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The purpose of this study is to estimate the effect size of the Chit-Chat intervention on ACP engagement among family members of older adults with multi-morbidity.
After being informed about the study and potential risks, all eligible participants will be asked to provide written informed consent for study entry. At week 0, participants will be randomized in an assessor-blinded randomized controlled trial in a 1:1 ratio to received the Chit-Chat intervention (two 2-hr weekly educational sessions) or wait-list control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chit-Chat | Experimental | The Chit-Chat intervention, covering five areas, including (1) Serious illness in older adults, (2) Realities of caring and dying from a carer's perspective, (3) Introduction to the importance of advance care planning for individuals and communities, (4) Effective communication between older adults, family members, and healthcare professionals in ACP conversations (i.e. listening to the wishes and preferences of older adults regarding their needs), and (5) audience participation and clarification including questions, answers and concerns. |
|
| Waitlist Control | No Intervention | No intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chit-Chat | Other | Participants will receive the 2 sessions of the Chit-Chat intervention on a weekly basis. |
|
| Measure | Description | Time Frame |
|---|---|---|
| ACP engagement | The validated Chinese version of the ACP Engagement Survey - Surrogate Decision Maker consists of 17 items covering 4 dimensions: role cognition, contemplation, self-efficacy, and readiness. The questionnaire used a 5-point Likert scale to gather response. The total score can range between 17 and 85, with higher score indicating higher level of ACP engagement. | 2 Weeks; 1-month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Knowledge of ACP | The Knowledge Questionnaire consists of five items which address the purposes of ADs, EOL discussion, and issues related to ACP. The possible range of the total score is 0-5, with higher scores indicating better knowledge. | 2 Weeks; 1-month follow-up |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Doris YP Leung, PhD | The Hong Kong Polytechnic University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hong Kong Polytechnic University | Hong Kong | Hong Kong |
Individual participant data are not readily shared because permission to use the data by other researchers has to seek approval from the ethical committee. Request to access IPD should be directed to PI for further consideration and seeking approval from ethical committee.
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