Advance Care PlanningNCT05625906
Advance Care Planning Training for Nurses
A study testing Multi-media experiential training programme in people with Advance Care Planning, run by Chinese University of Hong Kong at 8 sites in Hong Kong.
Trial summary
The aims of this study are to examine the effectiveness of a multi-media experiential training programme in advance care planning (ACP) for nursing staff in acute care settings. The main questions it aims to answer are: can the programme enhance nurses' decision-support skills can the programme strengthen nurses'… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Advance Care Planning
- What is being tested?
- Multi-media experiential training programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 230 participants
- Where
- 8 sitesHong Kong
- Study dates
- 1 Jan 2023to 31 Dec 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- registered nurse with at least two years' clinical experience
Who cannot join
- had prior specialty training in Advance Care Planning communication.
Trial locations and contacts
8 sites in 1 country.
8 sites in 1 country
Hong Kong8 sites
United Christian Hospital
Kwun Tong
Queen Elizabeth Hospital
Mong Kok
Prince of Wales Hospital
Shatin
Shatin cheshire home
Shatin
Shatin Hospital
Shatin
Haven of Hope Hospital
Tseung Kwan O
Tuen Mun Hospital
Tuenmen
Grantham Hospital
Wong Chuk Hang
About this study
Official title: The Effectiveness of a Multi-media Experiential Training Programme in Advance Care Planning for Nurses Working in Acute Care Settings
The aims of this study are to examine the effectiveness of a multi-media experiential training programme in advance care planning (ACP) for nursing staff in acute care settings. The main questions it aims to answer are:
- can the programme enhance nurses' decision-support skills
- can the programme strengthen nurses' knowledge and confidence, and improve their attitude toward ACP?
Researchers will compare the participants in the intervention group (receive training programme) with those who are in the control group (receive no intervention) to evaluate the effectiveness of the programme.
Read the detailed description
The study adopts a cluster randomised controlled trial with 12 weeks (T2) and 24 weeks (T3) follow-ups. A total of 234 eligible nurses working in 26 acute care hospital wards will be randomised at ward level in a 1:1 ratio into either control or intervention arms. Guided by the Theory of Planned Behaviour, we will conduct path analysis to assess the role of nurses' knowledge, attitudes and confidence on the nurses' skill performance on decision support after the intervention.
- Conditions
- Advance Care Planning
- Being tested
- Multi-media experiential training programme
- Keywords
- Advance Care Planning, acute care settings, experiential learning, nurse training programme
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Multi-media experiential training programmeOther
- Webpage and mobile applications of training material on ACP, to be offered four weeks before the workshop
- A three-hour multimedia workshop (8-10 nurses per group) including enhanced lectures and a role play encounter with standardised patients. Immediate feedback on their quality of decision support skills will be given. The workshops will be delivered by an experienced advance practice nurse with a palliative care specialty.
- Writing a reflective journal after the role play with standardised patients
| Study group | Role | What they receive |
|---|---|---|
| Intervention group | Experimental | will receive a multi-media experiential training programme. Receives: Other: Multi-media experiential training programme |
| control group | No intervention | will NOT receive a multi-media experiential training programme |
What is being measured
The primary outcome is the main question the study is designed to answer.
Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)
DSAT10 instrument is an observational feedback tool for evaluating decisional support interactions between health care workers and patients. The DSAT-10 includes 16 items divided into five domains of: Decision-Making Status; Knowledge of Options, Risks, and Benefits; Values Associated with Outcomes of Options. Scores range from zero to ten, with higher scores indicating more decisional support being verbalized during the patient-provider interaction.
Measured: Baseline
Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)
DSAT10 instrument is an observational feedback tool for evaluating decisional support interactions between health care workers and patients. The DSAT-10 includes 16 items divided into five domains of: Decision-Making Status; Knowledge of Options, Risks, and Benefits; Values Associated with Outcomes of Options. Scores range from zero to ten, with higher scores indicating more decisional support being verbalized during the patient-provider interaction.
Measured: immediate post-intervention
Secondary outcomes (17)
Nurses' attitudes towards Advance Care Planning
Nurses' attitudes towards ACP will be measured by nine five-point Likert scale items with 1=strongly disagree and 5= strongly agree. Higher scores indicate a more positive attitude. The scale was developed and validated by Putman-Casdorph et al . The nine items cover topics such as the perceived helpfulness of ACP, and worries about the legal consequences of limiting treatment.
