'My Voice' is a website intervention developed to enable advance care planning (ACP) conversations for patients with kidney disease on dialysis, educate patients on their illness, help identify their goals and preferences for EOL care, and coaches them on how to speak with their HCPs and loved ones. This study aims to evaluate if 'My Voice' intervention improves quality of ACP conversations between patients and providers, and patients and family carers; improves patient's knowledge about kidney failure, engagement in ACP and preparedness for future end of life care compared to usual practices for ACP in dialysis centres.
Singapore citizens or permanent residents; aged 21 years (age of majority) or older
CKD stage 5; receiving dialysis
clinical deterioration with a terminal condition or
intolerability to dialysis or
Patients with cognitive impairment or serious mental illness will be excluded
Patients who had prior serious illness conversations (SIC) will be excluded
Are not easily contactable via mobile phone or landline
Those who are foreign domestic workers/maids
Duke-NUS Graduate Medical School
Lead sponsor
National Kidney Foundation, Singapore
Collaborator