Clinical trial · Interventional
An Interactive Advance Care Planning Intervention to Facilitate a Good Death for Cancer Patients
NCT01912846CI-TRIAL-00037887completedN/AClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The purpose of this 5-year interventional study is to design, implement, and evaluate the effectiveness of an intervention aimed at facilitating prognosis communication and end-of-life care decision-making to increase the extent of congruence between the patient's preferred and actual EOL care received and patients' and family caregivers' QOL and psychological well-being, reduce futile aggressive healthcare resources utilization at end-of-life, and facilitate bereavement adjustment.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| End Stage Cancer | — | UNRESOLVED | — |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Attention usual care | Behavioral | — | UNRESOLVED |
| Interactive advance care planning | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- SHAM_COMPARATOR
- label
- Attention usual care intervention
- description
- Interventions includes prognosis disclosure and discussions of EOL care as needed as in current clinical practices. Interventions of the attention usual care arm include a consistent master prepared nurse on the study team will provide the attention portion of the care and a workbook and a video with educational materials. The initial meeting will occur before the patient discharges from hospital and the usual care nurse will give patients and family caregivers a workbook and a video with educational materials on how to manage common symptoms and a comprehensive list of resources available, including patient support organizations, support and financial assistance through the social work department.
- interventionNames
- Behavioral: Attention usual care
- type
- EXPERIMENTAL
- label
- Interactive advance care planning
- description
- The intervention aims at facilitating patients, families, and primary physicians to discuss the patient's wishes for EOL care by clarifying a terminally ill cancer patient's understanding of his/her prognosis and treatment options and her/his readiness for engagement in ACP, appropriately weighting the benefits and burdens of medical treatments at EOL, and clearly defining and documenting the patient's preferences so as to be readily available later for the patient's primary physician to guide EOL care decision-making which will honor the patient's preferences for EOL care.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 20 Years
- Maximum age
- 95 Years
Show eligibility criteria text
Inclusion Criteria: Terminally ill cancer patients are they: 1. have a disease at a terminal stage which continues to progress with distant metastases and is unresponsive to current curative cancer treatment as judged by their oncologists 2. are cognitively competent 3. can communicate with data collectors 4. age ≧ 20 5. have a designated family caregiver who agrees to participate in the survey. Family caregivers will be recruited if they are: 1. family members of cancer patients with a terminally ill disease as defined by this proposed study 2. identified by the patients as the persons primarily conduct the patient's care needs without receiving financial reimbursement for the care they provide 3. age≧20 4. who agree to participate and can communicate with data collectors. Exclusion Criteria: 1. Patients or family caregivers who are not able to communicate coherently. 2. Only one party in the patient-family dyad agrees to participate.
References
Publications (10)
- BACKGROUNDTang ST, Liu TW, Lai MS, Liu LN, Chen CH. Concordance of preferences for end-of-life care between terminally ill cancer patients and their family caregivers in Taiwan. J Pain Symptom Manage. 2005 Dec;30(6):510-8. doi: 10.1016/j.jpainsymman.2005.05.019. PMID 16376737
- BACKGROUNDTang ST, Liu TW, Lai MS, McCorkle R. Discrepancy in the preferences of place of death between terminally ill cancer patients and their primary family caregivers in Taiwan. Soc Sci Med. 2005 Oct;61(7):1560-6. doi: 10.1016/j.socscimed.2005.02.006. Epub 2005 Apr 7. PMID 16005787
- BACKGROUNDTang ST, Liu TW, Tsai CM, Wang CH, Chang GC, Liu LN. Patient awareness of prognosis, patient-family caregiver congruence on the preferred place of death, and caregiving burden of families contribute to the quality of life for terminally ill cancer patients in Taiwan. Psychooncology. 2008 Dec;17(12):1202-9. doi: 10.1002/pon.1343. PMID 18521969
- BACKGROUNDTang ST, Wu SC, Hung YN, Huang EW, Chen JS, Liu TW. Trends in quality of end-of-life care for Taiwanese cancer patients who died in 2000-2006. Ann Oncol. 2009 Feb;20(2):343-8. doi: 10.1093/annonc/mdn602. Epub 2008 Sep 2. PMID 18765460
- BACKGROUNDTang ST, Wu SC, Hung YN, Chen JS, Huang EW, Liu TW. Determinants of aggressive end-of-life care for Taiwanese cancer decedents, 2001 to 2006. J Clin Oncol. 2009 Sep 20;27(27):4613-8. doi: 10.1200/JCO.2008.20.5096. Epub 2009 Aug 24. PMID 19704067
- DERIVEDChen CH, Wen FH, Chang WC, Hsieh CH, Chou WC, Chen JS, Tang ST. Associations of prognostic-awareness-transition patterns with emotional distress and quality of life during terminally ill cancer patients' last 6 months of life. Psychooncology. 2023 May;32(5):741-750. doi: 10.1002/pon.6119. Epub 2023 Mar 14. PMID 36891618
- DERIVEDChen CH, Wen FH, Chou WC, Chen JS, Chang WC, Hsieh CH, Tang ST. Associations of prognostic-awareness-transition patterns with end-of-life care in cancer patients' last month. Support Care Cancer. 2022 Jul;30(7):5975-5989. doi: 10.1007/s00520-022-07007-4. Epub 2022 Apr 8.