Strengthen Family Members' Understanding of Advance Care Planning With a Nurse-led, Motivational Interview

Strengthen Family Members' Understanding of Advance Care Planning With a Nurse-led, Motivational Interview Educational Intervention: A Mixed-method Feasibility Study

The goal of this clinical trial is to strengthen the understanding of advance care planning (ACP) in family members of older adults in residential care homes with a nurse-led, motivational interview (MI) educational intervention.The main question it aims to answer is: The feasibility of the nurse-led, motivational interview educational intervention to promote family members' understanding of ACP.

Participants will receive a nurse-led, motivational interview educational intervention to see if the nurse-led, motivational interview educational intervention works in strengthening family members' knowledge on ACP and readiness for initiating conversations on ACP with their loved ones.

Targeted issue: Lack of feasible method exists to empower family members of older adults in residential care homes to engage in advance care planning (ACP).

Population: Family members who are identified by a resident aged above 65 years old in residential care homes.

Intervention: A nurse-led, stage-tailored, motivational interview (MI) educational intervention.

Study aim: To evaluate the preliminary feasibility of the nurse-led, motivational interview educational intervention to promote family members' understanding of ACP.

Study method: This is a mixed-methods design, including an intervention trial and qualitative process evaluation interview. Participants will receive a nurse-led, motivational interview educational intervention and research staff will track their readiness for ACP at three-time points (before the intervention [T0], 2-week [T1], 3-week [T2] post-intervention). In addition, a post-intervention interview, regarding participants' experience of receiving the intervention, will be conducted.

Inclusion Criteria:

• Age 18 and above
• Identified by a resident aged above 65 years old in the residential care home as family member by the HA's definition
• Able to read and write in Chinese

Exclusion Criteria:

• Moderate to severe cognitive impairment
• Severe hearing impairment, defined as unable to participate in a telephone conversation
• Primary language other than Cantonese or Mandarin
• No access to telephone
• Cannot read or write in Chinese