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Life sciences · Interventional Study
ClinicalTrials.gov · October 30, 2026
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Interventional Study.
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Registry record from ClinicalTrials.gov (NCT06616909). This is a study registration, not published results. Lead sponsor: National Taiwan University Hospital. Recruitment status: COMPLETED. Phase: NA. Study type: INTERVENTIONAL. Enrollment: 124 participants (ACTUAL). Conditions: Advanced Care Planning (ACP), ELDERLY PEOPLE, Lung Cancer (NSCLC). Interventions: BEHAVIORAL: ACP GAME; BEHAVIORAL: acp manual. Primary outcome measures: Absolute Gap Score on m-LSPQ Total Score Baseline , Baseline (T0); Absolute Gap Score on m-LSPQ Total Score at 2 Weeks , 2 weeks post-intervention (T2); Absolute Gap Score on m-LSPQ Total Score at 6 Weeks , 6 weeks post-intervention (T3). Brief summary: This randomized controlled trial examined whether an advance care planning (ACP) tabletop game ("Walking with Wishes") could improve the consistency of life-sustaining treatment preferences between older adults with lung cancer and their potential surrogates (family members or friends), compared to a standard ACP manual. Eligible dyads (patient-surrogate pairs) were randomized 1:1 to either the tabletop game intervention or the ACP manual control group. The primary outcome was the absolute gap score on the modified Life Support Preferences Questionnaire (m-LSPQ), measuring the difference between patient and surrogate preferences for five life-sustaining treatments (antibiotics, CPR, surgery, nasogastric tube feeding, and intravenous infusion) across nine health scenarios. Secondary outcomes included state anxiety (STAI-S) for both patients and surrogates. The m-LSPQ was assessed at baseline (T0), 2 weeks (T2), and 6 weeks (T3) post-intervention. The STAI-S was additionally assessed immediately post-intervention (T1) to capture acute emotional responses to the intervention.