Clinical trial NCT06035549: Resilience in East Asian Immigrants for Advance Care Planning Discussions
Official title: Development of a Culturally Tailored Digital Resilience-Building Intervention for East Asian Immigrants With Cancer to Facilitate Advance Care Planning Discussions
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Neoplasms
Advance Care Planning
Lead sponsor: University of Illinois at Chicago
Sponsor class: OTHER
Collaborators: name: Rockefeller University
First posted: 2023-09-13
Enrollment: 54
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: The purpose of the study is to develop a culturally tailored digital resilience-building intervention to help East Asian immigrants engage in advance care planning discussions with their family caregivers.

Detailed description: Advance care planning (ACP) is a process to facilitate decision-making for future care and document values and preferences. However, the advance directive completion rates in East Asian Americans are low, which may extend to disparities in end-of-life care, including rates of hospice use and prevalence of unwanted aggressive treatments. To address this, this study uses information technology to develop a culturally tailored digital resilience-building intervention with and for East Asian immigrants to help them engage in ACP discussions. There are two aims of this study: (1) Conduct semi-structured interviews with a total of 30 religious leaders to identify the barriers and facilitators associated with discussing ACP and death-related topics with immigrants from China/Taiwan, Japan, and Korea and (2) Develop a culturally tailored digital resilience-building intervention using think-aloud interviews with 27 pairs of East Asian immigrants with cancer and their family caregivers (9 pairs each for immigrants from China/Taiwan, Japan, and Korea).

Eligibility criteria: Inclusion Criteria for Patients:

* Age ≥ 18 years
* Having a cancer diagnosis documented in the electronic medical record
* Being able to read and respond to questions in English, Mandarin, Cantonese, Japanese, or Korean
* Having a family caregiver who is willing to participate in the study
* Have adequate electronic health literacy with a score of \> 30 on the electronic-Health Literacy Scale.

Exclusion Criteria for Patients:

* Having cognitive impairment per a Short Portable Mental Status Questionnaire with more than three errors
* Having completed an advance directive
* Being born in the US

Inclusion Criteria for Family Caregivers:

* Age ≥ 18 years
* Being able to read and respond to questions in English, Mandarin, Cantonese, Japanese, or Korean
* Being identified by the patient as a family caregiver
* Having adequate electronic health literacy with a score of \> 30 on the electronic-Health Literacy Scale.

Primary outcomes:
measure: Usability
timeFrame: Immediately at the end of the think-aloud interview
Secondary outcomes:
measure: Acceptability
timeFrame: Immediately at the end of the think-aloud interview
Other outcomes:
Locations:
city: Chicago
country: United States
facility: University of Illinois Chicago
state: Illinois
Study officials:
affiliation: University of Illinois Chicago College of Nursing
name: Li-Ting H. Longcoy
role: PRINCIPAL_INVESTIGATOR
References: