Using motivational interviewing to improve advance care planning for older adults after emergency visits

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 study evaluates the effectiveness of a motivational interviewing (MI) intervention aimed at enhancing advance care planning (ACP) among older adults who have visited the Emergency Room in the past six months, along with their family caregivers. Participants in the intervention group will receive personalized MI sessions, while the control group will only receive a self-education booklet. The study will assess the completion rates of advance directives over three follow-up points: 3, 6, and 12 months post-intervention. The goal is to empower older adults to engage in ACP following their ER visits.

Why it matters

Who can join: the full rules

The target group will be dyads comprising older adults who have had ER visits within the previous six months and their family caregivers. A dyad is defined as one older adult and one primary family caregiver of the older adult.

For older adults:

Inclusion Criteria:

* Aged 65 or older
* At least one episode of ER visit in the last six months
* Has a family caregiver to be present during the intervention
* Able to communicate in Chinese

Exclusion Criteria:

* Has completion of an AD
* Moderate to severe cognitive impairment or diagnosis of dementia, as identified in health records
* Communication problems (e.g., deafness or aphasia)

For family caregivers:

Inclusion Criteria:

* Aged 18 or above
* Immediate or extended family member or friend nominated by an eligible older adult participant as primary caregiver
* Able to communicate in Chinese

Exclusion Criteria:

* Moderate to severe cognitive impairment
* Communication problems (e.g., deafness or aphasia)

Where it's running

• University of Hong Kong, School of Nursing
  Hong Kong, Hong Kong Recruiting

Study contacts

• Principal investigator: Chia-Chin LIN, PhD,FAAN,RN — University of Hong Kong, School of Nursing
• Study coordinator: Chia-Chin LIN, PhD,FAAN,RN
• Email: cclin@hku.hk
• Phone: 852-3917-6600

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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.