Exploring the Impact of " ACP Board Game for Life" on Death Preparation and Anxiety in Patients With Stage 4 and 5 Chronic Kidney Diseases: A Pilot Study
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ClinicalTrials.gov Identifier: NCT06046261 |
Recruitment Status :
Completed
First Posted : September 21, 2023
Last Update Posted : September 25, 2023
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Condition or disease | Intervention/treatment | Phase |
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Chronic Kidney Disease Chronic Renal Failure Chronic Renal Insufficiency End of Life Care Advance Care Planning Death Anxiety | Other: ACP board game for life | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 69 participants |
Allocation: | Non-Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Investigator) |
Primary Purpose: | Other |
Official Title: | Exploring the Impact of " ACP Board Game for Life" on Death Preparation and Anxiety in Patients With Stage 4 and 5 Chronic Kidney Diseases: A Pilot Study |
Actual Study Start Date : | January 1, 2022 |
Actual Primary Completion Date : | February 28, 2023 |
Actual Study Completion Date : | February 28, 2023 |
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Arm | Intervention/treatment |
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Experimental: General routine care and ACP board game for life |
Other: ACP board game for life
The research subjects will be assigned to the experimental group or the control group according to their wishes. Those who are willing to participate the ACP board game will be assigned to the experimental group. The intervention time for each board game is around 2 hours. There are 60 cards in this ACP board game; the focus of the game is to know the participants' thoughts on the card options. Questionnaires need to be filled in before and after intervention. |
No Intervention: General routine care
"General routine care" means that when a CKD stage 4-5 patient is in critical condition or at the end of life, the renal medical team will explain the content of DNR to the patient's family (without cardiopulmonary resuscitation: including endotracheal tube intubation, extracorporeal cardiac compression, Emergency treatment items such as cardiac electric shock, emergency drug injection, and artificial cardiac pacemaker adjustment), the concept of palliative care (supportive care for end-of-life patients to relieve physical discomfort symptoms to reduce physical, mental and spiritual pain) or ACP.
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- Death Preparation [ Time Frame: 2hours ]The death preparation subscale total of 8 items measure death preparation.The range of total scores of the subscale is 8-40. It shows that the higher scores, the better death preparedness.
- Death Anxiety [ Time Frame: 2hours ]The Chinese Likert death anxiety scale was used, with a total of 15 items, using a Likert scale of 1 to 5 (1 means completely disagree, 2 means disagree, 3 means fair, 4 means agree, and 5 means completely agree) ), the total scores of the scale ranges from 15 to 75. The higher total scores, the higher degree of death anxiety.
- End-of-Life Care Preferences [ Time Frame: 2hours ]A self-made questionnaire on end-of-life care preferences for patients with stage 4-5 CKD was used. There were 2 items in the scale. The item type was multiple choice, the scoring method is based on the number of times and percentages chosen by the participants.
- Intervention Perception [ Time Frame: 2hours ]A self-made questionnaire on the feelings of CKD stage 4-5 patients after participating in the " ACP board game for life " was used. There are 4 items in the scale, using a Likert scoring method of 1 to 5 points (1 point means completely disagree, 2 points means disagree, 3 points means neither agree nor disagree, 4 points means agree, 5 points means strongly agree), the scoring method is based on the participant's options for Mean±SD, frequency and percentage statistics.
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Ages Eligible for Study: | 21 Years to 78 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Stage 4-5 chronic kidney disease patients
- Chinese nationality
- Over 20 years old
- Consciousness clear, can communicate and express their opinions in Mandarin and Taiwanese
Exclusion Criteria:
- Patients express that talking about death makes them feel scared or cause anxiety
- The doctor assesses that the patient's condition is in the stage of septic shock, hemodynamic instability, asthma, pulmonary edema, hypoxemia or acute myocardial infarction
- Patients with contact or airborne precautions
- Patients without legal capacity
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To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06046261
Taiwan | |
National Cheng Kung University Hospital | |
Tainan, Taiwan, 704 |
Responsible Party: | National Cheng-Kung University Hospital |
ClinicalTrials.gov Identifier: | NCT06046261 |
Other Study ID Numbers: |
B-ER-110-472 |
First Posted: | September 21, 2023 Key Record Dates |
Last Update Posted: | September 25, 2023 |
Last Verified: | September 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Chronic Kidney Disease Death Preparation Death Anxiety Advance Care Planning Board Game |
Kidney Diseases Renal Insufficiency, Chronic Renal Insufficiency Kidney Failure, Chronic Death Anxiety Disorders Mental Disorders Urologic Diseases |
Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Urogenital Diseases Male Urogenital Diseases Chronic Disease Disease Attributes Pathologic Processes |