Older Adults Clinical Trial
Official title:
Maximizing Teachable Moments: Motivational Interviewing (MI) to Enhance Advance Care Planning (ACP) for Older Adults and Caregivers After Emergency Visits - A Mixed-Method Randomized Controlled Trial
This study aims to evaluate the effectiveness of a motivational interviewing (MI) intervention in enhancing advance care planning (ACP) among older adults who have visited the Emergency Room (ER) in the past six months and their family caregivers. The main question it aims to answer is: The effectiveness of the MI-based ACP intervention implemented within six months of an ER visit on improving older adults' advance directives (AD) completion rate. Compared to participants in the control group who will only receive a self-education booklet, participants in the intervention group will receive a motivational interview educational intervention to see the effectiveness of an MI-based ACP intervention implemented within six months following an emergency room visit regarding the completion of AD for older adults.
Targeted issue: At present no feasible method exists to empower older adults following ER visits to engage in ACP in Hong Kong. Population: The target group will be dyads comprising older adults who have had ER visits within the previous six months and their family caregivers. Intervention: An MI-based ACP intervention our team developed. Main study aim: To investigate the effectiveness of an MI-based ACP intervention implemented within six months following an emergency room visit on completion of AD for older adults compared to a self-education group. Study method: Investigators will recruit eligible participants from two largest public hospitals, including the geriatric outpatient clinic of Queen Mary Hospital (IRB Ref: UW23-402) and the accident & emergency department of Queen Elizabeth Hospital (IRB Ref: KC/KE-23-0058/ER-1). A parallel RCT (allocation ratio= 1:1) with a post-trial qualitative study will be adopted and three follow-up time points at 3-, 6- and 12-month post-intervention. Participants in the intervention group will receive a motivational interview educational intervention, while participants in the comparison group will receive the pictorial ACP educational booklet for self-learning only. Completion of AD and health service utilization will be assessed at three follow-up time points. In addition, a post-intervention interview, regarding stakeholders' views on the relevance, effectiveness, and experience of the intervention., will be conducted. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT04521374 -
The Effects of Texture Modified Diets on Dietary Intake and Appetite Responses in Older Adults
|
N/A | |
| Completed |
NCT05039879 -
Life Improving Factors After a Hip Fracture
|
||
| Recruiting |
NCT05978336 -
SuPA Mobility: Supporting Physical Activity for Mobility in Mobility-Limited Older Adults
|
N/A | |
| Completed |
NCT02905370 -
Progressing Home Health Rehabilitation for Older Adults
|
N/A | |
| Not yet recruiting |
NCT06453473 -
Transfer Effects of Stationary Bicycle Perturbation Training on Older Adults' Cycling Skills
|
N/A | |
| Completed |
NCT03039556 -
Step-reduction in Older Men and Women
|
N/A | |
| Completed |
NCT05901506 -
Strengthen Family Members' Understanding of Advance Care Planning With a Nurse-led, Motivational Interview
|
N/A | |
| Recruiting |
NCT06030128 -
Core Stabilization Exercise Therapy in Chronic Lower Back Back Management in Community Dwelling Older Adults
|
N/A | |
| Completed |
NCT04044183 -
Managing Pain and Cognitions in Older Adults With Mild Cognitive Impairment or Memory Related Problems and Chronic Pain
|
N/A | |
| Not yet recruiting |
NCT06323954 -
tVNS During Motor Training in Older Adults
|
N/A | |
| Recruiting |
NCT05366075 -
The Preventing Functional Decline in Acutely Hospitalized Older Patients (PREV_FUNC) Study
|
Phase 3 | |
| Completed |
NCT05497960 -
Vivo Prediabetes Study: Online, Live, and Interactive Strength Training for Older Adults With Prediabetes
|
N/A | |
| Recruiting |
NCT05083221 -
Effect of an Aural Rehabilitation Program in Hearing-impaired Older Adults
|
N/A | |
| Completed |
NCT05459103 -
Remote Interactive Intervention for Loneliness
|
N/A | |
| Completed |
NCT05397158 -
Optimization of Intestinal Preparation in Older Patients
|
N/A | |
| Completed |
NCT05025137 -
Flexi-Bar and Multi-Component Exercises
|
N/A | |
| Completed |
NCT04927026 -
"Where-there-is-no-psychiatrist Integrated Personal Therapy" Among Community-Dwelling Older Adults
|
N/A | |
| Completed |
NCT03197038 -
Exercise Training and Cognitive Function in Kidney Disease
|
N/A | |
| Recruiting |
NCT06302686 -
engAGE: Managing cognitivE decliNe throuGh Theatre Therapy, Artificial Intelligence and Social Robots drivEn Interventions
|
N/A | |
| Not yet recruiting |
NCT05078008 -
The Role of Balneotherapy in Older Adults With Chronic Low Back Pain
|
N/A |