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| ID | Type | Description | Link |
|---|---|---|---|
| NUHSRO/2025/007/RO5+5/Seed-Sep | Other Grant/Funding Number | National University Health System |
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The goal of this clinical trial is to evaluate whether the Die-logue program can improve attitudes toward death, coping with death, and readiness for advance care planning (ACP) among community-dwelling middle-aged adults aged 40-60 years who have not completed any advance directives and not diagnosed with any life limiting diseases.
This study aims to address the following research questions:
Researchers will compare participants who receive the Die-logue program (death conversation and online ACP education) with participants who receive only the online ACP education to see if informal death conversations improve attitudes toward death, coping with death, and readiness for ACP.
Participants will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Group | Experimental | Participants in this arm will receive the two-session Die-logue Program. Session 1 is an on site, facilitator-led group discussion lasting 2 hours, covering:
Session 2 is an online asynchronous learning session with short videos on ACP with discussion forums. |
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| Control Group | Active Comparator | Participants in this arm will only receive the online ACP education component, identical to Session 2 of the Die-logue programme. No facilitator-led group discussions are provided. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Death Conversation | Behavioral | On site, facilitator-led group discussion lasting 2 hours, covering: 1) Perceptions of death and dying. 2) Coping with death. 3) Readiness for Advance Care Planning (ACP) |
| Measure | Description | Time Frame |
|---|---|---|
| Death Attitudes | Death Attitude Profile Revised Scale (DAP-R) | Before intervention |
| Death Attitudes | Death Attitude Profile Revised Scale (DAP-R) | Immediately after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Coping with Death | Coping with Death Scale - Short Form (CDS-SF) | Before intervention |
| Coping with Death | Coping with Death Scale - Short Form (CDS-SF) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Darryl Ang, PhD | Contact | +65 65167792 | darrylang@nus.edu.sg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National University of Singapore | Singapore | Singapore |
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| ID | Term |
|---|---|
| C000719207 | Necrophobia |
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| Online ACP Education | Behavioral | An online asynchronous learning session with short videos on ACP with discussion forums. |
|
| Immediately after intervention |
| Coping with Death | Coping with Death Scale - Short Form (CDS-SF) | 6 months after intervention |
| Death Attitudes | Death Attitude Profile Revised Scale (DAP-R) | 6 months after intervention |
| Readiness for Advance Care Planning | Readiness for Advance Care Planning (RACP) Scale | Before intervention |
| Readiness for Advance Care Planning | Readiness for Advance Care Planning (RACP) Scale | Immediately after intervention |
| Readiness for Advance Care Planning | Readiness for Advance Care Planning (RACP) Scale | 6 months after intervention |
| Uptake of Advance Care Planning | Self-reported completion of Advance Care Planning Activities | 6 months after intervention |