Web-based Advance Care Planning Intervention for Patients With Kidney Failure on Dialysis: Pilot Testing of 'My Voice'
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Quality of ACP conversations (serious illness conversations) between patients and physicians/health care providers
研究概览
简要总结
'My Voice' is a website intervention developed to enable advance care planning (ACP) conversations for patients with kidney disease on dialysis, educate patients on their illness, help identify their goals and preferences for EOL care, and coaches them on how to speak with their HCPs and loved ones. This study aims to evaluate if 'My Voice' intervention improves quality of ACP conversations between patients and providers, and patients and family carers; improves patient's knowledge about kidney failure, engagement in ACP and preparedness for future end of life care compared to usual practices for ACP in dialysis centres.
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
- None
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •For patients
- •Singapore citizens or permanent residents; aged 21 years (age of majority) or older
- •CKD stage 5; receiving dialysis
- •Identified as eligible for SIC by NKF HCPs based on one or more of the following:
- •clinical deterioration with a terminal condition or
- •intolerability to dialysis or
- •having two or more unplanned hospitalizations for renal complications in the past 6 months (from medical records); or
- •known to palliative care or under conservative care as indicated in the discharge summary or
- •poor functional status indicated by the Fragility Assessment for Elders (FIFE) score >4
- •Normal cognitive function as indicated by Mini Mental Scale Examination (MMSE) score of 24 or more (based on medical record)
- •Able to speak and read English, Mandarin or Malay
- •Agreeable to be audio-recorded
- •Inclusion Criteria: For caregivers
- •Aged 21 years old and above
- •Family caregivers of the patients recruited i.e. Caregiver primarily involved in providing care, ensuring provision of care, and/or in making decisions regarding patient's care, with no expectation of financial compensation
- •Able to speak and read English, Mandarin or Malay
- •Have a phone and/or an electronic device with internet access.
- •Agreeable to be audio-recorded
排除标准
- •For Patients
- •Patients with cognitive impairment or serious mental illness will be excluded
- •Patients who had prior serious illness conversations (SIC) will be excluded
- •Are not easily contactable via mobile phone or landline
- •Exclusion Criteria: For Caregivers
- •Those who are foreign domestic workers/maids
- •Are not easily contactable via mobile phone or landline
结局指标
主要结局
Quality of ACP conversations (serious illness conversations) between patients and physicians/health care providers
时间窗: Post baseline and within 8 weeks
Quality of ACP conversations will be measured using a scoring sheet developed for the study. One point will be given for every SICG topic discussed with score min to max of 0 to 13. Higher scores indicate higher quality.
次要结局
未报告次要终点
研究者
Chandrika Ramakrishnan
Research Fellow
Duke-NUS Graduate Medical School