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.
Status | Recruiting |
Enrollment | 376 |
Est. completion date | January 31, 2025 |
Est. primary completion date | October 19, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | N/A and older |
Eligibility | The target group will be dyads comprising older adults who have had ER visits within the previous six months and their family caregivers. A dyad is defined as one older adult and one primary family caregiver of the older adult. For older adults: Inclusion Criteria: - Aged 65 or older - At least one episode of ER visit in the last six months - Has a family caregiver to be present during the intervention - Able to communicate in Chinese Exclusion Criteria: - Has completion of an AD - Moderate to severe cognitive impairment or diagnosis of dementia, as identified in health records - Communication problems (e.g., deafness or aphasia) For family caregivers: Inclusion Criteria: - Aged 18 or above - Immediate or extended family member or friend nominated by an eligible older adult participant as primary caregiver - Able to communicate in Chinese Exclusion Criteria: - Moderate to severe cognitive impairment - Communication problems (e.g., deafness or aphasia) |
Country | Name | City | State |
---|---|---|---|
Hong Kong | University of Hong Kong, School of Nursing | Hong Kong |
Lead Sponsor | Collaborator |
---|---|
The University of Hong Kong |
Hong Kong,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change from Baseline in Completion of AD documentation at 3 Months | Completion of AD documentation will be measured by reviewing participants' medical records for a new AD document or self-reported AD completion at the 3-month follow-up time point. | 3 months | |
Primary | Change from Baseline in Completion of AD documentation at 6 Months | Completion of AD documentation will be measured by reviewing participants' medical records for a new AD document or self-reported AD completion at the 6-month follow-up time point. | 6 months | |
Primary | Change from Baseline in Completion of AD documentation at 12 Months | Completion of AD documentation will be measured by reviewing participants' medical records for a new AD document or self-reported AD completion at the 12-month follow-up time point. | 12 months |
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