Advance Care Planning Impact on the Consistency of Older Adults With Lung Cancer and Their Potential Surrogates Regarding Life-Sustaining Treatment Preferences

NCT06616909 | Active Not Recruiting DMC

• 1 other identifier: 202407186RIND
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Globally and nationally, malignant tumors persist as the leading cause of high incidence and mortality rates. In Taiwan, cancer tops the list of causes of death, with the elderly being predominantly affected, especially by lung cancer, which is the most prevalent type with the highest mortality and incidence rates in the nation. The Patient Autonomy Rights Act, implemented by the government in 2019, is designed to promote advance medical care consultation in medical institutions, respecting patient's autonomous decisions. In Chinese culture, medical decisions are typically family-oriented rather than individualistic, leading the elderly to frequently rely on their relatives'choices. This cultural practice may prevent meaningful conversations between potential agents and the elderly, causing misunderstandings of the elderly's preferences and affecting the consistency of medical decisions. Presently, interventions like board games for Advance Care Planning (ACP) are not well received, highlighting the need for more captivating content in intervention strategies.

Conditions

Advanced Care Planning (ACP); ELDERLY PEOPLE; Lung Cancer (NSCLC)

Outcome Measures

Primary Outcomes (1)

• Consistency in subsistence disposal preferences between the elderly and potential agents

  Life Support Preferences Questionnaire (LSPQ).

  Outcome Measure Total (3 Time Points): First time: before intervention .Second time: 2 weeks after intervention . Last time: 6 weeks after intervention

Secondary Outcomes (1)

• STAI

  Outcome Measure Total (4 Time Points): First time: Before intervention. Second time: After intervention. Third time: 2 weeks after intervention .Last time: 6 weeks after intervention

Study Arms (2)

game ACP module

EXPERIMENTAL

,Using board games as an activity intervention, a tool for discussion between elderly people with lung cancer and potential agents

Behavioral: ACP GAME

ACP Manual

PLACEBO COMPARATOR

Behavioral: acp manual

Interventions

ACP GAME BEHAVIORAL

,Using board games as an activity intervention, a tool for discussion between elderly people with lung cancer and potential agents

game ACP module

acp manual BEHAVIORAL

acp manual

ACP Manual

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• lung cancer age ≧ 60
• The elderly with lung cancer are conscious and have no severe visual or hearing impairment.
• The potential agent is designated by the elderly person with lung cancer who may be a family member who may make medical decisions in the future. The potential agent must be at least 18 years old.

You may not qualify if:

• People with severe hearing loss and visual impairment who are unable to communicate in Mandarin and Taiwanese.
• The potential agent is under 18 years old

Sponsors & Collaborators

• National Taiwan University Hospital: lead

Study Sites (1)

National Taiwan University Hospital

Taipei, Taiwan

Location

MeSH Terms

Conditions

Lung Neoplasms; Carcinoma, Non-Small-Cell Lung

Condition Hierarchy (Ancestors)

Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases; Carcinoma, Bronchogenic; Bronchial Neoplasms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 23, 2024
• First Posted: September 27, 2024
• Study Start: September 22, 2024
• Primary Completion: July 12, 2025
• Study Completion: September 30, 2025
• Last Updated: September 27, 2024

Record last verified: 2024-09

Locations

TW (1)