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

Обзор

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.

Вмешательства

• Другое 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.

Первичные конечные точки

• Decision conflict [Срок оценки: Baseline; One-Month Follow-Up; Three-Month Follow-Up]
• Knowledge of feeding options and dementia [Срок оценки: Baseline; One-Month Follow-Up; Three-Month Follow-Up]
• Expectations of tube feeding [Срок оценки: Baseline; One-Month Follow-Up; Three-Month Follow-Up]

Вторичные конечные точки (6)

• Frequency of communication with other family members and healthcare providers [Срок оценки: Baseline; One-Month Follow-Up; Three-Month Follow-Up]
• Preference of feeding option [Срок оценки: Baseline; One-Month Follow-Up; Three-Month Follow-Up]
• Preparation for decision-making scale (treatment group only) [Срок оценки: 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. [Срок оценки: Enrollment]
• The Feasibility of the CMCFODA study as measured by participant retention, as indicated by the number of participants lost to follow-up. [Срок оценки: Enrollment, One-Month Follow-Up,Three-Month Follow-Up]
• Acceptability of the decision aid and decision coaching (only for the treatment group) [Срок оценки: One Month Follow-Up]

Критерии участия

Критерии включения

• 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

Критерии исключения

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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Поддерживающая терапия

Центры проведения

США · 1 центр

• School of Nursing at UT Austin — Austin

Идентификаторы

NCT: NCT07370311 · STUDY00007171

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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