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Trial Title: Development of a Culturally Tailored Resilience-building Intervention for Chinese American's Advance Care Planning Discussions

NCT ID: NCT06247215

Condition: Advance Care Planning
Neoplasms
Heart Diseases

Conditions: Official terms:
Heart Diseases

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: Culturally tailored resilience-building intervention
Description: A booklist teaching resilience skills for advance care planning discussions
Arm group label: Experimental

Summary: Less than 15% of Chinese Americans complete advance directives. That is less than half of the 37% completion rate in the US general population. This disparity in the use of advance care planning between White Americans and Chinese Americans may extend to disparities in end-of-life care. To address such disparities in end-of-life care, we will develop and assess the acceptability of a culturally tailored resilience-building intervention to help Chinese Americans with cancer or heart disease and their family caregivers engage in advance care planning discussions.

Detailed description: The overall objective of this cross-sectional pilot study is to develop a culturally tailored resilience-building intervention for Chinese Americans with cancer or heart disease in Chicago. A qualitative analysis of semi-structured interviews will be conducted to identify how religious leaders addressed death-related topics with Chinese Americans with cancer or heart disease in Chicago. In addition, a usability test of a resilience-building intervention prototype will be conducted to to understand the feasibility and acceptability among 18 pairs of Chinese Americans and their family caregivers (9 pairs with cancer and 9 pairs with heart disease).

Criteria for eligibility:
Criteria:
Inclusion criteria for patient participants: - Age ≥ 18 years of age - Having a cancer diagnosis or a heart failure diagnosis documented in the electronic medical record - Being able to read and respond to questions in English or Mandarin - Having a family caregiver who is responsible for the care and willing to participate in the study - Being of non-Hispanic Asian race/ethnicity Exclusion criteria for patient participants: - Having cognitive impairment per a Short Portable Mental Status Questionnaire with more than 3 errors - Having received heart transplantation or a left ventricular assist device • Having completed an advance directive - Being born in the US Inclusion criteria for identified family caregivers: - Age ≥ 18 years - Being able to read and respond to questions in English or Mandarin - Being identified by the patient as a family caregiver

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Start date: September 15, 2024

Completion date: March 31, 2025

Lead sponsor:
Agency: University of Illinois at Chicago
Agency class: Other

Collaborator:
Agency: University of Chicago
Agency class: Other

Collaborator:
Agency: Rush University Medical Center
Agency class: Other

Source: University of Illinois at Chicago

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06247215

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