Measured: Baseline
Nurses' attitudes towards Advance Care Planning
Nurses' attitudes towards ACP will be measured by nine five-point Likert scale items with 1=strongly disagree and 5= strongly agree. Higher scores indicate a more positive attitude. The scale was developed and validated by Putman-Casdorph et al . The nine items cover topics such as the perceived helpfulness of ACP, and worries about the legal consequences of limiting treatment.
Measured: immediate post-intervention
Nurses' attitudes towards Advance Care Planning
Nurses' attitudes towards ACP will be measured by nine five-point Likert scale items with 1=strongly disagree and 5= strongly agree. Higher scores indicate a more positive attitude. The scale was developed and validated by Putman-Casdorph et al . The nine items cover topics such as the perceived helpfulness of ACP, and worries about the legal consequences of limiting treatment.
Measured: 12 weeks post-intervention
Nurses' knowledge of Advance Care Planning
Knowledge of advance care planning and advance directives will be assessed by a 10-item true / false questionnaire which is developed taking reference with Siu et al. and Yee et al. The knowledge test will be validated by an expert panel including academics and clinicians.
Measured: Baseline
Nurses' knowledge of Advance Care Planning
Knowledge of advance care planning and advance directives will be assessed by a 10-item true / false questionnaire which is developed taking reference with Siu et al. and Yee et al. The knowledge test will be validated by an expert panel including academics and clinicians.
Measured: immediate post-intervention
Nurses' knowledge of Advance Care Planning
Knowledge of advance care planning and advance directives will be assessed by a 10-item true / false questionnaire which is developed taking reference with Siu et al. and Yee et al. The knowledge test will be validated by an expert panel including academics and clinicians.
Measured: 12 weeks post-intervention
Nurses' knowledge of Advance Care Planning
Knowledge of advance care planning and advance directives will be assessed by a 10-item true / false questionnaire which is developed taking reference with Siu et al. and Yee et al. The knowledge test will be validated by an expert panel including academics and clinicians.
Measured: 24 weeks post-intervention
Nurses' level of confidence to conduct Advance Care Planning
Nurses' level of confidence to conduct ACP will be measured by a single item five-point Likert scale with 1= not confident at all to 5 = extremely confident .
Measured: Baseline
Nurses' level of confidence to conduct Advance Care Planning
Nurses' level of confidence to conduct ACP will be measured by a single item five-point Likert scale with 1= not confident at all to 5 = extremely confident .
Measured: immediate post-intervention
Nurses' level of confidence to conduct Advance Care Planning
Nurses' level of confidence to conduct ACP will be measured by a single item five-point Likert scale with 1= not confident at all to 5 = extremely confident .
Measured: 12 weeks post-intervention
Nurses' level of confidence to conduct Advance Care Planning
Nurses' level of confidence to conduct ACP will be measured by a single item five-point Likert scale with 1= not confident at all to 5 = extremely confident .
Measured: 24 weeks post-intervention
Nurses' satisfaction with the training programme
Nurses' satisfaction with the training programme will be assessed by an eight-item five-point Likert scale with 1=strongly disagree and 5= strongly agree at post-test only. Higher scores indicate higher satisfaction. The scale is developed with reference to So et al. and has been validated by an expert panel including academics and clinicians.
Measured: immediate post intervention
Actual experience of Advance Care Planning in the last 12 weeks
Actual experience in ACP discussion will be measured by this question: "How many times have you participated in ACP discussion with your patients in the last 12 weeks?" In addition, documentation of the ACP discussion in the last 12 weeks will be retrieved from patients' medical records.
Measured: Baseline
Actual experience of Advance Care Planning in the last 12 weeks
Actual experience in ACP discussion will be measured by this question: "How many times have you participated in ACP discussion with your patients in the last 12 weeks?" In addition, documentation of the ACP discussion in the last 12 weeks will be retrieved from patients' medical records.
Measured: 12 weeks post-intervention
Actual experience of Advance Care Planning in the last 12 weeks
Actual experience in ACP discussion will be measured by this question: "How many times have you participated in ACP discussion with your patients in the last 12 weeks?" In addition, documentation of the ACP discussion in the last 12 weeks will be retrieved from patients' medical records.
