Web-based Advance Care Planning Intervention for Patients With Kidney Failure on Dialysis: Pilot Testing of 'My Voice'

Inclusion criteria

For patients

• Singapore citizens or permanent residents; aged 21 years (age of majority) or older
• CKD stage 5; receiving dialysis
• Identified as eligible for SIC by NKF HCPs based on one or more of the following:

• clinical deterioration with a terminal condition or
• intolerability to dialysis or
• having two or more unplanned hospitalizations for renal complications in the past 6 months (from medical records); or
• known to palliative care or under conservative care as indicated in the discharge summary or
• poor functional status indicated by the Fragility Assessment for Elders (FIFE) score >4
• Normal cognitive function as indicated by Mini Mental Scale Examination (MMSE) score of 24 or more (based on medical record)
• Able to speak and read English, Mandarin or Malay
• Agreeable to be audio-recorded

Inclusion criteria

For caregivers

• Aged 21 years old and above
• Family caregivers of the patients recruited i.e. Caregiver primarily involved in providing care, ensuring provision of care, and/or in making decisions regarding patient's care, with no expectation of financial compensation
• Able to speak and read English, Mandarin or Malay
• Have a phone and/or an electronic device with internet access.
• Agreeable to be audio-recorded

Exclusion criteria

For Patients

• Patients with cognitive impairment or serious mental illness will be excluded
• Patients who had prior serious illness conversations (SIC) will be excluded
• Are not easily contactable via mobile phone or landline

Exclusion criteria

For Caregivers

• Those who are foreign domestic workers/maids
• Are not easily contactable via mobile phone or landline