Clinical trial NCT06708494: Establishing Video Decision Aids for Geriatric Patients With Frailty to Promote Advance Care Planning
Official title: Establishing Video Decision Aids for Geriatric Patients With Frailty to Promote Advance Care Planning: Comprehensibility, Usability, Feasibility
Study type: OBSERVATIONAL
Overall status: ENROLLING_BY_INVITATION
Conditions: Frailty
Keywords: Frailty
Advance Care Planning
Video Decision Aids
Lead sponsor: National Taiwan University Hospital
Sponsor class: OTHER
First posted: 2024-11-27
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: National Taiwan University Hospital inpatient wards or the Department of Family Medicine's Geriatric Frailty Clinic.

Brief summary: The goal of this observational study aimed to develop and assess a video decision aid for advance care planning in geriatric patients with frailty. The main question it aims to answer is:

The video decision aid comprehensibility, usability, feasibility? The video includes an introduction to geriatric frailty (3 minutes) and advance care planning (5 minutes). Advance care planning includes three levels of medical care: life-prolonging care, limited care, and comfort care.


Eligibility criteria: Inclusion Criteria:

* Phase 1 - Patients

  1. Aged 65 or older.
  2. Have not completed an advance directive (AD) document.
  3. Able to communicate in Mandarin or Taiwanese.
  4. Have adequate vision and hearing to watch a video in Mandarin or Taiwanese on a tablet.
  5. Willing to participate in the study after explanation.
* Phase 1 - Family Members

  1. Aged 18 or older.
  2. Have not completed an advance directive (AD) document.
  3. Able to communicate in Mandarin or Taiwanese.
  4. Have adequate vision and hearing to watch a video in Mandarin or Taiwanese on a tablet.
  5. Willing to participate in the study after explanation.
* Phase 1 - Healthcare Providers

  1. Have not completed an advance directive (AD) document.
  2. Able to communicate in Mandarin or Taiwanese.
  3. Willing to participate in the study after explanation.
* Phase 2 - Patients

  1. Aged 65 or older.
  2. Have participated in shared decision-making (SDM) using decision aid tools.
  3. Have experience in advance care planning (ACP) consultation or have completed related written advance directive documents.
  4. Able to communicate in Mandarin or Taiwanese.
  5. Have adequate vision and hearing to watch a video in Mandarin or Taiwanese on a tablet.
  6. Willing to participate in the study after explanation.
* Phase 2 - Healthcare Providers

  1. Have professional knowledge and practical experience in advance care planning (ACP).
  2. Have experience caring for frail elderly populations.
  3. Able to communicate in Mandarin or Taiwanese.
  4. Willing to participate in the study after explanation.

Exclusion Criteria:

1.Cognitive impairment, unable to communicate clearly.

Primary outcomes:
measure: comprehensibility
timeFrame: Watching a 10-minute video and completing questionnaire takes approximately 5-10 minutes.
measure: usability
timeFrame: Watching a 10-minute video and completing questionnaire takes approximately 5-10 minute
measure: feasibility
timeFrame: Watching a 10-minute video and completing questionnaire takes approximately 5-10 minute
Secondary outcomes:
Other outcomes:
Locations:
city: Taipei
country: Taiwan
facility: National Taiwan University Hospital
Study officials:
References: