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Title: A video-supported nurse-led advance care planning on end-of-life decision-making among frail older patients : protocol for a randomized controlled trial
Other Title: 视频支持的护士主导的老年体弱患者临终决策预先护理计划 : 随机对照试验方案
Authors: Leung, DYP 
Chan, HYL
Yau, SZM
Chiu, PKC
Tang, FWK
Kwan, JSK
Issue Date: Jun-2019
Source: Journal of advanced nursing, June 2019, v. 75, no. 6, p. 1360-1369
Abstract: Aim: To examine the effect of a video‐supported nurse‐led advance care planning to frail geriatric patients on end‐of‐life decision‐making outcomes in patients and their carers.
Design: This is a double‐blinded randomized controlled trial with parallel arms.
Methods: The protocol was approved by the Institutional Review Board of the participating hospital on 1 August 2018. Frail elders and their carer if any are enrolled during hospitalization, and undergo randomization after discharged. The intervention group receives a 2‐week video‐supported nurse‐led advance care planning programme (N = 149) while the control group receives a 2‐week health education program at home (N = 149). Follow‐up surveys via telephone at 1 and 6 months measure outcomes regarding end‐of‐life decision‐making from both the patients and the carers.
Conclusion: Advance care planning discussion is to understand patient's values, preferences and treatment for care on their anticipation of future deterioration. Treatment options for end‐of‐life care may not be well‐received especially elders because in the discussion process, technical medical terms are presented in an abstract, hypothetical way that are hard to understand. The present study aims to evaluate the effect of a nurse‐led advance care planning supplementing with a video showing end‐of‐life treatment options to promote end‐of‐life care decision‐making among frail geriatric patients.
Impact: The results will help identify effective elements of advance care planning and inform the development of an evidence?based structured advance care planning intervention in response to the need for quality end‐of‐life care.
Trial registration: Chinese Clinical Trial Registry ChiCTR‐IOR‐17012341
Keywords: Advance care planning
Advance directives
Decision aids
End-of-life
Frailty
Geriatrics
Nurse
Publisher: Wiley-Blackwell
Journal: Journal of advanced nursing 
ISSN: 0309-2402
EISSN: 1365-2648
DOI: 10.1111/jan.13959
Rights: © 2019 John Wiley & Sons Ltd
This is the peer reviewed version of the following article: Leung, D. Y. P., Chan, H. Y. L., Yau, S. Z. M., Chiu, P. K. C., Tang, F. W. K., & Kwan, J. S. K. (2019). A video‐supported nurse‐led advance care planning on end‐of‐life decision‐making among frail older patients: Protocol for a randomized controlled trial. Journal of advanced nursing, 75(6), 1360-1369, which has been published in final form at https://doi.org/10.1111/jan.13959. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
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