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NCT Number: NCT07525492

Die-logue Program for Community Dwelling Adults: A Randomized Controlled Trial

The goal of this clinical trial is to evaluate whether the Die-logue program can improve attitudes toward death, coping with death, and readiness for advance care planning (ACP) among community-dwelling middle-aged adults aged 40-60 years who have not completed any advance directives and not diagnosed with any life limiting diseases.

This study aims to address the following research questions:

* Does the Die-logue program improve community-dwelling middle-aged adults' attitudes towards death, ability to cope with death, readiness and uptake for Advanced Care Planning (ACP). * What are community-dwelling middle-aged adults' perceptions of advance care planning, death and dying, and their experiences of participation in the Die-logue program.

Researchers will compare participants who receive the Die-logue program (death conversation and online ACP education) with participants who receive only the online ACP education to see if informal death conversations improve attitudes toward death, coping with death, and readiness for ACP.

Participants will:

* Complete online questionnaires measuring attitudes toward death, coping with death, and readiness for advance care planning. * Participate in a facilitator-led group discussion session about perceptions of death, coping with death, and readiness for ACP (intervention group only). * Complete an asynchronous online ACP education session consisting of short recorded videos and an online discussion forum (both intervention and control group). * Complete follow-up surveys, including a 6-month follow-up assessing whether they have undertaken advance care planning.

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Key information

Age range

40 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Between the ages of 40 to 60 years
  • Able to comprehend the English language
  • Have not completed any form of advance directives
  • Able and willing to participate in the Die-logue programme and surveys

Exclusion criteria

  • Individuals diagnosed with any life limiting diseases
  • Individuals with self-reported history of mental health disorders or neurological disorders

Treatment and study plan

Death Conversation

Behavioral

On site, facilitator-led group discussion lasting 2 hours, covering: 1) Perceptions of death and dying. 2) Coping with death. 3) Readiness for Advance Care Planning (ACP)

Online ACP Education

Behavioral

An online asynchronous learning session with short videos on ACP with discussion forums.

Primary outcomes

  1. Death Attitudes

    Time frame: Before intervention

    Death Attitude Profile Revised Scale (DAP-R)

  2. Death Attitudes

    Time frame: Immediately after intervention

    Death Attitude Profile Revised Scale (DAP-R)

Secondary outcomes

  1. Coping with Death

    Time frame: Before intervention

    Coping with Death Scale - Short Form (CDS-SF)

  2. Coping with Death

    Time frame: Immediately after intervention

    Coping with Death Scale - Short Form (CDS-SF)

  3. Coping with Death

    Time frame: 6 months after intervention

    Coping with Death Scale - Short Form (CDS-SF)

  4. Death Attitudes

    Time frame: 6 months after intervention

    Death Attitude Profile Revised Scale (DAP-R)

  5. Readiness for Advance Care Planning

    Time frame: Before intervention

    Readiness for Advance Care Planning (RACP) Scale

  6. Readiness for Advance Care Planning

    Time frame: Immediately after intervention

    Readiness for Advance Care Planning (RACP) Scale

  7. Readiness for Advance Care Planning

    Time frame: 6 months after intervention

    Readiness for Advance Care Planning (RACP) Scale

  8. Uptake of Advance Care Planning

    Time frame: 6 months after intervention

    Self-reported completion of Advance Care Planning Activities

Study contacts

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

Darryl Ang, PhD

CONTACT

[email protected]

+65 65167792

Sponsors and collaborators

Lead sponsor

National University of Singapore

Other

Registry information

Official study title

Effects of a Die-logue Program in Enhancing Community Dwelling Adults's Death Attitudes, Coping With Death and Readiness for Advance Care Planning: A Two-phase Study

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Apr 13, 2026
Registry last updated
Apr 13, 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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