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NCT Number: NCT07370311

A Culturally Adapted Decision Aid Intervention to Support Chinese American Dementia Caregivers in Feeding-Related Decisions

Family caregivers of people with dementia have to decide between tube feeding and hand feeding when persistent eating problems arise. This decision can be difficult for Chinese American dementia caregivers, due to the interplay of culture, potential absence of a patient's advance directive, poor understanding of dementia, and lack of knowledge on the risks and benefits of tube feeding. In this polit study, the principal investigator examines whether a culturally adapted decision aid intervention regarding feeding options named "Chinese version of Making Choices Feeding Options for Patients with Dementia Decision Aid" (CMCFODA) will improve Chinese American caregivers' decision-making about feeding options in patients with moderate or advanced dementia. The proposed study advances the field by providing critical evidence to inform the development and implementation of culturally adapted decision support interventions in end-of-life dementia care.

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Key information

Conditions

Dementia Caregivers Advanced Dementia End of Life Decision Making

Age range

21 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

School of Nursing at UT Austin

Austin, Texas, 78712, United States

Location status: Recruiting

Location contact

Yaolin Pei, PhD

CONTACT

[email protected]

8064708689

Yaolin Pei, PhD

PRINCIPAL_INVESTIGATOR

CONTACT

[email protected]

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 21 years and older
  • Self-identify as Chinese
  • Providing caregiving or involvement in end-of-life care decision-making for older Chinese adults with: a) moderate or advanced dementia, b) feeding difficulties, and c) poor oral intake, eating/swallowing problems, or weight loss

Exclusion criteria

  • Dementia patients are a) receiving tube feeding, b) enrolled in hospice care, or 3) have a documented preference against a feeding tube

Treatment and study plan

Chinese version of Making Choices Feeding Options for Patients with Dementia Decision Aid

Other

Participants in the treatment group will receive the CMCFODA via zoom meeting or another secure video conferencing platform and an individualized decision coaching.

Primary outcomes

  1. Decision conflict

    Time frame: Baseline; One-Month Follow-Up; Three-Month Follow-Up

    SURE test for decisional conflict (0-4)

  2. Knowledge of feeding options and dementia

    Time frame: Baseline; One-Month Follow-Up; Three-Month Follow-Up

    Questions to assess knowledge about feeding options and dementia

  3. Expectations of tube feeding

    Time frame: Baseline; One-Month Follow-Up; Three-Month Follow-Up

    Questions about understanding differing expectations regarding feeding tube use

Secondary outcomes

  1. Frequency of communication with other family members and healthcare providers

    Time frame: Baseline; One-Month Follow-Up; Three-Month Follow-Up

    Questions to understand caregiver involvement, support, and information flow

  2. Preference of feeding option

    Time frame: Baseline; One-Month Follow-Up; Three-Month Follow-Up

    Careful hand feeding, tube feeding, or unsure

  3. Preparation for decision-making scale (treatment group only)

    Time frame: One-Month Follow-Up; Three-Month Follow-Up

    Questions to assess the effect of the intervention by preparing for feeding option decision-making

  4. The Feasibility of the CMCFODA study as measured by recruitment rates and the proportion of participants that decline participation.

    Time frame: Enrollment

    The feasibility of the CMCFODA study will be measured by the proportion of eligible participants who decline to participate among those who were screened into the study.

  5. The Feasibility of the CMCFODA study as measured by participant retention, as indicated by the number of participants lost to follow-up.

    Time frame: Enrollment, One-Month Follow-Up,Three-Month Follow-Up

    Participant retention, as an aspect of feasibility, will be measured by the recorded number of participants number lost to follow-up.

  6. Acceptability of the decision aid and decision coaching (only for the treatment group)

    Time frame: One Month Follow-Up

    We will use developed questions to measure the acceptability of this intervention

Study contacts

Contact information is provided by the study sponsor or research team.

Yaolin Pei, Ph.D.

CONTACT

[email protected]

8064708689

Sponsors and collaborators

Lead sponsor

Yaolin Pei

Other

Collaborators

  • National Institutes of Health (NIH)

Registry information

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
Jan 27, 2026
Registry last updated
Jun 17, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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