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Recruiting NCT07370311

A Culturally Adapted Decision Aid Intervention to Support Chinese American Dementia Caregivers in Feeding-Related Decisions

No phase Interventional Dementia Caregivers End of Life Decision Making Advanced Dementia

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Chinese version of Making Choices Feeding Options for Patients with Dementia Decision Aid.
Who it may be relevant to
Registry conditions: Dementia Caregivers, End of Life Decision Making, Advanced Dementia. Basic parameters: 21 years — 99 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Overview

Family caregivers of people with dementia have to decide between tube feeding and hand feeding when persistent eating problems arise. This decision can be difficult for Chinese American dementia caregivers, due to the interplay of culture, potential absence of a patient's advance directive, poor understanding of dementia, and lack of knowledge on the risks and benefits of tube feeding. In this polit study, the principal investigator examines whether a culturally adapted decision aid intervention regarding feeding options named "Chinese version of Making Choices Feeding Options for Patients with Dementia Decision Aid" (CMCFODA) will improve Chinese American caregivers' decision-making about feeding options in patients with moderate or advanced dementia. The proposed study advances the field by providing critical evidence to inform the development and implementation of culturally adapted decision support interventions in end-of-life dementia care.

Interventions

  • Other Chinese version of Making Choices Feeding Options for Patients with Dementia Decision Aid
    Participants in the treatment group will receive the CMCFODA via zoom meeting or another secure video conferencing platform and an individualized decision coaching.

Primary outcome measures

  • Decision conflict [Time frame: Baseline; One-Month Follow-Up; Three-Month Follow-Up]
  • Knowledge of feeding options and dementia [Time frame: Baseline; One-Month Follow-Up; Three-Month Follow-Up]
  • Expectations of tube feeding [Time frame: Baseline; One-Month Follow-Up; Three-Month Follow-Up]
Secondary outcome measures (6)
  • Frequency of communication with other family members and healthcare providers [Time frame: Baseline; One-Month Follow-Up; Three-Month Follow-Up]
  • Preference of feeding option [Time frame: Baseline; One-Month Follow-Up; Three-Month Follow-Up]
  • Preparation for decision-making scale (treatment group only) [Time frame: One-Month Follow-Up; Three-Month Follow-Up]
  • The Feasibility of the CMCFODA study as measured by recruitment rates and the proportion of participants that decline participation. [Time frame: Enrollment]
  • The Feasibility of the CMCFODA study as measured by participant retention, as indicated by the number of participants lost to follow-up. [Time frame: Enrollment, One-Month Follow-Up,Three-Month Follow-Up]
  • Acceptability of the decision aid and decision coaching (only for the treatment group) [Time frame: One Month Follow-Up]

Eligibility criteria

Inclusion criteria

  • Age 21 years and older
  • Self-identify as Chinese
  • Providing caregiving or involvement in end-of-life care decision-making for older Chinese adults with: a) moderate or advanced dementia, b) feeding difficulties, and c) poor oral intake, eating/swallowing problems, or weight loss

Exclusion criteria

  • Dementia patients are a) receiving tube feeding, b) enrolled in hospice care, or 3) have a documented preference against a feeding tube

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
Randomized
Model
Parallel assignment
Masking
Open label
Primary purpose
Supportive care

Study locations

United States · 1 center
  • School of Nursing at UT Austin — Austin

Identifiers

NCT: NCT07370311 · STUDY00007171

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