Efficacy of Self-education Program for Advanced Care Planning(RCT) for General Population

Study Overview
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Brief Summary
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This study verifies efficacy of Self-education program for advanced care planning in general population. Half of participants will receive a 20 minutes video about advanced care planning while the other half will receive a 13-page brochure entitled, Understanding the Life-Sustaining Treatment Act.

Detailed Description
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This study validates effectiveness of decision aid that the investigators developed due to the rates of completing Advanced care planning are considerably low, which is led by the lack of information available to general population; whether they elevate the preference of healthy general population toward Advanced Care planning, reduce the burden of decision making, and support general population to overcome their crisis, compare to educational resources that are currently available. Previous studies inform that educational video about advanced care planning increases the knowledge of care for life prolongation and affects the preference towards care for life prolongation and palliative care. However, previous studies focused mainly on patient populations, and the general population might differ in its understanding of disease, health care services, and ACP. In this study, we constructed ACP video decision support materials for the general population and compared their effectiveness in an RCT. Primary outcome of this study is attitude and behavior change toward advanced care planning. Participants of this study will fill out the baseline questionnaire about ACP preference, end-of-life care preference, knowledge of ACP, etc. After that, participants will be allocated equally into the intervention group and the control group. Participants assigned to the intervention arm viewed the 20-minute educational decision support video entitled Advance Care Planning, which had been used and tested in studies with advanced cancer patients. Participants randomized to the attention-control arm received and read a 13-page brochure entitled, Understanding the Life-Sustaining Treatment Act, which was developed by the Ministry of Health and Welfare. After reading and watching the educational materials, patients will get another questionnaire about knowledge of ACP, satisfaction on the materials, ACP Preference, etc.

Official Title
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Efficacy of Decision Aid for Advanced Care Planning(RCT) for General Population: Randomized Controlled Trial

Conditions
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Healthy

Intervention / Treatment
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* Other: Videos about ACP
* Other: Brochure about Life-Sustaining Treatment Act


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subject 20 years old and more Subject who understands the purpose of the study and signs with informed consent form Exclusion Criteria: Inability to speak, understand, or write Korean Inability to understand the contents of the provided materials due to poor eyesight and hearing

Ages Eligible for Study
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Minimum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Videos about ACP<br>Subjects in experimental group get three videos about advanced care planning based on Smart Management Strategy for Health (SMASH). After they finish watching the materials, they fill out the questionnaire. | Other: Videos about ACP<br>* Three videos about advanced care planning are provided for self-education.<br>|
| Active Comparator: Brochure for Life-Sustaining Treatment<br>Subjects in the group get 13-page brochure entitled, Understanding the Life-Sustaining Treatment Act. After they finish watching the materials, they fill out the questionnaire. | Other: Brochure about Life-Sustaining Treatment Act<br>* Brochure about Life-Sustaining Treatment Act are provided for self-education.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Advance Care Preference | Comparison the result of Advance Care Preference questionnaire | Baseline, within 1 week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Hospital Anxiety and Depression Scale | Comparison the result of Hospital Anxiety and Depression Scale questionnaire | Baseline, within 1 week | 
| Changes in CPR knowledge | Comparison the result of Changes in CPR knowledge questionnaire | Baseline, within 1 week | 
| Changes in palliative care / advance care planning knowledge score | Comparison the result of Changes in palliative care / advance care planning knowledge score questionnaire | Baseline, within 1 week | 
| Changes in No CPR preference in terminal status | Comparison the result of No CPR preference in terminal status questionnaire | Baseline, within 1 week | 
| Changes in End-of-Life care | Comparison the result of End-of-Life care preference questionnaire | Baseline, within 1 week | 
| Satisfaction on educational materials | The result of Satisfaction on educational materials questionnaire | Baseline, within 1 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Advance care planning