Measured: 24 weeks post-intervention
Adherence to patients' expressed preference for care
measured by this question: Please circle the following to describe health care professionals' adherence to patients' expressed preference for care :
Measured: 12 weeks post-intervention
Adherence to patients' expressed preference for care
measured by this question: Please circle the following to describe health care professionals' adherence to patients' expressed preference for care :
Measured: 24 weeks post-intervention
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Nov 2022
- Study start1 Jan 2023
- Primary completion31 Dec 2024
- Study completion31 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Advance Care PlanningStudies of the same condition, open and under way.
- More trials run by Chinese University of Hong KongThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 230 participants (actual)
Sponsor and investigators
- Lead sponsor
- Chinese University of Hong Kong
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Carmen Chan Yip Wing-han, Chinese University of Hong Kong
- Investigators
- Carmen Chan Yip Wing-han, Principal investigator, Chinese University of Hong Kong
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05625906
- Sponsor's protocol ID
- 2018.610
- Status last verified
- Apr 2026
- First submitted
- 6 Nov 2022
- Last updated
- 14 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Putman-Casdorph H, Drenning C, Richards S, Messenger K. Advance directives: evaluation of nurses' knowledge, attitude, confidence, and experience. J Nurs Care Qual. 2009 Jul-Sep;24(3):250-6. doi: 10.1097/NCQ.0b013e318194fd69.
PubMed 19525766Siu MW, Cheung TY, Chiu MM, Kwok TY, Choi WL, Lo TK, Ting WM, Yu PH, Cheung CY, Wong JG, Shua SE. The preparedness of Hong Kong medical students towards advance directives and end-of-life issues. East Asian Arch Psychiatry. 2010 Dec;20(4):155-62.
PubMed 22348923So WKW, Kwong ANL, Chen JMT, Chan JCY, Law BMH, Sit JWH, Chan CWH. A Theory-Based and Culturally Aligned Training Program on Breast and Cervical Cancer Prevention for South Asian Community Health Workers: A Feasibility Study. Cancer Nurs. 2019 Mar/Apr;42(2):E20-E30. doi: 10.1097/NCC.0000000000000543.
PubMed 28945633
Study at a glance
From the registry record, last updated by the sponsor on 14 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effectiveness of a Multi-media Experiential Training Programme in Advance Care Planning for Nurses Working in Acute Care Settings
- ClinicalTrials.gov ID
- NCT05625906
- Acronym / sponsor ID
- 2018.610
- Conditions
- Advance Care Planning
- Keywords
- Advance Care Planning, acute care settings, experiential learning, nurse training programme
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 230 participants (actual)
- Lead sponsor
- Chinese University of Hong KongUniversity, hospital or other
- Study start
- 1 Jan 2023 (actual)
- Primary completion
- 31 Dec 2024 (actual)
- Study completion
- 31 Dec 2024 (actual)
- First posted
- 23 Nov 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aims of this study are to examine the effectiveness of a multi-media experiential training programme in advance care planning (ACP) for nursing staff in acute care settings. The main questions it aims to answer are:
- can the programme enhance nurses' decision-support skills
- can the programme strengthen nurses' knowledge and confidence, and improve their attitude toward ACP?
Researchers will compare the participants in the intervention group (receive training programme) with those who are in the control group (receive no intervention) to evaluate the effectiveness of the programme.
Detailed description
The study adopts a cluster randomised controlled trial with 12 weeks (T2) and 24 weeks (T3) follow-ups. A total of 234 eligible nurses working in 26 acute care hospital wards will be randomised at ward level in a 1:1 ratio into either control or intervention arms. Guided by the Theory of Planned Behaviour, we will conduct path analysis to assess the role of nurses' knowledge, attitudes and confidence on the nurses' skill performance on decision support after the intervention.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention group | Experimental | Other: Multi-media experiential training programmewill receive a multi-media experiential training programme. |
| control group | No intervention | –will NOT receive a multi-media experiential training programme |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- registered nurse with at least two years' clinical experience
Key exclusion criteria (1 listed)
- had prior specialty training in Advance Care Planning communication.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Multi-media experiential training programme1. Webpage and mobile applications of training material on ACP, to be offered four weeks before the workshop 2. A three-hour multimedia workshop (8-10 nurses per group) including enhanced lectures and a role play encounter with standardised patients. Immediate feedback on their quality of decision support skills will be given. The workshops will be delivered by an experienced advance practice nurse with a palliative care specialty. 3. Writing a reflective journal after the role play with standardised patients | Other | Intervention group |
Primary outcome
Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)
Time frame: Baseline
DSAT10 instrument is an observational feedback tool for evaluating decisional support interactions between health care workers and patients. The DSAT-10 includes 16 items divided into five domains of: Decision-Making Status; Knowledge of Options, Risks, and Benefits; Values Associated with Outcomes of Options. Scores range from zero to ten, with higher scores indicating more decisional support being verbalized during the patient-provider interaction.
Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10)
Time frame: immediate post-intervention
DSAT10 instrument is an observational feedback tool for evaluating decisional support interactions between health care workers and patients. The DSAT-10 includes 16 items divided into five domains of: Decision-Making Status; Knowledge of Options, Risks, and Benefits; Values Associated with Outcomes of Options. Scores range from zero to ten, with higher scores indicating more decisional support being verbalized during the patient-provider interaction.
17 secondary outcomes
Nurses' attitudes towards Advance Care Planning
Time frame: Baseline
Nurses' attitudes towards Advance Care Planning
Time frame: immediate post-intervention
Nurses' attitudes towards Advance Care Planning
Time frame: 12 weeks post-intervention
Nurses' knowledge of Advance Care Planning
Time frame: Baseline
Nurses' knowledge of Advance Care Planning
Time frame: immediate post-intervention
Nurses' knowledge of Advance Care Planning
Time frame: 12 weeks post-intervention
Nurses' knowledge of Advance Care Planning
Time frame: 24 weeks post-intervention
Nurses' level of confidence to conduct Advance Care Planning
Time frame: Baseline
Nurses' level of confidence to conduct Advance Care Planning
Time frame: immediate post-intervention
Nurses' level of confidence to conduct Advance Care Planning
Time frame: 12 weeks post-intervention
Nurses' level of confidence to conduct Advance Care Planning
Time frame: 24 weeks post-intervention
Nurses' satisfaction with the training programme
Time frame: immediate post intervention
Actual experience of Advance Care Planning in the last 12 weeks
Time frame: Baseline
Actual experience of Advance Care Planning in the last 12 weeks
Time frame: 12 weeks post-intervention
Actual experience of Advance Care Planning in the last 12 weeks
Time frame: 24 weeks post-intervention
Adherence to patients' expressed preference for care
Time frame: 12 weeks post-intervention
Adherence to patients' expressed preference for care
Time frame: 24 weeks post-intervention
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Apr 2026.
- Background: PubMed 19525766Putman-Casdorph H, Drenning C, Richards S, Messenger K. Advance directives: evaluation of nurses' knowledge, attitude, confidence, and experience. J Nurs Care Qual. 2009 Jul-Sep;24(3):250-6. doi: 10.1097/NCQ.0b013e318194fd69.
- Background: PubMed 22348923Siu MW, Cheung TY, Chiu MM, Kwok TY, Choi WL, Lo TK, Ting WM, Yu PH, Cheung CY, Wong JG, Shua SE. The preparedness of Hong Kong medical students towards advance directives and end-of-life issues. East Asian Arch Psychiatry. 2010 Dec;20(4):155-62.
- Background: PubMed 28945633So WKW, Kwong ANL, Chen JMT, Chan JCY, Law BMH, Sit JWH, Chan CWH. A Theory-Based and Culturally Aligned Training Program on Breast and Cervical Cancer Prevention for South Asian Community Health Workers: A Feasibility Study. Cancer Nurs. 2019 Mar/Apr;42(2):E20-E30. doi: 10.1097/NCC.0000000000000543.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Carmen Chan Yip Wing-han principal investigator
Chinese University of Hong Kong
8 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Multi-media experiential training programme in people with Advance Care Planning, run by Chinese University of Hong Kong at 8 sites in Hong Kong.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 14 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in Hong Kong. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Nurse's decision support skills as assessed by the Brief Decision Support Analysis Tool (DSAT10) (time frame: Baseline). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05625906, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Apr 2026.