This study verifies efficacy of Self-education program for advanced care planning in general population. Half of participants will receive a 20 minutes video about advanced care planning while the other half will receive a 13-page brochure entitled, Understanding the Life-Sustaining Treatment Act.
This study validates effectiveness of decision aid that the investigators developed due to the rates of completing Advanced care planning are considerably low, which is led by the lack of information available to general population; whether they elevate the preference of healthy general population toward Advanced Care planning, reduce the burden of decision making, and support general population to overcome their crisis, compare to educational resources that are currently available. Previous studies inform that educational video about advanced care planning increases the knowledge of care for life prolongation and affects the preference towards care for life prolongation and palliative care. However, previous studies focused mainly on patient populations, and the general population might differ in its understanding of disease, health care services, and ACP. In this study, we constructed ACP video decision support materials for the general population and compared their effectiveness in an RCT. Primary outcome of this study is attitude and behavior change toward advanced care planning. Participants of this study will fill out the baseline questionnaire about ACP preference, end-of-life care preference, knowledge of ACP, etc. After that, participants will be allocated equally into the intervention group and the control group. Participants assigned to the intervention arm viewed the 20-minute educational decision support video entitled Advance Care Planning, which had been used and tested in studies with advanced cancer patients. Participants randomized to the attention-control arm received and read a 13-page brochure entitled, Understanding the Life-Sustaining Treatment Act, which was developed by the Ministry of Health and Welfare. After reading and watching the educational materials, patients will get another questionnaire about knowledge of ACP, satisfaction on the materials, ACP Preference, etc.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
250
Three videos about advanced care planning are provided for self-education.
Brochure about Life-Sustaining Treatment Act are provided for self-education.
Seoul National University Hospital
Seoul, South Korea
Changes in Advance Care Preference
Comparison the result of Advance Care Preference questionnaire
Time frame: Baseline, within 1 week
Changes in Hospital Anxiety and Depression Scale
Comparison the result of Hospital Anxiety and Depression Scale questionnaire
Time frame: Baseline, within 1 week
Changes in CPR knowledge
Comparison the result of Changes in CPR knowledge questionnaire
Time frame: Baseline, within 1 week
Changes in palliative care / advance care planning knowledge score
Comparison the result of Changes in palliative care / advance care planning knowledge score questionnaire
Time frame: Baseline, within 1 week
Changes in No CPR preference in terminal status
Comparison the result of No CPR preference in terminal status questionnaire
Time frame: Baseline, within 1 week
Changes in End-of-Life care
Comparison the result of End-of-Life care preference questionnaire
Time frame: Baseline, within 1 week
Satisfaction on educational materials
The result of Satisfaction on educational materials questionnaire
Time frame: Baseline, within 1 week
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