NCT07525492

Brief Summary

The goal of this clinical trial is to evaluate whether the Die-logue program can improve attitudes toward death, coping with death, and readiness for advance care planning (ACP) among community-dwelling middle-aged adults aged 40-60 years who have not completed any advance directives and not diagnosed with any life limiting diseases. This study aims to address the following research questions:

  • Does the Die-logue program improve community-dwelling middle-aged adults' attitudes towards death, ability to cope with death, readiness and uptake for Advanced Care Planning (ACP).
  • What are community-dwelling middle-aged adults' perceptions of advance care planning, death and dying, and their experiences of participation in the Die-logue program. Researchers will compare participants who receive the Die-logue program (death conversation and online ACP education) with participants who receive only the online ACP education to see if informal death conversations improve attitudes toward death, coping with death, and readiness for ACP. Participants will:
  • Complete online questionnaires measuring attitudes toward death, coping with death, and readiness for advance care planning.
  • Participate in a facilitator-led group discussion session about perceptions of death, coping with death, and readiness for ACP (intervention group only).
  • Complete an asynchronous online ACP education session consisting of short recorded videos and an online discussion forum (both intervention and control group).
  • Complete follow-up surveys, including a 6-month follow-up assessing whether they have undertaken advance care planning.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
148

participants targeted

Target at P75+ for not_applicable

Timeline
18mo left

Started Apr 2026

Geographic Reach
1 country

1 active site

Status
not yet recruiting

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

Study Progress12%
Apr 2026Dec 2027

Study Start

First participant enrolled

April 1, 2026

Completed
5 days until next milestone

First Submitted

Initial submission to the registry

April 6, 2026

Completed
7 days until next milestone

First Posted

Study publicly available on registry

April 13, 2026

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

April 13, 2026

Status Verified

March 1, 2026

Enrollment Period

1.8 years

First QC Date

April 6, 2026

Last Update Submit

April 6, 2026

Conditions

Death Attitude (Implicit/Explicit)Death AnxietyEnd of Life CareAdvanced Care Planning (ACP)

Keywords

Death ConversationDeath AnxietyAdvance Care PlanningDeath Attitude

Outcome Measures

Primary Outcomes (2)

  • Death Attitudes

    Death Attitude Profile Revised Scale (DAP-R)

    Before intervention

  • Death Attitudes

    Death Attitude Profile Revised Scale (DAP-R)

    Immediately after intervention

Secondary Outcomes (8)

  • Coping with Death

    Before intervention

  • Coping with Death

    Immediately after intervention

  • Coping with Death

    6 months after intervention

  • Death Attitudes

    6 months after intervention

  • Readiness for Advance Care Planning

    Before intervention

  • +3 more secondary outcomes

Study Arms (2)

Intervention Group

EXPERIMENTAL

Participants in this arm will receive the two-session Die-logue Program. Session 1 is an on site, facilitator-led group discussion lasting 2 hours, covering: 1. Perceptions of death and dying. 2. Coping with death. 3. Readiness for Advance Care Planning (ACP). Session 2 is an online asynchronous learning session with short videos on ACP with discussion forums.

Behavioral: Death ConversationBehavioral: Online ACP Education

Control Group

ACTIVE COMPARATOR

Participants in this arm will only receive the online ACP education component, identical to Session 2 of the Die-logue programme. No facilitator-led group discussions are provided.

Behavioral: Online ACP Education

Interventions

Death ConversationBEHAVIORAL

On site, facilitator-led group discussion lasting 2 hours, covering: 1) Perceptions of death and dying. 2) Coping with death. 3) Readiness for Advance Care Planning (ACP)

Intervention Group
Online ACP EducationBEHAVIORAL

An online asynchronous learning session with short videos on ACP with discussion forums.

Control GroupIntervention Group

Eligibility Criteria

Age40 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Between the ages of 40 to 60 years
  • Able to comprehend the English language
  • Have not completed any form of advance directives
  • Able and willing to participate in the Die-logue programme and surveys

You may not qualify if:

  • Individuals diagnosed with any life limiting diseases
  • Individuals with self-reported history of mental health disorders or neurological disorders

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National University of Singapore

Singapore, Singapore

Location

MeSH Terms

Conditions

Necrophobia

Central Study Contacts

Darryl Ang, PhD

CONTACT

+65 65167792darrylang@nus.edu.sg

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Research Assistant Professor

Study Record Dates

First Submitted

April 6, 2026

First Posted

April 13, 2026

Study Start

April 1, 2026

Primary Completion (Estimated)

December 31, 2027

Study Completion (Estimated)

December 31, 2027

Last Updated

April 13, 2026

Record last verified: 2026-03

Locations

SG(1)