Effects of a Die-logue Program in Enhancing Community Dwelling Adults's Death Attitudes, Coping With Death and Readiness for Advance Care Planning: A Two-phase Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 148
- 试验地点
- 1
- 主要终点
- Death Attitudes
研究概览
简要总结
The goal of this clinical trial is to evaluate whether the Die-logue program can improve attitudes toward death, coping with death, and readiness for advance care planning (ACP) among community-dwelling middle-aged adults aged 40-60 years who have not completed any advance directives and not diagnosed with any life limiting diseases.
This study aims to address the following research questions:
- Does the Die-logue program improve community-dwelling middle-aged adults' attitudes towards death, ability to cope with death, readiness and uptake for Advanced Care Planning (ACP).
- What are community-dwelling middle-aged adults' perceptions of advance care planning, death and dying, and their experiences of participation in the Die-logue program.
Researchers will compare participants who receive the Die-logue program (death conversation and online ACP education) with participants who receive only the online ACP education to see if informal death conversations improve attitudes toward death, coping with death, and readiness for ACP.
Participants will:
- Complete online questionnaires measuring attitudes toward death, coping with death, and readiness for advance care planning.
- Participate in a facilitator-led group discussion session about perceptions of death, coping with death, and readiness for ACP (intervention group only).
- Complete an asynchronous online ACP education session consisting of short recorded videos and an online discussion forum (both intervention and control group).
- Complete follow-up surveys, including a 6-month follow-up assessing whether they have undertaken advance care planning.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Between the ages of 40 to 60 years
- •Able to comprehend the English language
- •Have not completed any form of advance directives
- •Able and willing to participate in the Die-logue programme and surveys
排除标准
- •Individuals diagnosed with any life limiting diseases
- •Individuals with self-reported history of mental health disorders or neurological disorders
研究组 & 干预措施
Intervention Group
Participants in this arm will receive the two-session Die-logue Program.
Session 1 is an on site, facilitator-led group discussion lasting 2 hours, covering:
- Perceptions of death and dying.
- Coping with death.
- Readiness for Advance Care Planning (ACP).
Session 2 is an online asynchronous learning session with short videos on ACP with discussion forums.
干预措施: Death Conversation (Behavioral)
Intervention Group
Participants in this arm will receive the two-session Die-logue Program.
Session 1 is an on site, facilitator-led group discussion lasting 2 hours, covering:
- Perceptions of death and dying.
- Coping with death.
- Readiness for Advance Care Planning (ACP).
Session 2 is an online asynchronous learning session with short videos on ACP with discussion forums.
干预措施: Online ACP Education (Behavioral)
Control Group
Participants in this arm will only receive the online ACP education component, identical to Session 2 of the Die-logue programme. No facilitator-led group discussions are provided.
干预措施: Online ACP Education (Behavioral)
结局指标
主要结局
Death Attitudes
时间窗: Before intervention
Death Attitude Profile Revised Scale (DAP-R)
Death Attitudes
时间窗: Immediately after intervention
Death Attitude Profile Revised Scale (DAP-R)
次要结局
- Coping with Death(Before intervention)
- Coping with Death(Immediately after intervention)
- Coping with Death(6 months after intervention)
- Death Attitudes(6 months after intervention)
- Readiness for Advance Care Planning(Before intervention)
- Readiness for Advance Care Planning(Immediately after intervention)
- Readiness for Advance Care Planning(6 months after intervention)
- Uptake of Advance Care Planning(6 months after intervention)
研究者
Ang Wei How Darryl
Research Assistant Professor
National University of Singapore