An interventional study of Death Conversation and Online ACP Education in Death Attitude (Implicit/Explicit), Death Anxiety and End of Life Care, sponsored by National University of Singapore. Not yet recruiting at 1 site in Singapore. Open to participants aged 40 Years to 60 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-13.
Sponsored by National University of Singapore · Not applicable, Interventional, and Prevention
The goal of this clinical trial is to evaluate whether the Die-logue program can improve attitudes toward death, coping with death, and readiness for advance care planning (ACP) among community-dwelling middle-aged adults aged 40-60 years who have not completed any advance directives and not diagnosed with any life limiting diseases.
This study aims to address the following research questions:
Researchers will compare participants who receive the Die-logue program (death conversation and online ACP education) with participants who receive only the online ACP education to see if informal death conversations improve attitudes toward death, coping with death, and readiness for ACP.
Participants will:
Exclusion Criteria:
Participants in this arm will receive the two-session Die-logue Program. Session 1 is an on site, facilitator-led group discussion lasting 2 hours, covering: 1. Perceptions of death and dying. 2. Coping with death. 3. Readiness for Advance Care Planning (ACP). Session 2 is an online asynchronous learning session with short videos on ACP with discussion forums.
Behavioral: Death Conversation · Behavioral: Online ACP Education
Participants in this arm will only receive the online ACP education component, identical to Session 2 of the Die-logue programme. No facilitator-led group discussions are provided.
Behavioral: Online ACP Education
On site, facilitator-led group discussion lasting 2 hours, covering: 1) Perceptions of death and dying. 2) Coping with death. 3) Readiness for Advance Care Planning (ACP)
An online asynchronous learning session with short videos on ACP with discussion forums.
Death Attitudes
Death Attitude Profile Revised Scale (DAP-R)
Time frame: Before intervention
Death Attitudes
Death Attitude Profile Revised Scale (DAP-R)
Time frame: Immediately after intervention
Coping with Death
Coping with Death Scale - Short Form (CDS-SF)
Time frame: Before intervention
Coping with Death
Coping with Death Scale - Short Form (CDS-SF)
Time frame: Immediately after intervention
Coping with Death
Coping with Death Scale - Short Form (CDS-SF)
Time frame: 6 months after intervention
Death Attitudes
Death Attitude Profile Revised Scale (DAP-R)
Time frame: 6 months after intervention
Readiness for Advance Care Planning
Readiness for Advance Care Planning (RACP) Scale
Time frame: Before intervention
Readiness for Advance Care Planning
Readiness for Advance Care Planning (RACP) Scale
Time frame: Immediately after intervention
Readiness for Advance Care Planning
Readiness for Advance Care Planning (RACP) Scale
Time frame: 6 months after intervention
Uptake of Advance Care Planning
Self-reported completion of Advance Care Planning Activities
Time frame: 6 months after intervention
This study is not yet recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.
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Necrophobia
National University of Singapore