Clinical trial NCT06046261: Exploring the Impact of " ACP Board Game for Life" on Death Preparation and Anxiety in Patients With Stage 4 and 5 Chronic Kidney Diseases: A Pilot Study
Official title: Exploring the Impact of " ACP Board Game for Life" on Death Preparation and Anxiety in Patients With Stage 4 and 5 Chronic Kidney Diseases: A Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Kidney Disease
Chronic Renal Failure
Chronic Renal Insufficiency
End of Life Care
Advance Care Planning
Death Anxiety
Keywords: Chronic Kidney Disease
Death Preparation
Death Anxiety
Advance Care Planning
Board Game
Lead sponsor: National Cheng-Kung University Hospital
Sponsor class: OTHER
First posted: 2023-09-21
Enrollment: 69
Sex: ALL
Minimum age (years): 21
Maximum age (years): 78
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: This study was to explore the impacts of participating in "ACP board game for life" on death preparation, death anxiety, end-of-life care preferences, and intervention perception in stage 4-5 CKD patients with advanced chronic kidney diseases in a medical center.

Detailed description: This study was to explore the impacts of participating in "ACP board game for life" on death preparation, death anxiety, end-of-life care preferences, and intervention perception in stage 4-5 CKD patients with advanced chronic kidney diseases in a medical center. A nonrandomized two-arm pretest and posttest quasi-experimental design was used. Patients in the control group received routine care while patients in the experimental group received routine care and ACP board game for life. The ACP board game, death preparation subscale, Chinese Likert death anxiety scale, self-created questionnaires and brief interview were used for data collection.

Eligibility criteria: Inclusion Criteria:

* Stage 4-5 chronic kidney disease patients
* Chinese nationality
* Over 20 years old
* Consciousness clear, can communicate and express their opinions in Mandarin and Taiwanese

Exclusion Criteria:

* Patients express that talking about death makes them feel scared or cause anxiety
* The doctor assesses that the patient's condition is in the stage of septic shock, hemodynamic instability, asthma, pulmonary edema, hypoxemia or acute myocardial infarction
* Patients with contact or airborne precautions
* Patients without legal capacity

Primary outcomes:
measure: Death Preparation
timeFrame: 2hours
measure: Death Anxiety
timeFrame: 2hours
measure: End-of-Life Care Preferences
timeFrame: 2hours
measure: Intervention Perception
timeFrame: 2hours
Secondary outcomes:
Other outcomes:
Locations:
city: Tainan
country: Taiwan
facility: National Cheng Kung University Hospital
Study officials:
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