RECRUITING Not applicable ClinicalTrials.gov

Coaching in Palliative Surgical Oncology

Sponsor: Singapore General Hospital • ClinicalTrials.gov ID: NCT07789093

Registry updated: 2026-08-27

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Description

This study aims to evaluate the effectiveness of a serious illness coaching intervention (CONCORD) in improving quality of serious illness conversation (SIC), treatment decision-making, goal-concordant care delivery and quality of life in patients with advanced cancer considered for palliative interventions. CONCORD will be delivered by lay healthcare providers. We compare outcomes between participants receiving CONCORD vs usual care.

Interventions

CONCORD coaching intervention (Other)
The care coach will focus on improving readiness and preparedness for components that will be discussed during serious illness conversations (SICs) - (disease understanding/prognosis, fear/worry, goals of care, treatment expectations, informational preferences, trade-offs, caregiver involvement). The coach will also equip patients with basic tools for treatment decision-making and advanced care planning (ACP). The session will be conducted in-person over 30-to-45 minutes. All coaching content is adapted from the serious illness care program developed by Ariadne Labs. This includes an adapted version of the advanced cancer and surgery question prompt list, elements of the serious illness conversations and the "What Matters to Me" serious illness care program booklet. The SICs are conducted at least 12 hours prior to palliative intervention and findings conveyed to surgical team. Coaching sessions would be focused on decision-making and future planning aspects of palliative care.

Eligibility criteria

Inclusion Criteria: (i) Patient: 1. Aged 21 or above; 2. Diagnosis of advanced cancer, i.e. stage 3 or 4 solid organ 3. Consulted for palliative surgery or other interventions, i.e. procedures aimed at relieving symptoms and improving quality of life 4. Able to speak English or Mandarin; (ii) Caregiver 1. Aged 21 or above; 2. Self-endorsed or identified by the enrolled patient as an unpaid spouse/partner, relative or friend who knows them well and who provides regular care, who does not have to live in the same dwelling 3. Able to speak English or Mandarin. Exclusion Criteria: (i). Patient 1. Patient refusal, 2. Active mental illness or severe dementia, or being certified unfit to make medical decision by a specialist physician, 3. Pregnant Women (ii). Caregiver 1. Self-reported severe mental illness, dementia, active suicidal ideation, uncorrected hearing loss; 2. Unable to complete caregiver-reported outcomes.

Conditions

Palliative Care Advanced Cancer

Locations

Singapore General Hospital — Singapore, Singapore

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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