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Completed

NCT Number: NCT04162912

Motivational Interviewing Tailored Programme for Promoting Advance Care Planning Behaviours

This proposed study is designed to test the effects of motivational interviewing (MI) in increasing the uptake of ACP behaviours among patients with palliative care needs. A randomised controlled trial with repeated blinded outcome assessment will be conducted to assess the effects of a MI-tailored ACP (MI-ACP) programme on palliative care patients recruited from the outpatient palliative care clinics and home palliative care services of two hospitals. A total of 204 patients will be recruited and randomly assigned to experimental and control groups. The patients in the experimental group will receive a MI-ACP programme facilitated by a trained nurse, whereas the patients in the control group will receive usual care. Primary outcome is the behavioural changes in ACP. Secondary outcomes are perceived stress, decisional conflict and quality of life. Study outcomes will be measured at baseline, 1 month and 3 months after enrolment.

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Key information

Conditions

End Stage Disease

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

United Christian Hospital, Kwun Tong, Hong Kong

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 18 years of age or over
  • newly referred to palliative care services
  • with a palliative performance scale (PPS) score of 60 or above; and
  • with full level of consciousness

Exclusion criteria

  • uncommunicable because of sensory impairment or language barrier
  • cognitively impaired
  • are receiving active psychiatric treatment
  • already had signed an advance directive

Treatment and study plan

Motivational Interviewing tailored Advance Care Planning

Behavioral

The trained interventionist who is experienced in MI techniques will explore their illness experiences, emotions and beliefs about their health conditions and future care in an empathetic manner and explore their ambivalence for ACP behaviours.

Primary outcomes

  1. Advance Care Planning Behaviour

    Time frame: Baseline, 1 month and 3 months follow up

    Behaviour changes in ACP behaviours measured using a questionnaire. It included 4 items about different ACP behavior on a 5-point Likert scale. The higher score means the higher level of readiness for the behaviours.

Secondary outcomes

  1. Decisional conflict

    Time frame: Baseline, 1 month and 3 months follow up

    Decisional conflict regarding end-of-life care is measured by the SURE test, a questionnaire with 4-item on knowledge and support for medical decision making. The higher score means the less decisional conflict.

  2. Perceived stress

    Time frame: Baseline, 1 month and 3 months follow up

    Perceived stress is measured by a 10-item Perceived Stress Scale, a questionnaire, using a 5-point Likert scale. The higher score means the higher level of stress.

  3. Quality of life

    Time frame: Baseline, 1 month and 3 months follow up

    Quality of life is measured by using a 23-item modified Quality of Life Concerns in the End of Life Questionnaire. The 23 items are rated on a 4-point Likert scale. The higher score means the better quality of life.

Sponsors and collaborators

Lead sponsor

Food and Health Bureau, Hong Kong

Other Gov

Collaborators

  • Haven of Hope Hospital
  • United Christian Hospital

Registry information

Official study title

Effects of a Motivational Interviewing Tailored Programme for Promoting Advance Care Planning Behaviours Among Patients With Palliative Care Needs: A Randomised Controlled Trial

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Nov 14, 2019
Registry last updated
Apr 17, 2020

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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