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Effects of a Nurse-Led Promoting Advance Care Plan on Intention to engage in Advance Care Planning and Death Anxiety Among Patients with Chronic Obstructive Pulmonary Disease in Thailand: A Single-Blind Randomized Controlled Trial

EEffects of a Nurse-Led Promoting Advance Care Plan on Intention to engage in Advance Care Planning and Death Anxiety Among Patients with Chronic Obstructive Pulmonary Disease in Thailand: A Single-Blind Randomized Controlled Trial

Status
Unknown
Phases
Early Phase 1
Study type
Interventional
Source
TCTR
Registry ID
TCTR20250416003
Enrollment
60
Registered
2025-04-16
Start date
2025-05-01
Completion date
Unknown
Last updated
2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic obstructive pulmonary disease is a progressive condition with frequent exacerbations and an unpredictable prognosis. Dyspnea, a common and distressing symptom, often causes fear, anxiety, and a reduced quality of life. Despite medical advancements, treatment can be costly and may not always align with patient preferences, making decision making difficult for chronic obstructive pulmonary disease patients and families. Advance care planning allows patients to make healthcare decisions be

Interventions

The research involved an experimental group participating in five activities over four weeks, including watching a video presentation and a discussion between the researcher, the patient, and the fami
Experimental Behavioral,No Intervention No treatment
The group receiving a nurse led promoting advance care plan program,Control group

Sponsors

None listed

Eligibility

Sex/Gender
All
Age
40 Years to 90 Years

Inclusion criteria

Inclusion criteria: 1. Aged 40 years or older. 2. The severity level of stage 2. 3. Experienced at least one acute exacerbation in the past year. 4. Fully conscious, no cognitive impairment, as assessed by the Mini Mental State Examination; MMSE-Thai 2002 for individuals aged 60 years or older. 5. Has a caregiver, family member, or a significant person important to the patient. 6.able to understand and communicate in Thai without any hearing or vision problems. and 7. First-time participant in the advance care planning program and has never completed an advance directive for end-of-life care.

Exclusion criteria

Exclusion criteria: Has an illness related to cancer in various organs.

Design outcomes

Primary

MeasureTime frame
Intertion pre intervention, post intervention at week 2, and follow up at week 4. Using a questionnaire to assess the intention for advance care planning

Secondary

MeasureTime frame
Death anxiety pre intervention, post intervention at week 2, and follow up at week 4. Using a questionnaire to assess the death anxiety

Countries

Thailand

Contacts

Public ContactLeelawadee Kloyeium

chronic obstructive pulmonary clinic at Central Chest Institute Of Thailand

kwan08081@gmail.com025470924

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026