Clinical trial NCT06061107: Effects of Intervention on Hope, Anxiety, and Attitudes and Behavioral Intentions of Advance Care Planning in Older Adults With Cancer
Official title: Effects of Intervention on Hope, Anxiety, and Attitudes and Behavioral Intentions of Advance Care Planning in Older Adults With Cancer
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Advance Care Planning
Lead sponsor: National Taiwan University Hospital
Sponsor class: OTHER
First posted: 2023-09-29
Enrollment: 82
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Primary purpose: SUPPORTIVE_CARE

Brief summary: The study aims to explore the impact of advance care planning on the attitudes, behavioral intentions, hopes, and anxiety of elderly people with cancer on advance care planning with the assistance of the "Advance Care Consultation for the Elderly" manual.

Detailed description: The experimental group used the cartoon version of the "Advance Care Consultation for the Elderly" manual to guide the ACP process. The process included three parts: an introduction to ACP, an introduction to terminal medical care, and a discussion of what the participants wanted to do about their own health in the past, present, and future required medical care. The estimated time to lead and conduct the ACP conversation is approximately 40 minutes. The control group maintained routine care. The measurement tools are the Advance Care Planning Attitude Scale, Behavioral Intention Scale, Chinese version of Situational Anxiety Inventory-Situational Anxiety Inventory (STAI-S), and Hope State Inventory (Herth Hope Index, HHI) ). There are three measurement time points: pre-test, two weeks after intervention, and one month after intervention. Expected research results: It is expected that intervention measures can improve the positive attitudes and behavioral intentions of elderly people with cancer towards ACP while maintaining their sense of hope without increasing anxiety. It is hoped that the intervention of ACP can enhance the exploration of their own medical preferences and values by the elderly with cancer, and help them become more aware of their own choices and needs when facing treatment decisions in the future.

Eligibility criteria: Inclusion Criteria:

1. Cancer patients aged 65 years or older.
2. Patients currently undergoing cancer treatment.
3. Clear consciousness and able to communicate in Mandarin or Taiwanese.
4. Score of 8 points or higher (inclusive) on the Short Portable Mental State Questionnaire (SPMSQ).

Exclusion Criteria:

1. Individuals with a score of 7 points or lower (inclusive) on the Short Portable Mental State Questionnaire (SPMSQ).
2. Individuals who have not been informed about their cancer diagnosis.

Primary outcomes:
measure: Attitude Scale
timeFrame: three measurement time points: pre-test, two weeks after intervention, and one month after intervention.
measure: Behavioral Intention Scale
timeFrame: three measurement time points: pre-test, two weeks after intervention, and one month after intervention.
measure: State Anxiety, A-State，STAI-S
timeFrame: three measurement time points: pre-test, two weeks after intervention, and one month after intervention.
measure: Herth Hope Index, HHI
timeFrame: three measurement time points: pre-test, two weeks after intervention, and one month after intervention.
Secondary outcomes:
Other outcomes:
Locations:
city: Taipei county
country: Taiwan
facility: Hsu Ya Hui
Study officials:
References: