protocolSection identificationModule nctId: NCT06314035, orgStudyIdInfo id: CIC2023003, briefTitle: Decision Support on End-of-life Care Planning in Older Adults, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-03-10, primaryCompletionDateStruct date: 2024-12-31, completionDateStruct date: 2025-01-31, studyFirstPostDateStruct date: 2024-03-15, lastUpdatePostDateStruct date: 2024-03-18, sponsorCollaboratorsModule leadSponsor name: National Taipei University of Nursing and Health Sciences, class: OTHER, collaborators name: Chinese University of Hong Kong, descriptionModule briefSummary: This study aims to test the effects of a patient decision aid (PDA) on planning for end-of-life (EOL) care among older adults with COPD. The main questions it aims to answer are:1. Does a PDA improve the process of a person to make decisions on EOL care?2. Does a PDA improve the readiness of a person to join advance care planning (ACP) communication?3. Does a person make an advance directive after using a PDA?Participants in this study will:1. Be randomly assigned to one of two groups.2. In the experimental group, participants will receive two 60-minute interactive consultations over four weeks, using a PDA to help clarify values and preferences for future medical care. A guidebook summarising these future care options will be provided.3. In the control group, participants will receive two 60-minute sessions on lifestyle modification and self-care management over four weeks using a guidebook with coaching. A guidebook summarising general health information will be provided.Researchers will compare the intervention group to the control group to see if the PDA is better at improving the decision-making process on EOL care, the readiness of a person to join ACP communication and the chance to make an advance directive., conditionsModule conditions: Chronic Obstructive Pulmonary Disease, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, primaryPurpose: OTHER, maskingInfo masking: SINGLE, maskingDescription: Participants will be blinded to their group assignment. The personnel administering the interventions will not be blinded, whoMasked: PARTICIPANT, enrollmentInfo count: 60, type: ESTIMATED, armsInterventionsModule interventions name: COPD Patient Decision Aid, interventions name: General Health Coaching Intervention, outcomesModule primaryOutcomes measure: Patients' decisional conflict regarding EOL care, secondaryOutcomes measure: Patients' confidence level regarding three ACP actions - namely, appointing a surrogate and discussing EOL care with a surrogate and medical doctors., secondaryOutcomes measure: Patients' readiness for ACP, secondaryOutcomes measure: Participant's completion of an Advance Directive (AD), secondaryOutcomes measure: Participants' understanding of the PDA, secondaryOutcomes measure: Participant's subjective clarity of content, comfort during reading and viewing, and the usefulness of the information of the PDA., secondaryOutcomes measure: Semi-structured Interviews, eligibilityModule sex: ALL, minimumAge: 50 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule, hasResults: False