NCT07774468

Brief Summary

The goal of this clinical trial is to evaluate whether the PEACE program can improve early career registered nurses' registered nurses' attitudes towards caring for palliative patients, ability to cope with patients' death, and self-efficacy in initiating advanced care planning conversations This study aims to address the following research questions:

  • Does the PEACE program improve early career registered nurses' attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations?
  • What are the participants' experiences of participating in the PEACE program? Researchers will compare participants who receive the PEACE program (death conversation and online ACP education) with participants who receive only the online ACP education to see if informal death conversations improve early career registered nurses' attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations. Participants will:
  • Complete online questionnaires measuring attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations.
  • Participate in a facilitator-led group discussion session about experiences of patients' deaths, coping with patients' death and dying, communications with patients and/or family members about death and dying, and discussing advance care planning with patients and/or family members (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 3-month follow-up assessing whether participants have engage with any patients and/or their family members in advance care planning conversations.

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
150

participants targeted

Target at P75+ for not_applicable

Timeline
15mo left

Started Sep 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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress7%
Sep 2026Dec 2027

First Submitted

Initial submission to the registry

August 11, 2026

Completed
8 days until next milestone

First Posted

Study publicly available on registry

August 19, 2026

Completed
13 days until next milestone

Study Start

First participant enrolled

September 1, 2026

Completed
1.3 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

September 28, 2026

Status Verified

August 1, 2026

Enrollment Period

1.3 years

First QC Date

August 11, 2026

Last Update Submit

September 23, 2026

Conditions

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

Keywords

Death ConversationDeath AnxietyAdvance Care PlanningDeath Attitude

Outcome Measures

Primary Outcomes (3)

  • Advance Care Planning Self-Efficacy (ACP-SE) Scale

    An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.

    Baseline

  • Advance Care Planning Self-Efficacy (ACP-SE) Scale

    An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.

    Post-test (Immediately at end of 2-weeks intervention)

  • Advance Care Planning Self-Efficacy (ACP-SE) Scale

    An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.

    3 months follow-up

Secondary Outcomes (7)

  • Palliative care self-efficacy scale

    Baseline

  • Palliative care self-efficacy scale

    Post-test (Immediately at end of 2-weeks intervention)

  • Palliative care self-efficacy scale

    3 months follow-up

  • Frommelt Attitude Toward Care of the Dying Scale

    Baseline

  • Frommelt Attitude Toward Care of the Dying Scale

    Post-test (Immediately at end of 2-weeks intervention)

  • +2 more secondary outcomes

Study Arms (2)

Intervention Group - on site group discussions + online learning session

EXPERIMENTAL

Participants in this arm will receive the two-session PEACE Program. Session 1 is an on site, facilitator-led group discussion lasting 2 hours, covering: 1. Experiences of death and dying 2. Coping with death and dying. 3. Communication about death and dying 4. Discussing 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 - Only online learning session

ACTIVE COMPARATOR

Participants in this arm will only receive the online ACP education component, identical to Session 2 of the PEACE 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) Experiences of patients' deaths; 2) Coping with patients' death and dying; 3) Communication with patients and/or family members about death and dying; 4) Discussing advance care planning with patients and/or family members

Intervention Group - on site group discussions + online learning session
Online ACP EducationBEHAVIORAL

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

Control Group - Only online learning sessionIntervention Group - on site group discussions + online learning session

Eligibility Criteria

Age21 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Registered nurses within the first five years of practice
  • Between the ages of 21 to 65 years
  • Currently working in a healthcare setting in SIngapore

You may not qualify if:

  • Participated in a similar death conversation program
  • Received training in Advance Care Planning or Serious Illness Conversations
  • Any self-reported history of mental health disorders (e.g., depression), or neurological disorders (e.g., brain tumors)

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

August 11, 2026

First Posted

August 19, 2026

Study Start

September 1, 2026

Primary Completion (Estimated)

December 31, 2027

Study Completion (Estimated)

December 31, 2027

Last Updated

September 28, 2026

Record last verified: 2026-08

Locations

SG(1)