[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"goals-of-care\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:goals-of-care":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,43],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":31,"lastUpdatePostDateStruct":32,"startDateStruct":35,"completionDateStruct":37,"leadSponsor":39,"locationsCount":42},"100516253","eliciting-informed-goals-of-care-in-elderly-patients-100516253",false,"NCT06002113","Eliciting Informed Goals of Care in Elderly Patients","Assessment of Shared Decision-making Tool for Eliciting Informed Goals of Care in the Hospitalized Elderly (ASKMEGOC): A Randomized Clinical Trial","ASKMEGOC","Inclusion Criteria:\n\n* Hospitalized patients ≥ 80 years old with an acute medical or surgical condition admitted to any hospital ward\n* Previously or currently documented CODE STATUS preferences include any life sustaining therapies\n* Duration of admission ≥ 24 hours\n* English speaking, or translator present\n* Competent patient or substitute decision maker\n\nExclusion Criteria:\n\n* Treating physician, patient, or substitute decision maker declines\n* Documented resuscitation preferences for comfort or supportive care\n* New diagnosis of life-limiting illness on this hospital admission, for example, new diagnosis of metastatic cancer\n* Clinically unstable, admitted to an intensive care unit, or currently receiving acute life support treatment (mechanical ventilation, acute dialysis, or inotropic\u002Fvasopressor support)\n* Readmission after index hospitalization\n* Pre-existing need for chronic mechanical ventilation (invasive mechanical ventilation via tracheostomy \\> 90 days) or maintenance dialysis (peritoneal or hemodialysis \\> 90 days)","ALL","80 Years",{"count":20,"type":21},1200,"ESTIMATED","INTERVENTIONAL",[24],"NA","Patient-centered medical care considers a patient's values and goals for their health and well-being. Healthcare providers use this information to formulate a medical care plan that is aligned with these expectations. This shared-decision making process should occur with every medical decision, but it is especially important whenever decisions about end-of-life care are being considered. Eliciting patient preferences about resuscitation and life-support treatments in the event of life-threatening illnesses are considered to be a standard of excellent and appropriate medical care. Unfortunately, these discussions don't happen consistently and even when they do occur, are rarely ideal. The consequences can be devastating, often resulting in the delivery of unwanted medical care that can be associated with significant physical and mental suffering among patients and their families. In response to this problem, the investigators developed a novel tool to help guide these difficult conversations between healthcare providers and patients. The investigators previously tested this tool in a small group of hospitalized patients who found it acceptable and helpful. In this larger study, the investigators will compare how effective this tool is compared to usual care in ensuring hospitalized patients have their treatment preferences identified, documented and result in end-of-life care that is consistent with their preferences.",[27,28,29],"Goals of Care","Patient Preference","End of Life","RECRUITING","2025-11-18",{"date":33,"type":34},"2025-11-21","ACTUAL",{"date":36,"type":34},"2023-10-03",{"date":38,"type":21},"2027-06-01",{"name":40,"class":41},"Royal Victoria Hospital, Canada","OTHER",1,{"id":44,"slug":45,"hasResults":11,"nctId":46,"briefTitle":47,"officialTitle":48,"acronym":4,"eligibilityCriteria":49,"healthyVolunteers":11,"sex":17,"minAge":50,"maxAge":4,"enrollmentInfo":51,"targetDuration":4,"studyType":22,"phases":53,"briefSummary":54,"conditions":55,"keywords":60,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":66,"lastUpdatePostDateStruct":67,"startDateStruct":69,"completionDateStruct":71,"leadSponsor":73,"locationsCount":42},"100603312","navigating-advanced-illness-goals-and-treatment-with-digital-engagement-navigate-100603312","NCT07134881","Navigating Advanced Illness Goals And Treatment With Digital Engagement (NAVIGATE)","Navigating Advanced Illness Goals And Treatment With Digital Engagement (NAVIGATE): A Randomised Control Trial","1\\. Patient Participants Inclusion Criteria:\n\n1. Singapore resident aged 21years and above,\n2. patient able to identify one main caregiver in the care and medical decision-making for the patient;\n3. patient able to communicate in either English, Chinese, Malay or Tamil;\n4. patient meeting one of the following illness criteria: 4a. Patients with brain tumours: histological and\u002For radiological diagnosis of glioma or brain metastases.\n\n4b. Patients with spontaneous intracerebral haemorrhage (SICH) based on radiological diagnosis of SICH on baseline computed-tomographic scans.\n\n4c. Patients with CKD Stage 4 and 5, identified at G4 or G5 of CKD, glomerular filtration rate (GFR) 30 ml\u002Fmin or less, inclusive of kidney failure on kidney replacement therapy; and (5) Physicians assessment that ACP is appropriate for the patient by physicians.\\* (\\*) The attending clinicians may base the assessment of ACP appropriateness on several factors in addition to high mortality risk. As a baseline, clinicians are asked to base their assessment of high mortality risk using the validated \"Surprise\" question.\n\n2\\. Patient participants Exclusion Criteria:\n\n1. Patients unable to identify a caregiver who is a medical decision-maker,\n2. Patients are currently or was previously healthcare workers; or\n3. Patients are diagnosed with dementia or deemed cognitively impaired as determined by the Abbreviated Mental Test.\n\n3\\. Caregiver Participants Inclusion Criteria:\n\n1. caregivers are identified as a medical decision-maker for the patient\n2. Singapore resident aged 21 years and above; and\n3. able to communicate in English\n\n4\\. Caregiver Participants Exclusion Criteria:\n\n1. caregivers are currently or were previously healthcare workers;\n2. caregivers not involved in primary care of the patient (including providing care to the patient, supervision of care, or involved in making decisions regarding treatment the patient receives); or\n3. caregivers diagnosed with dementia.","21 Years",{"count":52,"type":21},200,[24],"The goal of this two-armed, parallel-design, pre-\u002Fpost-intervention assessment clinical trial is to learn if a digital and interactive website helps to improve advance care planning (ACP) engagement among caregivers of patients with serious illness. The main questions it aims to answer are:\n\nDoes the website increase ACP engagement of caregivers of patients with serious illness? Researchers will compare the digital and interactive website to the usual care (a digital booklet) to see if the digital intervention works to improve ACP engagement among caregivers.\n\nParticipants who are caregivers will:\n\n* Be introduced to a digital website and asked to explore the site over the course of the study.\n* Complete four self-administered questionnaires (baseline, one-week, six-week, and six-month).\n\nParticipants who are patients will not have any intervention assigned and will only have their observational data collected through four interviewer-administered questionnaires (baseline, one-week, six-week, and six-month)",[56,57,58,59,27],"Paliative Care","Advance Care Planning","Digital Education Interventions","Values, Social",[61,62,63,64,65],"randomised control trial","digital intervention","advance care planning","goals of care","palliative care","2025-09-12",{"date":68,"type":34},"2025-09-15",{"date":70,"type":34},"2025-08-27",{"date":72,"type":21},"2027-07-31",{"name":74,"class":41},"National University of Singapore"]