Motivational Interviewing Tailored Programme for Promoting Advance Care Planning Behaviours

Not Applicable

Completed

• Conditions: End Stage Disease
• Interventions: Behavioral: Motivational Interviewing tailored Advance Care Planning

• Registration Number: NCT04162912
• Lead Sponsor: Food and Health Bureau, Hong Kong

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2018-01-01
• Study First Submitted: 2019-11-11
• Study First Submitted QC: 2019-11-12
• Study First Posted: 2019-11-14
• Primary Completion: 2019-12-31
• Study Completion: 2019-12-31
• Status Verified: 2020-04
• Last Update Submitted: 2020-04-15
• Last Update Posted: 2020-04-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 204

Inclusion Criteria

• 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

Exclusion Criteria

• uncommunicable because of sensory impairment or language barrier
• cognitively impaired
• are receiving active psychiatric treatment
• already had signed an advance directive

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental group	Motivational Interviewing tailored Advance Care Planning	Participants in the experimental group will receive a MotivationaI Interviewing tailored ACP programme.

Primary Outcome Measures

Name	Time	Method
Advance Care Planning Behaviour	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.

Secondary Outcome Measures

Name	Time	Method
Perceived stress	Baseline, 1 month and 3 months follow up	Perceived stress is measured by a 10-item Perceived Stress Scale, a questionnaire, using a 5-point Likert scale. The higher score means the higher level of stress.
Quality of life	Baseline, 1 month and 3 months follow up	Quality of life is measured by using a 23-item modified Quality of Life Concerns in the End of Life Questionnaire. The 23 items are rated on a 4-point Likert scale. The higher score means the better quality of life.
Decisional conflict	Baseline, 1 month and 3 months follow up	Decisional conflict regarding end-of-life care is measured by the SURE test, a questionnaire with 4-item on knowledge and support for medical decision making. The higher score means the less decisional conflict.

Trial Locations

Locations (2)

Haven of Hope Hospital; 🇭🇰 Tseung Kwan O, Hong Kong

United Christian Hospital; 🇭🇰 Kwun Tong, Hong Kong