Clinical trial NCT06359392: Palliative Care Messaging for American Indians
Official title: Culturally Responsive Palliative Care Messaging for American Indians: An Efficacy Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Knowledge, Attitudes, Practice
Keywords: palliative care
American Indian
hospice
end of life
Lead sponsor: South Dakota State University
Sponsor class: OTHER
Collaborators: name: Great Plains Tribal Leaders Health Board
name: National Institute of Nursing Research (NINR)
First posted: 2024-04-11
Enrollment: 408
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The investigators will be conducting a randomized trial in 3 reservation communities to test the efficacy of the narrative as culture-centric health promotion model for increasing American Indian tribal members' palliative care knowledge and intentions to discuss palliative care.

Detailed description: Palliative care is specialized patient-/family-centered care designed to reduce suffering and enhance quality of life for persons with serious illness. Culturally responsive palliative care can ease serious illness burden experienced by American Indians (AIs) and improve seriously ill AIs end-of-life decision-making. However, for seriously ill Northern Plains AIs, specifically those in South Dakota (SD), access to and use of culturally responsive palliative care is severely limited. To address this need, the investigators have formed a multidisciplinary, tribally-driven collaborative team consisting of Great Plains Tribal Leaders Health Board, active AI community advisory boards at the following reservations: Cheyenne River, Rosebud, and Pine Ridge, and South Dakota State University. The research team will conduct a campaign messaging efficacy test using the narrative as culture-centric health promotion model (NCHP) to create and test culture-centric narrative messaging that improves knowledge of palliative care and encourages participants to engage in formal and informal communication about palliative care. The NCHP model is an evidence-based innovative approach to enhance AI's knowledge and intentions to talk formally and informally about palliative care, because it provides guidelines for how to construct culture-centric narratives which identify the features of effective narratives and the mechanisms by which the narratives work to transform cognitive and behavioral outcomes. The investigators have developed a culture-centric narrative health video message and will be conducting a randomized trial to test the efficacy of the NCHP model for increasing AI tribal members' palliative care knowledge and intentions to discuss palliative care.

Eligibility criteria: Inclusion Criteria:

* 18 years old or older
* Self-identify as American Indian
* Must be able to read and comprehend English
* Live on or around the Pine Ridge Indian Reservation, Rosebud Indian Reservation, or Cheyenne River Indian Reservation

Exclusion Criteria:

* Under the age of 18 years
* Not American Indian
* Do not live near or on the Pine Ridge Indian Reservation, Rosebud Indian Reservation, or Cheyenne River Indian Reservation

Primary outcomes:
measure: Palliative Care Knowledge Scale (PaCKS)
timeFrame: 2 hours
measure: Knowledge of Care Options (KOCO)
timeFrame: 2 hours
measure: Hospice and Palliative Care Questionnaire (HPCQ)
timeFrame: 2 hours
measure: Identification and Transportation with Palliative Care Message
timeFrame: 2 hours
measure: Attitudes and Intentions to Discuss Palliative Care
timeFrame: 2 hours
Secondary outcomes:
Other outcomes:
Locations:
city: Rapid City
country: United States
facility: South Dakota State University
state: South Dakota
Study officials:
affiliation: South Dakota State University
name: Mary J Isaacson, PhD, RN
role: PRINCIPAL_INVESTIGATOR
References: