An interventional study of Death Conversation and Online ACP Education in Death Anxiety, Death Attitude (Implicit/Explicit) and End of Life Care, sponsored by National University of Singapore. Not yet recruiting at 1 site in Singapore. Open to participants aged 21 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-28.
Sponsored by National University of Singapore · Not applicable, Interventional, and Prevention
The goal of this clinical trial is to evaluate whether the PEACE program can improve early career registered nurses' registered nurses' attitudes towards caring for palliative patients, ability to cope with patients' death, and self-efficacy in initiating advanced care planning conversations
This study aims to address the following research questions:
Researchers will compare participants who receive the PEACE program (death conversation and online ACP education) with participants who receive only the online ACP education to see if informal death conversations improve early career registered nurses' attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations.
Participants will:
26 studies on the registry are indexed under Necrophobia; 11 are open to participants now.
This study's planned enrollment of 150 is above the median of 70 across 22 interventional studies indexed under Necrophobia.
Browse Necrophobia studies →National University of Singapore is the lead sponsor of 212 studies on the registry; 54 are open to participants now.
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Exclusion Criteria:
Participants in this arm will receive the two-session PEACE Program. Session 1 is an on site, facilitator-led group discussion lasting 2 hours, covering: 1. Experiences of death and dying 2. Coping with death and dying. 3. Communication about death and dying 4. Discussing 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 PEACE programme. No facilitator-led group discussions are provided.
Behavioral: Online ACP Education
On site, facilitator-led group discussion lasting 2 hours, covering: 1) Experiences of patients' deaths; 2) Coping with patients' death and dying; 3) Communication with patients and/or family members about death and dying; 4) Discussing advance care planning with patients and/or family members
An online asynchronous learning session with short videos on ACP with discussion forums.
Advance Care Planning Self-Efficacy (ACP-SE) Scale
An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.
Time frame: Baseline
Advance Care Planning Self-Efficacy (ACP-SE) Scale
An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.
Time frame: Post-test (Immediately at end of 2-weeks intervention)
Advance Care Planning Self-Efficacy (ACP-SE) Scale
An 18-item 5-point Likert scale, scored from 1 (Not at all confident) to 5 (Very confident), with higher scores indicating more confidence in performing respective tasks regarding Advance Care Planning (ACP) conversations for patients.
Time frame: 3 months follow-up
Palliative care self-efficacy scale
A twelve item 4-point Likert scale, scored from 1 (Need further basic instruction) to 4 (Confident to perform independently). Higher scores indicate nurses having higher degree of confidence with the respective patient/family interactions and patient management topics.
Time frame: Baseline
Palliative care self-efficacy scale
A twelve item 4-point Likert scale, scored from 1 (Need further basic instruction) to 4 (Confident to perform independently). Higher scores indicate nurses having higher degree of confidence with the respective patient/family interactions and patient management topics.
Time frame: Post-test (Immediately at end of 2-weeks intervention)
Palliative care self-efficacy scale
A twelve item 4-point Likert scale, scored from 1 (Need further basic instruction) to 4 (Confident to perform independently). Higher scores indicate nurses having higher degree of confidence with the respective patient/family interactions and patient management topics.
Time frame: 3 months follow-up
Frommelt Attitude Toward Care of the Dying Scale
A 30-item 5 point Likert scale. Positive items are scored one (strongly disagree) to five (strongly agree). Scores are reversed for negative items. Possible scores can range from 30-150. A higher score indicates a more positive attitude toward caring for this patient population.
Time frame: Baseline
Frommelt Attitude Toward Care of the Dying Scale
A 30-item 5 point Likert scale. Positive items are scored one (strongly disagree) to five (strongly agree). Scores are reversed for negative items. Possible scores can range from 30-150. A higher score indicates a more positive attitude toward caring for this patient population.
Time frame: Post-test (Immediately at end of 2-weeks intervention)
Frommelt Attitude Toward Care of the Dying Scale
A 30-item 5 point Likert scale. Positive items are scored one (strongly disagree) to five (strongly agree). Scores are reversed for negative items. Possible scores can range from 30-150. A higher score indicates a more positive attitude toward caring for this patient population.
Time frame: 3 months follow-up
End-of-life planning conversations
Self-reported number of conversations held with patients regarding Advance Care Planning
Time frame: 3 months follow-up
From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
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