Effects of a Culturally-sensitive Theory-driven Advance Care Planning (ACP) Game Among Chinese Older Adults

The Chinese University of Hong Kong

Status: Completed

Conditions: Advance Care Planning; Older Adults; Game

Treatments: Behavioral: Usual care; Behavioral: ACP game

Study type: Interventional

Funder types: Other

Identifiers

NCT04203407

CREC2019428

ChiCTR1900028190 (Registry Identifier)

Details and patient eligibility

About

This proposed study aims to examine the effects of a culturally-sensitive theory-driven advance care planning (ACP) game in increasing the self-efficacy and readiness of ACP behaviours among Chinese community-dwelling older adults. This is a mixed methods study with the quantitative paradigm being the main research approached used. The quantitative arm will be a randomized controlled trial (RCT). The qualitative arm will adopt focus group interviews for data collection. Recruited subjects from the community centres will be randomly allocated to the intervention and control group. The older adults in the experimental group will receive an ACP board game delivered by trained facilitators, whereas the older adults in the control group will receive another board game about healthy lifestyle. The outcome measures of the older adults will include the ACP Engagement scale, the Life-Support Preferences Questionnaire (LSPQ), a self-developed ACP knowledge questionnaire and those data will be collected at baseline (T0), immediately post-intervention(T1), at 1 month (T2), and 3 month (T3). The qualitative arm of this study will contribute to the understanding of issues and effects of ACP game as an intervention. Its finding will complement the results obtained from the RCT.

Enrollment: 144 patients

Sex: All

Ages: 60 to 100 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• aged 60 years or over;
• speak Chinese.

Exclusion criteria

• uncommunicable because of language barrier or sensory impairment;
• have been referred to the palliative care service at the time of recruitment.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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144 participants in 2 patient groups

ACP game

Experimental group

Description:

Participants in the intervention group will be divided into groups of 4 participants to play a 1-hour culturally-sensitive theory-driven ACP board game with 15-minute debriefing delivered by facilitators. The ACP board game is developed by the principle investigator in a previous project.

Treatment:

Behavioral: ACP game

Usual care

Active Comparator group

Description:

Participants in the control group will receive a 1-hour board game about health lifestyle.

Treatment:

Behavioral: Usual care