Advanced Care Planning (ACP), ELDERLY PEOPLE, Lung Cancer (NSCLC)
Conditions
Brief summary
Background: Globally and nationally, malignant tumors persist as the leading cause of high incidence and mortality rates. In Taiwan, cancer tops the list of causes of death, with the elderly being predominantly affected, especially by lung cancer, which is the most prevalent type with the highest mortality and incidence rates in the nation. The Patient Autonomy Rights Act, implemented by the government in 2019, is designed to promote advance medical care consultation in medical institutions, respecting patient's autonomous decisions. In Chinese culture, medical decisions are typically family-oriented rather than individualistic, leading the elderly to frequently rely on their relatives'choices. This cultural practice may prevent meaningful conversations between potential agents and the elderly, causing misunderstandings of the elderly's preferences and affecting the consistency of medical decisions. Presently, interventions like board games for Advance Care Planning (ACP) are not well received, highlighting the need for more captivating content in intervention strategies.
Interventions
BEHAVIORALACP GAME
,Using board games as an activity intervention, a tool for discussion between elderly people with lung cancer and potential agents
BEHAVIORALacp manual
acp manual
Sponsors
National Taiwan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. lung cancer age ≧ 60 2. The elderly with lung cancer are conscious and have no severe visual or hearing impairment. 3.3. The potential agent is designated by the elderly person with lung cancer who may be a family member who may make medical decisions in the future. The potential agent must be at least 18 years old.
Exclusion criteria
1. People with severe hearing loss and visual impairment who are unable to communicate in Mandarin and Taiwanese. 2. The potential agent is under 18 years old
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Consistency in subsistence disposal preferences between the elderly and potential agents | Outcome Measure Total (3 Time Points): First time: before intervention .Second time: 2 weeks after intervention . Last time: 6 weeks after intervention | Life Support Preferences Questionnaire (LSPQ). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| STAI | Outcome Measure Total (4 Time Points): First time: Before intervention. Second time: After intervention. Third time: 2 weeks after intervention .Last time: 6 weeks after intervention | The State-Trait Anxiety Inventory The State-Trait Anxiety Inventory (STAI) is a commonly used measure of trait and state anxiety |
Countries
Taiwan
Outcome results
None listed