Die-logue Program for Community Dwelling Adults: A Randomized Controlled 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: Death Conversation, Online ACP Education.
- Who it may be relevant to
- Registry conditions: Death Attitude (Implicit/Explicit), Death Anxiety, End of Life Care, Advanced Care Planning (ACP). Basic parameters: 40 years — 60 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
- Singapore
- 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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Official title
Effects of a Die-logue Program in Enhancing Community Dwelling Adults's Death Attitudes, Coping With Death and Readiness for Advance Care Planning: A Two-phase Study
Overview
The goal of this clinical trial is to evaluate whether the Die-logue program can improve attitudes toward death, coping with death, and readiness for advance care planning (ACP) among community-dwelling middle-aged adults aged 40-60 years who have not completed any advance directives and not diagnosed with any life limiting diseases. This study aims to address the following research questions: * Does the Die-logue program improve community-dwelling middle-aged adults' attitudes towards death, ability to cope with death, readiness and uptake for Advanced Care Planning (ACP). * What are community-dwelling middle-aged adults' perceptions of advance care planning, death and dying, and their experiences of participation in the Die-logue program. Researchers will compare participants who receive the Die-logue program (death conversation and online ACP education) with participants who receive only the online ACP education to see if informal death conversations improve attitudes toward death, coping with death, and readiness for ACP. Participants will: * Complete online questionnaires measuring attitudes toward death, coping with death, and readiness for advance care planning. * Participate in a facilitator-led group discussion session about perceptions of death, coping with death, and readiness for ACP (intervention group only). * Complete an asynchronous online ACP education session consisting of short recorded videos and an online discussion forum (both intervention and control group). * Complete follow-up surveys, including a 6-month follow-up assessing whether they have undertaken advance care planning.
Interventions
- Behavioral Death Conversation
On site, facilitator-led group discussion lasting 2 hours, covering: 1) Perceptions of death and dying. 2) Coping with death. 3) Readiness for Advance Care Planning (ACP) - Behavioral Online ACP Education
An online asynchronous learning session with short videos on ACP with discussion forums.
Primary outcome measures
- Death Attitudes [Time frame: Before intervention]
- Death Attitudes [Time frame: Immediately after intervention]
Secondary outcome measures (8)
- Coping with Death [Time frame: Before intervention]
- Coping with Death [Time frame: Immediately after intervention]
- Coping with Death [Time frame: 6 months after intervention]
- Death Attitudes [Time frame: 6 months after intervention]
- Readiness for Advance Care Planning [Time frame: Before intervention]
- Readiness for Advance Care Planning [Time frame: Immediately after intervention]
- Readiness for Advance Care Planning [Time frame: 6 months after intervention]
- Uptake of Advance Care Planning [Time frame: 6 months after intervention]
Eligibility criteria
Inclusion criteria
- Between the ages of 40 to 60 years
- Able to comprehend the English language
- Have not completed any form of advance directives
- Able and willing to participate in the Die-logue programme and surveys
Exclusion criteria
- Individuals diagnosed with any life limiting diseases
- Individuals with self-reported history of mental health disorders or neurological disorders
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
Singapore · 1 center
- National University of Singapore — Singapore
Identifiers
NCT: NCT07525492 · NUS-IRB-2025-243 · NUHSRO/2025/007/RO5+5/Seed-Sep