Navigating Advanced Illness Goals And Treatment With Digital Engagement (NAVIGATE)

Summary

The goal of this two-armed, parallel-design, pre-/post-intervention assessment clinical trial is to learn if a digital and interactive website helps to improve advance care planning (ACP) engagement among caregivers of patients with serious illness. The main questions it aims to answer are:

Does the website increase ACP engagement of caregivers of patients with serious illness? Researchers will compare the digital and interactive website to the usual care (a digital booklet) to see if the digital intervention works to improve ACP engagement among caregivers.

Participants who are caregivers will:

* Be introduced to a digital website and asked to explore the site over the course of the study.
* Complete four self-administered questionnaires (baseline, one-week, six-week, and six-month).

Participants who are patients will not have any intervention assigned and will only have their observational data collected through four interviewer-administered questionnaires (baseline, one-week, six-week, and six-month)

Conditions

• Paliative Care
• Advance Care Planning
• Digital Education Interventions
• Values, Social
• Goals of Care

Interventions

BEHAVIORAL

Careverse

Careverse is a digital psychoeducational website designed to assist caregivers and patients to clarify their values, end-of-life preferences, enable surrogates to further their understanding of the patient's wishes, and prepare surrogates for the role and responsibilities of a medical decision maker. The intervention consists of values elicitation tools, educational materials, and testimonies. The participants will receive guides on how to initiate/re-introduce discussions about end-of-life wishes with their loved ones and clinicians.

OTHER

Usual Care

Caregivers in the comparator arm will receive a digital version of standard advanced care planning education material prepared by Agency of Integrated Care. The ACP Workbook is created by AIC to help individuals explore their values, care preferences, and end-of-life goals in a structured, reflective way.

Sponsors & Collaborators

• National University Hospital, Singapore

  collaborator OTHER

• National University of Singapore

  lead OTHER

Principal Investigators

• Gerald Choon Huat Koh, PhD(FM) · Saw Swee Hock School of Public Health, National University of Singapore

Study Design

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

21 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2025-08-27

Primary Completion

2027-07-31

Completion

2027-07-31

Countries

• Singapore

Study Locations