Effects of Intervention on Hope, Anxiety, and Attitudes and Behavioral Intentions of Advance Care Planning in Older Adults With Cancer

NCT06061107 | Completed

• 1 other identifier: 202308006RINC
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

The study aims to explore the impact of advance care planning on the attitudes, behavioral intentions, hopes, and anxiety of elderly people with cancer on advance care planning with the assistance of the "Advance Care Consultation for the Elderly" manual.

Conditions

Advance Care Planning

Outcome Measures

Primary Outcomes (4)

• Attitude Scale

  The questionnaire is scored using a 5-point Likert scale. There are a total of 12 questions, resulting in a total score ranging from 24 to 120, with responses ranging from "strongly disagree" (1 point) to "strongly agree" (5 points) . A higher score indicates a more positive attitude among the elderly towards advance care planning.

  three measurement time points: pre-test, two weeks after intervention, and one month after intervention.

• Behavioral Intention Scale

  The scale is scored using a 5-point Likert scale. There are a total of six questions, resulting in a total score ranging from 6 to 30, with responses ranging from "very unlikely" (1 point) to "very likely" (5 points)

  three measurement time points: pre-test, two weeks after intervention, and one month after intervention.

• State Anxiety, A-State，STAI-S

  The scale consists of 20 questions, each with 4 options: "completely does not fit," "fits slightly," "fits," and "fits very well." Out of these, 10 questions are positively framed (3, 4, 6, 7, 9, 12, 13, 14, 17, and 18). The scoring is as follows: "1 point" for "completely does not fit," "2 points" for "fits slightly," "3 points" for "fits," and "4 points" for "fits very well." The remaining ten questions are negatively framed, and scoring is reversed, with "4 points" for "completely does not fit," "3 points" for "fits slightly," "2 points" for "fits," and "1 point" for "fits very well." The total score ranges from 20 to 80 points. A higher score indicates a higher level of anxiety, with scores of 20 to 39 indicating mild anxiety, 40 to 59 indicating moderate anxiety, and 60 to 80 indicating severe anxiety.

  three measurement time points: pre-test, two weeks after intervention, and one month after intervention.

• Herth Hope Index, HHI

  The scale is scored using a 4-point Likert scale, with "1 point" indicating "strongly disagree" and "4 points" indicating "strongly agree," resulting in a total score ranging from 12 to 48 points.

  three measurement time points: pre-test, two weeks after intervention, and one month after intervention.

Study Arms (2)

Handbook for Geriatric Prearranged Medical Care Consultation

EXPERIMENTAL

The experimental group utilized a cartoon version of the "Advance Care Consultation for the Elderly" manual to facilitate the ACP process, which encompassed three components: an introduction to ACP, an overview of terminal medical care, and a discussion about the participants' preferences for their past, current, and future required medical care.

Behavioral: The cartoon version of the "ACP for Seniors" brochure

Control group

NO INTERVENTION

No Intervention: standard clinical care

Interventions

The cartoon version of the "ACP for Seniors" brochure BEHAVIORAL

The experimental group utilized a cartoon version of the "Advance Care Consultation for the Elderly" manual to facilitate the ACP process, which encompassed three components: an introduction to ACP, an overview of terminal medical care, and a discussion about the participants' preferences for their past, current, and future required medical care. There are three measurement time points: pre-test, two weeks after intervention, and one month after intervention.

Handbook for Geriatric Prearranged Medical Care Consultation

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Cancer patients aged 65 years or older.
• Patients currently undergoing cancer treatment.
• Clear consciousness and able to communicate in Mandarin or Taiwanese.
• Score of 8 points or higher (inclusive) on the Short Portable Mental State Questionnaire (SPMSQ).

You may not qualify if:

• Individuals with a score of 7 points or lower (inclusive) on the Short Portable Mental State Questionnaire (SPMSQ).
• Individuals who have not been informed about their cancer diagnosis.

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

Hsu Ya Hui

Taipei County, Taiwan

Location

Related Publications (1)

• Hsu YH, Wang MH, Hu WY, Ke LS. Effects of advance care planning on hope, anxiety, attitudes, and behavioral intentions in older adults with cancer: A randomized controlled study. Support Care Cancer. 2025 Aug 30;33(9):822. doi: 10.1007/s00520-025-09866-z.

  PMID: 40884542 DERIVED

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SUPPORTIVE CARE
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 24, 2023
• First Posted: September 29, 2023
• Study Start: September 21, 2023
• Primary Completion: July 1, 2024
• Study Completion: July 1, 2024
• Last Updated: February 28, 2025

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)