Effects of a Culturally-sensitive Theory-driven Advance Care Planning (ACP) Game Among Chinese Older Adults

NCT04203407 | Completed

• 2 other identifiers: CREC2019428ChiCTR1900028190
• Study Type: interventional
• Target: 144
• Locations: 1 country
• Sites: 1

Brief Summary

This proposed study aims to examine the effects of a culturally-sensitive theory-driven advance care planning (ACP) game in increasing the self-efficacy and readiness of ACP behaviours among Chinese community-dwelling older adults. This is a mixed methods study with the quantitative paradigm being the main research approached used. The quantitative arm will be a randomized controlled trial (RCT). The qualitative arm will adopt focus group interviews for data collection. Recruited subjects from the community centres will be randomly allocated to the intervention and control group. The older adults in the experimental group will receive an ACP board game delivered by trained facilitators, whereas the older adults in the control group will receive another board game about healthy lifestyle. The outcome measures of the older adults will include the ACP Engagement scale, the Life-Support Preferences Questionnaire (LSPQ), a self-developed ACP knowledge questionnaire and those data will be collected at baseline (T0), immediately post-intervention(T1), at 1 month (T2), and 3 month (T3). The qualitative arm of this study will contribute to the understanding of issues and effects of ACP game as an intervention. Its finding will complement the results obtained from the RCT.

Conditions

Advance Care Planning; Game; Older Adults

Outcome Measures

Primary Outcomes (1)

• Advance Care Planning Engagement Scale

  Behaviour changes in ACP behaviours measured using Advance Care Planning Engagement Scale. It is about different ACP behavior on a 5-point Likert scale. The higher score means the higher level of self-efficacy and readiness for the behaviours.

  3 months

Secondary Outcomes (2)

• Certainty rate of end-of-life preferences toward medical care

  3 months

• Self-develped ACP knowledge questionnaire

  3 months

Other Outcomes (2)

• Change of emotional status

  Immediate post-intervention

• Experience of playing ACP game

  Immediate post-intervention

Study Arms (2)

ACP game

EXPERIMENTAL

Participants in the intervention group will be divided into groups of 4 participants to play a 1-hour culturally-sensitive theory-driven ACP board game with 15-minute debriefing delivered by facilitators. The ACP board game is developed by the principle investigator in a previous project.

Behavioral: ACP game

Usual care

ACTIVE COMPARATOR

Participants in the control group will receive a 1-hour board game about health lifestyle.

Behavioral: Usual care

Interventions

ACP game BEHAVIORAL

Participants in the intervention group will be divided into groups of 4 participants to play a 1-hour culturally-sensitive theory-driven ACP board game with 15-minute debriefing delivered by facilitators. The ACP board game is developed by the principle investigator in a previous project.

ACP game

Usual care BEHAVIORAL

Participants in the control group will receive a 1-hour board game about health lifestyle.

Usual care

Eligibility Criteria

• Age: 60 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• aged 60 years or over;
• speak Chinese.

You may not qualify if:

• uncommunicable because of language barrier or sensory impairment;
• have been referred to the palliative care service at the time of recruitment.

Sponsors & Collaborators

• Chinese University of Hong Kong: lead
• Xihu community healthcare service centre: collaborator
• Guanshaling community healthcare service centre: collaborator

Study Sites (1)

Xihu community, guanshaling community

Changsha, Hunan, China

Location

Study Officials

• Li LIU

  Chinese University of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 15, 2019
• First Posted: December 18, 2019
• Study Start: August 8, 2020
• Primary Completion: December 25, 2020
• Study Completion: December 25, 2020
• Last Updated: January 27, 2021

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)