, 1 month and 3 months after enrolment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 years of age or over
- •newly referred to palliative care services
- •with a palliative performance scale (PPS) score of 60 or above; and
- •with full level of consciousness
排除标准
- •uncommunicable because of sensory impairment or language barrier
- •cognitively impaired
- •are receiving active psychiatric treatment
- •already had signed an advance directive
结局指标
主要结局
Advance Care Planning Behaviour
时间窗: Baseline, 1 month and 3 months follow up
Behaviour changes in ACP behaviours measured using a questionnaire. It included 4 items about different ACP behavior on a 5-point Likert scale. The higher score means the higher level of readiness for the behaviours.
次要结局
- Perceived stress(Baseline, 1 month and 3 months follow up)
- Quality of life(Baseline, 1 month and 3 months follow up)
- Decisional conflict(Baseline, 1 month and 3 months follow up)
研究者
Dr. Helen YL Chan
Associate Professor
Chinese University of Hong Kong