Concise coaching to guide decisions for advanced cancer patients considering palliative procedures

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This interventional study tests CONCORD, a serious illness coaching program, in adults with advanced cancer who are being considered for palliative procedures. Coaching aims to improve readiness for decision-making, align treatment choices with patient goals, and enhance quality of life, measuring outcomes up to six months after intervention. Trained lay care coaches will deliver the sessions, alongside usual care, to compare effects on decision quality and patient experience. The study addresses gaps in peri-procedural communication and goal-concordant care in high-risk palliative settings. Recruitment is centered at Singapore General Hospital with collaboration from Duke-NUS, and includes English- and Mandarin-speaking participants and their informal caregivers.

Why it matters

Who can join: the full rules

Inclusion Criteria:

(i) Patient:

1. Aged 21 or above;
2. Diagnosis of advanced cancer, i.e. stage 3 or 4 solid organ
3. Consulted for palliative surgery or other interventions, i.e. procedures aimed at relieving symptoms and improving quality of life
4. Able to speak English or Mandarin;

(ii) Caregiver

1. Aged 21 or above;
2. Self-endorsed or identified by the enrolled patient as an unpaid spouse/partner, relative or friend who knows them well and who provides regular care, who does not have to live in the same dwelling
3. Able to speak English or Mandarin.

Exclusion Criteria:

(i). Patient

1. Patient refusal,
2. Active mental illness or severe dementia, or being certified unfit to make medical decision by a specialist physician,
3. Pregnant Women

(ii). Caregiver

1. Self-reported severe mental illness, dementia, active suicidal ideation, uncorrected hearing loss;
2. Unable to complete caregiver-reported outcomes.

Where it's running

• Singapore General Hospital
  Singapore, Singapore Recruiting

Study contacts

• Principal investigator: Jolene Si Min Wong, MBBS, MMed (Surgery), MPH — Singapore General Hospital
• Study coordinator: Xindi Huang, MSc Psychology
• Email: huang.xindi@nccs.com.sg
• Phone: +65 63065636

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.