About this trial
The goal of this clinical trial is to learn if a messaging and chatbot program, called ChatACP, helps family members of people living in nursing homes take part in advance care planning.
The main questions this study aims to answer are:
* Does ChatACP help family members feel more ready to talk about future medical and personal care with their loved one? * Does ChatACP help family members take part in advance care planning activities, such as having care discussions or completing planning documents? * Is ChatACP easy to use and acceptable for family members?
Researchers will compare ChatACP to standard self-learning materials about advance care planning to see which approach works better.
Participants will:
* Receive short daily messages with pictures or videos about advance care planning and access to a chatbot specialized in ACP for 10 days * Complete surveys at the start of the study, after the program ends, and again 3 months later * Take part in an interview to share their experience with the program
Eligibility criteria
Qualifiers
aged 18 years or older
providing care for an older adult (age 65 or above) living in a care home as a family member (including the family members in the traditional sense and the guardian and persons close to or significant to the older adult)
able to read, write and communicate in Cantonese or Mandarin
the resident, care recipient, having a prefrail or frail status as defined by a score of 3 or above on the Clinical Frailty Scale (CFS)
Disqualifiers
suffering from moderate to severe cognitive impairment defined by an Abbreviated Mental Test score of 5 or less and unable to give consent
suffering from communication problems (e.g., deafness or aphasia)
Trial design
Treatments tested in this trial
- ChatACP - Messaging- and-Chatbot Assisted Nursing Consultation
- ACP self- learning handout (Hong Kong Hospital Authority ACP education material)