Using a Conversation Game to Engage Native American Washoe Tribe Members in Advance Care Planning: Preparation for a Clinical Trial
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: Aim 1: Talking Circles, Aim 2: Play Modified Hello Game.
- Who it may be relevant to
- Registry conditions: Advance Care Planning, American Indian or Alaska Native, Gamification. Basic parameters: from 18 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
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The goal of this study is to learn if a culturally adapted version of the Hello game, an advance care planning (ACP) conversation tool, is feasible and acceptable for use with members of the Washoe Tribe. The main questions it aims to answer are: Can the Hello game be successfully adapted to reflect the cultural values, beliefs, and storytelling traditions of the Washoe Tribe? Does playing the adapted Hello game increase ACP engagement and advance directive (AD) completion among Washoe Tribe members within 3 months? Participants will: * Take part in talking circles at one of four Washoe reservations to share their beliefs, motivations, and experiences related to end-of-life care and advance care planning * Complete brief questionnaires about their ACP attitudes and behaviors * Play the culturally adapted Hello game in a group setting * Complete follow-up measures of ACP engagement and advance directive completion 3 months after playing the game
Interventions
- Behavioral Aim 1: Talking Circles
To expand study partnership with the Washoe tribe to further explore the needs, motivations, and barriers related to ACP and end-of-life decision-making for Tribal members and explore how findings converge or diverge from Western culture and across Washoe reservations. 2 talking circles (qualitative focus groups) will be conducted at each of the 4 Washoe reservations (n=8 groups, 48 individuals) along with brief questionnaires to: 1) explore beliefs about and motivations for ACP; 2) determine if - Behavioral Aim 2: Play Modified Hello Game
Adapt and pilot test the Hello conversation game for use by the Washoe Tribe while establishing procedures for measuring the game's impact on ACP engagement. This objective includes: a) incorporating tribal recommendations to culturally adapt the game based on findings from objective 1, and b) conducting a feasibility and acceptability study of the modified game with 60 Washoe tribal members (15 from each reservation) using convergent mixed methods to assess preliminary outcomes and refine proce
Primary outcome measures
- Arm 1: Qualitative themes describing Advance Care Planning needs, motivations, and challenges [Time frame: During qualitative focus groups (up to 2 hours)]
- Arm 2: Initial Enrollment Subject Numbers [Time frame: RA Observed during participation in Hello game event (up to 1 hour)]
- Arm 2: Retention at 3-month follow-up [Time frame: RA Observed during 3-month follow-up event (up to 1 hour)]
- Arm 2: Acceptability Score [Time frame: During participation in Hello Game Event (up to 1 hour)]
- Arm 2: ACP engagement survey score Time 1 [Time frame: During participation in Hello Game Event (up to 1 hour)]
- Arm 2: ACP engagement survey score Time 2 [Time frame: 3-months post game attendance (up to 1 hour)]
- Arm 2: ACP Behavior completion [Time frame: 3-months post game attendance (up to 1 hour)]
Eligibility criteria
Inclusion criteria
- Age 18 years or older
- Member of the Washoe American Indian Tribe
- Able to attend in-person events
- Speaks, reads, and writes in English
- Able to provide informed consent
Exclusion criteria
- Under 18 years of age
- Non-Tribal member
- Non-English speaking
- Unable to provide informed consent
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Non-randomized
- Model
- Sequential
- Masking
- Single blind
- Primary purpose
- Health services research
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07439393 · STUDY00027799 · 1R34NR021940-01