Using a Conversation Game to Engage Native American Washoe Tribe Members in Advance Care Planning: Preparation for a Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 108
- 主要终点
- Arm 1: Qualitative themes describing Advance Care Planning needs, motivations, and challenges
研究概览
简要总结
The goal of this study is to learn if a culturally adapted version of the Hello game, an advance care planning (ACP) conversation tool, is feasible and acceptable for use with members of the Washoe Tribe. The main questions it aims to answer are:
Can the Hello game be successfully adapted to reflect the cultural values, beliefs, and storytelling traditions of the Washoe Tribe?
Does playing the adapted Hello game increase ACP engagement and advance directive (AD) completion among Washoe Tribe members within 3 months?
Participants will:
- Take part in talking circles at one of four Washoe reservations to share their beliefs, motivations, and experiences related to end-of-life care and advance care planning
- Complete brief questionnaires about their ACP attitudes and behaviors
- Play the culturally adapted Hello game in a group setting
- Complete follow-up measures of ACP engagement and advance directive completion 3 months after playing the game
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Health Services Research
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 18 years or older
- •Member of the Washoe American Indian Tribe
- •Able to attend in-person events
- •Speaks, reads, and writes in English
- •Able to provide informed consent
排除标准
- •Under 18 years of age
- •Non-Tribal member
- •Non-English speaking
- •Unable to provide informed consent
研究组 & 干预措施
Advance Care Planning Talking Circles
干预措施: Aim 1: Talking Circles (Behavioral)
Arm 2: Modified Hello Game Play
干预措施: Aim 2: Play Modified Hello Game (Behavioral)
结局指标
主要结局
Arm 1: Qualitative themes describing Advance Care Planning needs, motivations, and challenges
时间窗: During qualitative focus groups (up to 2 hours)
Participants will take part in qualitative focus groups, where they will verbally answer questions in a conversational format. These conversations will be audio recorded and qualitatively analyzed. Demographic information will be collected along with contact information. No validated survey measures will be used to collect data at this time point. Only qualitative data, demographics and contact information.
Arm 2: Initial Enrollment Subject Numbers
时间窗: RA Observed during participation in Hello game event (up to 1 hour)
Feasibility metric (Observed by Research Assistant) - How many participants actually enrolled.
Arm 2: Retention at 3-month follow-up
时间窗: RA Observed during 3-month follow-up event (up to 1 hour)
Feasibility metric (Observed by Research Assistant) - # of participants who attended the follow-up event.
Arm 2: Acceptability Score
时间窗: During participation in Hello Game Event (up to 1 hour)
Feasibility metric; participants will fill out Conversation Acceptability measure to determine acceptability of playing the Hello game. The Acceptability measure consists of 3 items; 2 items on a Likert scale from 1-7 with 1 being Strongly Agree and 7 being Strongly Disagree, and 1 item indicating likelihood of recommending conversation activity to others on a scale of 0-10 with 0 being not likely at all and 10 being extremely likely.
Arm 2: ACP engagement survey score Time 1
时间窗: During participation in Hello Game Event (up to 1 hour)
Participants will be asked to fill out the validated ACP engagement survey to determine engagement and readiness levels for ACP actions. The ACP engagement survey consists of 4 items asking questions related to readiness for ACP behaviors. 2 items are on a scale of 1-5 with 1 being "I have never thought about it" and 5 being "I already have done it". The other 2 items are on a scale of 1-6 with 1 being "I have never thought about it" and 6 being "I have already done it (more than 5 years ago)".
Arm 2: ACP engagement survey score Time 2
时间窗: 3-months post game attendance (up to 1 hour)
Participants will be asked to fill out the validated ACP engagement survey to determine engagement and readiness levels for ACP actions. The ACP engagement survey consists of 4 items asking questions related to readiness for ACP behaviors. 2 items are on a scale of 1-5 with 1 being "I have never thought about it" and 5 being "I already have done it". The other 2 items are on a scale of 1-6 with 1 being "I have never thought about it" and 6 being "I have already done it (more than 5 years ago)".
Arm 2: ACP Behavior completion
时间窗: 3-months post game attendance (up to 1 hour)
Participants will be asked to fill out the questions related to ACP behaviors. 6-items will be asked with 1 having options of yes/no/not sure/did not answer; 2 being yes/no/N/A/did not answer; 2 with options yes/no/did not answer and 1 with options nursing home/long-term care/insurance/hospice or palliative/funeral planning/other/did not report/did not answer
次要结局
未报告次要终点
研究者
Lauren Van Scoy
Principal Investigator
Milton S. Hershey Medical Center