Culturally adapted feeding decision aid for Chinese American caregivers of people with dementia
A Culturally Adapted Decision Aid Intervention to Support Chinese American Dementia Caregivers in Feeding-Related Decisions
This project will try a Chinese-language decision aid called CMCFODA to help Chinese American family caregivers of people with moderate or advanced dementia decide between hand feeding and tube feeding.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 21 Years to 99 Years |
| Sex | All |
| Sponsor | University of Texas at Austin Academic / other |
| Locations | 1 site (Austin, Texas) |
| Trial ID | NCT07370311 on ClinicalTrials.gov |
What this trial studies
This pilot interventional study delivers a culturally adapted decision aid (Chinese version of Making Choices Feeding Options for Patients with Dementia Decision Aid, CMCFODA) to Chinese American caregivers of older adults with moderate or advanced dementia who are experiencing feeding difficulties. Eligible caregivers receive the decision aid and related coaching, and the team measures changes in caregiver knowledge, decisional conflict, and subsequent feeding choices. The intervention targets cultural factors, gaps in advance directives, and misunderstanding about risks and benefits of tube feeding. Results will inform whether culturally tailored decision support can be implemented for end-of-life feeding decisions in this population.
Who should consider this trial
Good fit: Ideal participants are Chinese American caregivers aged 21 or older who are involved in end-of-life feeding decisions for older Chinese adults with moderate or advanced dementia and current eating or swallowing problems but whose patients are not already tube fed or in hospice care.
Not a fit: Caregivers whose patients are already receiving tube feeding, are enrolled in hospice, or have a documented preference against tube feeding are unlikely to benefit from this decision aid.
Why it matters
Potential benefit: If successful, the intervention could help caregivers make feeding decisions that better match patient values and reduce caregiver uncertainty and stress.
How similar studies have performed: Previous decision-aid interventions for feeding in dementia have improved caregiver knowledge and reduced decisional conflict, but culturally adapted tools specifically for Chinese American caregivers have been less studied.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * 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 Exclusion Criteria: * Dementia patients are a) receiving tube feeding, b) enrolled in hospice care, or 3) have a documented preference against a feeding tube
Where this trial is running
Austin, Texas
- School of Nursing at UT Austin — Austin, Texas, United States (Recruiting)
Study contacts
- Study coordinator: Yaolin Pei, Ph.D.
- Email: yaolin.pei@austin.utexas.edu
- Phone: 8064708689
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.