A Culturally Adapted Decision Aid Intervention to Support Chinese American Dementia Caregivers in Feeding-Related Decisions
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Yaolin Pei
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Decision conflict
研究概览
简要总结
Family caregivers of people with dementia have to decide between tube feeding and hand feeding when persistent eating problems arise. This decision can be difficult for Chinese American dementia caregivers, due to the interplay of culture, potential absence of a patient's advance directive, poor understanding of dementia, and lack of knowledge on the risks and benefits of tube feeding. In this polit study, the principal investigator examines whether a culturally adapted decision aid intervention regarding feeding options named "Chinese version of Making Choices Feeding Options for Patients with Dementia Decision Aid" (CMCFODA) will improve Chinese American caregivers' decision-making about feeding options in patients with moderate or advanced dementia. The proposed study advances the field by providing critical evidence to inform the development and implementation of culturally adapted decision support interventions in end-of-life dementia care.
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 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 21 years and older
- •Self-identify as Chinese
- •Providing caregiving or involvement in end-of-life care decision-making for older Chinese adults with: a) moderate or advanced dementia, b) feeding difficulties, and c) poor oral intake, eating/swallowing problems, or weight loss
排除标准
- •Dementia patients are a) receiving tube feeding, b) enrolled in hospice care, or 3) have a documented preference against a feeding tube
研究组 & 干预措施
Participation Group
- Receive usual care (including information from healthcare providers)
- Receive electrical version of decision aid after all of the data collection
Intervention/Treatment Group
- Receive both the electronic and paper version of CMCFODA
- Receive an individualized decision coaching within two weeks
干预措施: Chinese version of Making Choices Feeding Options for Patients with Dementia Decision Aid (Other)
结局指标
主要结局
Decision conflict
时间窗: Baseline; One-Month Follow-Up; Three-Month Follow-Up
SURE test for decisional conflict (0-4)
Knowledge of feeding options and dementia
时间窗: Baseline; One-Month Follow-Up; Three-Month Follow-Up
Questions to assess knowledge about feeding options and dementia
Expectations of tube feeding
时间窗: Baseline; One-Month Follow-Up; Three-Month Follow-Up
Questions about understanding differing expectations regarding feeding tube use
次要结局
- The Feasibility of the CMCFODA study as measured by recruitment rates and the proportion of participants that decline participation.(Enrollment)
- The Feasibility of the CMCFODA study as measured by participant retention, as indicated by the number of participants lost to follow-up.(Enrollment, One-Month Follow-Up,Three-Month Follow-Up)
- Acceptability of the decision aid and decision coaching (only for the treatment group)(One Month Follow-Up)
- Frequency of communication with other family members and healthcare providers(Baseline; One-Month Follow-Up; Three-Month Follow-Up)
- Preference of feeding option(Baseline; One-Month Follow-Up; Three-Month Follow-Up)
- Preparation for decision-making scale (treatment group only)(One-Month Follow-Up; Three-Month Follow-Up)