Resilience in East Asian Immigrants for Advance Care Planning Discussions

Neoplasms Clinical Trial

Official title:

Development of a Culturally Tailored Digital Resilience-Building Intervention for East Asian Immigrants With Cancer to Facilitate Advance Care Planning Discussions

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06035549
• Other study ID #: 2023-0560
• Secondary ID: KC_Awd_114452
• Status: Not yet recruiting
• Phase: N/A
• Start date: September 2024
• Est. completion date: June 30, 2025

Study information

• Verified date: January 2024
• Source: University of Illinois at Chicago
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of the study is to develop a culturally tailored digital resilience-building intervention to help East Asian immigrants engage in advance care planning discussions with their family caregivers.

Description:

Advance care planning (ACP) is a process to facilitate decision-making for future care and document values and preferences. However, the advance directive completion rates in East Asian Americans are low, which may extend to disparities in end-of-life care, including rates of hospice use and prevalence of unwanted aggressive treatments. To address this, this study uses information technology to develop a culturally tailored digital resilience-building intervention with and for East Asian immigrants to help them engage in ACP discussions. There are two aims of this study: (1) Conduct semi-structured interviews with a total of 30 religious leaders to identify the barriers and facilitators associated with discussing ACP and death-related topics with immigrants from China/Taiwan, Japan, and Korea and (2) Develop a culturally tailored digital resilience-building intervention using think-aloud interviews with 27 pairs of East Asian immigrants with cancer and their family caregivers (9 pairs each for immigrants from China/Taiwan, Japan, and Korea).

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 54
• Est. completion date: June 30, 2025
• Est. primary completion date: June 30, 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria for Patients:

• Age = 18 years

• Having a cancer diagnosis documented in the electronic medical record

• Being able to read and respond to questions in English, Mandarin, Cantonese, Japanese, or Korean

• Having a family caregiver who is willing to participate in the study

• Have adequate electronic health literacy with a score of > 30 on the electronic-Health Literacy Scale.

Exclusion Criteria for Patients:

• Having cognitive impairment per a Short Portable Mental Status Questionnaire with more than three errors

• Having completed an advance directive

• Being born in the US

Inclusion Criteria for Family Caregivers:

• Age = 18 years

• Being able to read and respond to questions in English, Mandarin, Cantonese, Japanese, or Korean

• Being identified by the patient as a family caregiver

• Having adequate electronic health literacy with a score of > 30 on the electronic-Health Literacy Scale.

Related Conditions & MeSH terms

• Advance Care Planning
• Neoplasms

Intervention

Behavioral:
• Culturally Tailored Digital Resilience-Building
The Culturally Tailored Digital Resilience-Building intervention consists of 6 modules, including an introduction of advance care planning and resilience skills that specifically address cultural beliefs and barriers.

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
University of Illinois at Chicago	Rockefeller University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Usability	Use the System Usability Scale (range: 0-100) to assess the usability of the intervention. Higher scores indicate greater perceived usability by users.	Immediately at the end of the think-aloud interview
Secondary	Acceptability	Use the Acceptability E-scale to assess the acceptability of the intervention. Scale total scores range from 6 to 30, and higher scores indicate greater acceptance for the proposed intervention.	Immediately at the end of the think-aloud interview