Resilience-Building for Advance Care Planning
ROCKS
Facilitating Advance Care Planning Discussions Between Patients With Advanced Cancer and Their Family Caregivers Using a Resilience-Building Intervention: A Randomized Controlled Trial.
2 other identifiers
interventional
152
0 countries
N/A
Brief Summary
The aims of this study are to (1) assess the feasibility, acceptability, and usability of the ROCKS intervention among patients with advanced cancer and their family caregivers through a randomized controlled trial in a cancer center setting; (2) evaluate the preliminary efficacy of ROCKS, as compared to usual care, on changes in completion of advance directives; and (3) explore the dyadic effects of resilience on self-efficacy, optimism, dyadic communication and coping, anxiety, and depression using an actor-partner interdependence model.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2026
Typical duration for not_applicable
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 16, 2026
CompletedFirst Posted
Study publicly available on registry
February 23, 2026
CompletedStudy Start
First participant enrolled
March 20, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 31, 2028
February 23, 2026
February 1, 2026
2.2 years
February 16, 2026
February 16, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Completion of advance directives
Completion of Five Wishes
Week 8
Secondary Outcomes (7)
Resilience
Week 8
Optimism
Week 8
Dyadic communication and coping
Week 8
Knowledge
Week 8
Self-efficacy
Week 8
- +2 more secondary outcomes
Study Arms (2)
ROCKS
EXPERIMENTALParticipants assigned to this arm will receive a web-based resilience-building intervention.
Usual Care
ACTIVE COMPARATORParticipants assigned to this arm will receive an advance directive called Five Wishes.
Interventions
The intervention will be provided to participants to strengthen optimism, communication skills, knowledge, and self-efficacy to support patients and family caregivers in engaging in advance care planning discussions.
An advance directive called Five Wishes will be provided to participants to increase their knowledge about advance care planning.
Eligibility Criteria
You may qualify if:
- Eligible patients will (1) be ≥ 18 years of age; (2) be diagnosed with stage 3 or 4 cancer; and (3) have a family caregiver who is willing to participate.
- Eligible family caregivers will be ≥ 18 years of age. All participants must be able to read, write, and speak English with minimal assistance from others and have access to the internet on a smartphone, laptop, or computer.
You may not qualify if:
- Patient participants will be ineligible if they have (1) a Short Portable Mental Status Questionnaire (SPMSQ) score \< 8; or (2) have completed any form of advance directive.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 16, 2026
First Posted
February 23, 2026
Study Start
March 20, 2026
Primary Completion (Estimated)
May 31, 2028
Study Completion (Estimated)
July 31, 2028
Last Updated
February 23, 2026
Record last verified: 2026-02