Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Mackay Memorial Hospital | OTHER |
Not provided
Not provided
Not provided
Not provided
By developing a smart mobile shared decision-making (SDM) model, this study aims to assist family members of critically ill end-stage patients in making appropriate decisions, enhance their decision quality, and evaluate the model's effectiveness
This study utilized a single-blind experimental design and was conducted in the intensive care unit (ICU) of a medical center in northern Taiwan. The study participants were family members responsible for making end-of-life decisions for patients diagnosed with terminally ill critical conditions. Participants were randomly assigned to either the experimental or control group using block randomization software. A total of 70 participants were enrolled, with 35 assigned to the experimental group and 35 to the control group
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mobile technology devices | Experimental | mHealth tools 7days |
|
| Placebo | Placebo Comparator | Usual Care |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Experimental: Mobile technology devices | Other | Phase 1 primarily involved scheduling the family meeting and providing decision aids. Family members used smartphones or tablet computers to download a mobile health application or scanned a QR code to access the content. They were instructed to complete reviewing the materials prior to the next phase. Phase 2 took place within three days, during which the medical team and family members convened a family meeting in the ICU conference room. The team accompanied the family in watching an approximately four-minute video titled 'End-of-Life Options,' explained the details of end-of-life care, and assisted them in selecting appropriate care plans |
| Measure | Description | Time Frame |
|---|---|---|
| Decisional Conflict | To evaluate the changes in decisional conflict among family members."The Decisional Conflict Scale (DCS) was employed to measure participants' uncertainty in making choices. The scale comprises 16 items across five subscales, with a total score exceeding 37.5 indicating significant decisional conflict. The instrument has demonstrated robust internal consistency (Cronbach's alpha = 0.78 - 0.92)." | 7days |
Not provided
Not provided
Inclusion Criteria:
-Patients diagnosed with terminal cancer or the eight designated non-cancer terminal diseases.
Patients determined to have a terminal and irreversible condition by two attending physicians.
Primary family decision-makers who are aged 20 years or older and provide informed consent to participate in the study.
Able to communicate in Mandarin or Taiwanese and possess basic literacy skills.
Exclusion Criteria:
Those who have already received end-of-life decision-making consultations prior to ICU admission.
Patients who already have a Do Not Resuscitate (DNR) status annotated and have confirmed their end-of-life care preferences.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| MA C HUI | Mackay Memorial Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ma Chia Hui | New Taipei City | 251 | Taiwan |
Not provided
Randomly assigned to an experimental group and a control group.
Not provided
Not provided
Participants were randomly assigned to either the experimental group or the control group using block randomization software. Family members were blinded to the group allocation
|
| Placebo Comparator: Placebo | Other | usual care |
|