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Purpose

Family caregivers of people with dementia have to decide between tube feeding and hand feeding when persistent eating problems arise. This decision can be difficult for Chinese American dementia caregivers, due to the interplay of culture, potential absence of a patient's advance directive, poor understanding of dementia, and lack of knowledge on the risks and benefits of tube feeding. In this polit study, the principal investigator examines whether a culturally adapted decision aid intervention regarding feeding options named "Chinese version of Making Choices Feeding Options for Patients with Dementia Decision Aid" (CMCFODA) will improve Chinese American caregivers' decision-making about feeding options in patients with moderate or advanced dementia. The proposed study advances the field by providing critical evidence to inform the development and implementation of culturally adapted decision support interventions in end-of-life dementia care.

Conditions

Eligibility

Eligible Ages
Between 21 Years and 99 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

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

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Supportive Care
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
No Intervention
Participation Group 		1. Receive usual care (including information from healthcare providers) 2. Receive electrical version of decision aid after all of the data collection
Experimental
Intervention/Treatment Group 		1. Receive both the electronic and paper version of CMCFODA 2. Receive an individualized decision coaching within two weeks
  • Other: Chinese version of Making Choices Feeding Options for Patients with Dementia Decision Aid
    Participants in the treatment group will receive the CMCFODA via zoom meeting or another secure video conferencing platform and an individualized decision coaching.

Recruiting Locations

School of Nursing at UT Austin
Austin, Texas 78712
Contact:
Yaolin Pei, PhD
8064708689
yaolin.pei@austin.utexas.edu

More Details

Status
Recruiting
Sponsor
Yaolin Pei

Study Contact

Yaolin Pei, Ph.D.
8064708689
yaolin.pei@austin.utexas.edu

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.