Decision Support on End-of-life Care Planning in Older Adults

Patients' decisional conflict regarding EOL care

This study aims to test the effects of a patient decision aid (PDA) on planning for
 end-of-life (EOL) care among older adults with COPD. The main questions it aims to answer
 are:
 
 1. Does a PDA improve the process of a person to make decisions on EOL care?
 
 2. Does a PDA improve the readiness of a person to join advance care planning (ACP)
 communication?
 
 3. Does a person make an advance directive after using a PDA?
 
 Participants in this study will:
 
 1. Be randomly assigned to one of two groups.
 
 2. In the experimental group, participants will receive two 60-minute interactive
 consultations over four weeks, using a PDA to help clarify values and preferences for
 future medical care. A guidebook summarising these future care options will be provided.
 
 3. In the control group, participants will receive two 60-minute sessions on lifestyle
 modification and self-care management over four weeks using a guidebook with coaching. A
 guidebook summarising general health information will be provided.
 
 Researchers will compare the intervention group to the control group to see if the PDA is
 better at improving the decision-making process on EOL care, the readiness of a person to
 join ACP communication and the chance to make an advance directive.