Advanced Care Planning (ACP), Death Anxiety, Death Attitude (Implicit/Explicit), End of Life Care
Conditions
Keywords
Death Conversation, Death Anxiety, Advance Care Planning, Death Attitude
Brief summary
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: * Does the Die-logue program improve community-dwelling middle-aged adults' attitudes towards death, ability to cope with death, readiness and uptake for Advanced Care Planning (ACP). * What are community-dwelling middle-aged adults' perceptions of advance care planning, death and dying, and their experiences of participation in the Die-logue program. 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: * Complete online questionnaires measuring attitudes toward death, coping with death, and readiness for advance care planning. * Participate in a facilitator-led group discussion session about perceptions of death, coping with death, and readiness for ACP (intervention group only). * Complete an asynchronous online ACP education session consisting of short recorded videos and an online discussion forum (both intervention and control group). * Complete follow-up surveys, including a 6-month follow-up assessing whether they have undertaken advance care planning.
Interventions
BEHAVIORALDeath Conversation
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)
BEHAVIORALOnline ACP Education
An online asynchronous learning session with short videos on ACP with discussion forums.
Sponsors
National University of Singapore
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
40 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Between the ages of 40 to 60 years * Able to comprehend the English language * Have not completed any form of advance directives * Able and willing to participate in the Die-logue programme and surveys
Exclusion criteria
* Individuals diagnosed with any life limiting diseases * Individuals with self-reported history of mental health disorders or neurological disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Death Attitudes | Before intervention | Death Attitude Profile Revised Scale (DAP-R) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Coping with Death | Before intervention | Coping with Death Scale - Short Form (CDS-SF) |
| Death Attitudes | 6 months after intervention | Death Attitude Profile Revised Scale (DAP-R) |
| Readiness for Advance Care Planning | Before intervention | Readiness for Advance Care Planning (RACP) Scale |
| Uptake of Advance Care Planning | 6 months after intervention | Self-reported completion of Advance Care Planning Activities |
Countries
Singapore
Contacts
CONTACTDarryl Ang, PhD
Outcome results
None listed