Clinical trial NCT06247215: Development of a Culturally Tailored Resilience-building Intervention for Chinese American's Advance Care Planning Discussions
Official title: Development of a Culturally Tailored Resilience-Building Intervention to Facilitate Advance Care Planning Discussions Between Chinese American Patients and Their Family Caregivers
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Advance Care Planning
Neoplasms
Heart Diseases
Lead sponsor: University of Illinois at Chicago
Sponsor class: OTHER
Collaborators: name: University of Chicago
name: Rush University Medical Center
name: National Institute on Minority Health and Health Disparities (NIMHD)
First posted: 2024-02-07
Enrollment: 36
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: Less than 15% of Chinese Americans complete advance directives. That is less than half of the 37% completion rate in the US general population. This disparity in the use of advance care planning between White Americans and Chinese Americans may extend to disparities in end-of-life care. To address such disparities in end-of-life care, we will develop and assess the acceptability of a culturally tailored resilience-building intervention to help Chinese Americans with cancer or heart disease and their family caregivers engage in advance care planning discussions.

Detailed description: The overall objective of this cross-sectional pilot study is to develop a culturally tailored resilience-building intervention for Chinese Americans with cancer or heart disease in Chicago. A qualitative analysis of semi-structured interviews will be conducted to identify how religious leaders addressed death-related topics with Chinese Americans with cancer or heart disease in Chicago. In addition, a usability test of a resilience-building intervention prototype will be conducted to to understand the feasibility and acceptability among 18 pairs of Chinese Americans and their family caregivers (9 pairs with cancer and 9 pairs with heart disease).

Eligibility criteria: Inclusion criteria for patient participants:

* Age ≥ 18 years of age
* Having a cancer diagnosis or a heart failure diagnosis documented in the electronic medical record
* Being able to read and respond to questions in English or Mandarin
* Having a family caregiver who is responsible for the care and willing to participate in the study
* Being of non-Hispanic Asian race/ethnicity

Exclusion criteria for patient participants:

* Having cognitive impairment per a Short Portable Mental Status Questionnaire with more than 3 errors
* Having received heart transplantation or a left ventricular assist device • Having completed an advance directive
* Being born in the US

Inclusion criteria for identified family caregivers:

* Age ≥ 18 years
* Being able to read and respond to questions in English or Mandarin
* Being identified by the patient as a family caregiver

Primary outcomes:
measure: Acceptability
timeFrame: Immediately at the end of the usability testing
Secondary outcomes:
Other outcomes:
Locations:
city: Chicago
country: United States
facility: University of Illinois Chicago
state: Illinois
Study officials:
References: