Web-based Advance Care Planning Intervention for Patients With Kidney Failure on Dialysis: Pilot Testing of 'My Voice'

Duke University

Status: Enrolling

Conditions: Kidney Failure, Chronic Therapy; Hemodialysis

Treatments: Other: My Voice website intervention with patient and caregiver modules

Study type: Interventional

Funder types: Other

Identifiers

NCT07309367

NUS-IRB-2024-713

Details and patient eligibility

About

'My Voice' is a website intervention developed to enable advance care planning (ACP) conversations for patients with kidney disease on dialysis, educate patients on their illness, help identify their goals and preferences for EOL care, and coaches them on how to speak with their HCPs and loved ones. This study aims to evaluate if 'My Voice' intervention improves quality of ACP conversations between patients and providers, and patients and family carers; improves patient's knowledge about kidney failure, engagement in ACP and preparedness for future end of life care compared to usual practices for ACP in dialysis centres.

Enrollment: 100 estimated patients

Sex: All

Ages: 21+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria: For patients

• Singapore citizens or permanent residents; aged 21 years (age of majority) or older

• CKD stage 5; receiving dialysis

• Identified as eligible for SIC by NKF HCPs based on one or more of the following:

  1. clinical deterioration with a terminal condition or
  2. intolerability to dialysis or
  3. having two or more unplanned hospitalizations for renal complications in the past 6 months (from medical records); or
  4. known to palliative care or under conservative care as indicated in the discharge summary or
  5. poor functional status indicated by the Fragility Assessment for Elders (FIFE) score >4

• Normal cognitive function as indicated by Mini Mental Scale Examination (MMSE) score of 24 or more (based on medical record)

• Able to speak and read English, Mandarin or Malay

• Agreeable to be audio-recorded

Inclusion Criteria: For caregivers

• Aged 21 years old and above
• Family caregivers of the patients recruited i.e. Caregiver primarily involved in providing care, ensuring provision of care, and/or in making decisions regarding patient's care, with no expectation of financial compensation
• Able to speak and read English, Mandarin or Malay
• Have a phone and/or an electronic device with internet access.
• Agreeable to be audio-recorded

Exclusion Criteria: For Patients

• Patients with cognitive impairment or serious mental illness will be excluded
• Patients who had prior serious illness conversations (SIC) will be excluded
• Are not easily contactable via mobile phone or landline

Exclusion Criteria: For Caregivers

• Those who are foreign domestic workers/maids
• Are not easily contactable via mobile phone or landline

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Intervention group

Experimental group

Description:

Patients will view My Voice website intervention and complete patient module. They will also receive standard of care for advance care planning \[namely serious illness conversation (SIC)\] with the health care provider at the dialysis centers. Caregivers will view My Voice website intervention and complete caregiver module.

Treatment:

Other: My Voice website intervention with patient and caregiver modules

Usual care group

No Intervention group

Description:

Patients will receive standard of care for advance care planning -namely the serious illness conversation (SIC) with the health care provider at the dialysis centres. Caregivers will receive no intervention.