Patients with advanced disease with a need for end-of-life care
Conditions
Interventions
Experimental Group:Patients in the intervention group will receive a ACP programme which include a six-minute video on introduction toACP, followed by a 30-minute discussion guided by a trained nurse
Control Group: Patient in the control group will receive usual care such as ward routine and fall prevention advice.
Sponsors
The Nethersole School of Nursing, The Chinese University of Hong Kong
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Subjects will be recruited from Emergency Medicine Wards, ED of two public hospitals in Kowloon West Cluster, Hong Kong. One of the ED is in Kwai Tsing District providing tertiary care while the other ED is located on Lantau Island providing tertiary and rehabilitation service.Participants are adult (18 years old or above) admitted to the EMW, Chinese-speaking, fulfill the two general and one clinical criterion stipulated in the Supportive and Palliative Care Indicator Tools (SPICT™) (The University of Edinburgh, 2025). SPICT was developed as an instrument to identify patients at risk of dying within one year (Paulik et al., 2024). It has a sensitivity of 0.65 (95% CI) and a specificity of 0.72 (95% CI) in detecting life-limiting conditions (Paulik et al., 2024).By using this dual indicators approach, it allows a more comprehensive and personalized model of care for patients with advanced illnesses (Paulik et al., 2024).
Exclusion criteria
Exclusion criteria: Patients will be excluded if they are mentally incompetent determined based on the Diagnostic assessment Confusion Assessment Method (3D-CAM) (Marcantonio et al., 2015). The Chinese version of 3D-CAM can be used as a reliable and accurate instrument for delirium assessment, its sensitivity ranges from 85.7 to 100% and the specificity from 95.7 to 96.4% (Mu et al., 2020). Patients who were non-Chinese speaking, non-communicable, refusal or unable to give consent, altered sensorium or cognitive functions, physical unwell to receive the intervention, and with previous documented ACP or AMD will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recruitment and retention rate;Time spent in each intervention; | — |
Secondary
| Measure | Time frame |
|---|---|
| ACP engagement;Decisional Conflict;Documentation of end-of-life care preferences;Demographics and health conditions;Qualitative Interview; | — |
Countries
China
Contacts
Public ContactLEUNG Po Shan Melissa
The Chinese University of Hong Kong, The Nethersole School of Nursing
Outcome results
None listed