ResilienceNCT07012265
An Investigation of the Factors Related to Attitudes Towards Hospice and Palliative Care Among the Bunun Tribe in Taiwan
An observational study of Resilience and Hospice Care, run by China Medical University Hospital at 1 site in Taiwan.
Trial summary
This study aims to investigate the factors related to attitudes towards hospice and palliative care among the Bunun tribe in Taiwan, with a specific focus on the influence of faith maturity and resilience. Read more about this study
- Who is it for?
- Ages 20 years and older
- Conditions the study is for
- Resilience, Hospice Care
- How many people
- 82 participants
- Where
- 1 siteTaiwan
- Study dates
- 11 Oct 2024to 30 Jan 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: (1) being twenty years of age or older; (2) residing in Lona Village, Xinyi Township, Nantou County for at least twenty years; (3) being literate with at least an elementary level of reading ability to complete structured questionnaires.
Who may be able to join
- Aged 20 years or older Resided in Lona Village, Xinyi Township, Nantou County for at least 20 years Literate with at least an elementary level of reading ability to complete structured questionnaires
Who cannot join
- Individuals with hearing impairments or speech disorders Individuals diagnosed with emotional disorders by a physician
Trial locations and contacts
1 site in 1 country.
Taiwan1 site
Luona Village, Xinyi Township, Nantou City, Taiwan 556
Nantou City, Taiwan, 556
About this study
Official title: An Investigation of the Factors Related to Attitudes Towards Hospice and Palliative Care Among the Bunun Tribe in Taiwan: A Case Study of the Lona Village in Nantou
This study aims to investigate the factors related to attitudes towards hospice and palliative care among the Bunun tribe in Taiwan, with a specific focus on the influence of faith maturity and resilience. A cross-sectional study will be conducted in Lona Village, Nantou County, enrolling 82 Bunun participants aged 20 and above, who have resided in the village for at least 20 years. Participants must possess basic literacy skills and will complete structured questionnaires assessing faith maturity, resilience, and attitudes towards hospice and palliative care. Pearson correlation tests will be used for data analysis, with significance set at p \< 0.05. The expected outcome is to provide empirical data on the relationship between faith maturity, resilience, and attitudes towards hospice care among the Bunun, contributing to healthcare policy tailored to Indigenous communities.
Read the detailed description
The detailed design of this study emphasizes the cultural and spiritual dimensions that influence the Bunun tribe is attitudes toward hospice and palliative care. The Bunun tribe's cultural perspectives on death, illness, and caregiving differ from other ethnic groups in Taiwan. Faith plays a crucial role in the daily lives of the Bunun, while resilience reflects their capacity to cope with adversity, both of which may be key determinants of their attitudes toward hospice care.
Validated research instruments, such as the Faith Maturity Scale and Resilience Scale, are used to assess the participant is faith and psychological conditions. Additionally, the Attitudes Toward Hospice and Palliative Care Scale will help researchers gauge the level of acceptance and potential concerns regarding hospice care.
The cross-sectional design allows for the collection of sufficient data for an initial analysis to identify the relationship between faith maturity, resilience, and attitudes toward hospice care. Based on these findings, the research team will be able to provide specific recommendations to improve awareness and acceptance of hospice care among the Bunun and other Indigenous communities in Taiwan, thus contributing to more culturally appropriate healthcare service designs and policies.
- Conditions
- Resilience, Hospice Care
What is being measured
The primary outcome is the main question the study is designed to answer.
Explore the current status and related factors of faith maturity, resilience, and attitudes towards hospice and palliative care among the Bunun tribe in Taiwan.
Structured questionnaires will be administered to 82 Bunun Indigenous adults to assess:
- Faith Maturity (FMS, score range: 12-84; higher = greater faith maturity)
- Resilience (RS-14, score range: 14-98; higher = greater resilience)
- Palliative Care Attitudes (score range: 20-100; higher = more favorable attitudes)
Measured: The plan is to collect structured questionnaire responses from 82 Bunun Indigenous people within three months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jun 2025
- Study start11 Oct 2024
- Primary completion24 Oct 2024
- Study completion30 Jan 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (22)Papers the sponsor has linked to this study.
- Other trials for ResilienceStudies of the same condition, open and under way.
- More trials run by China Medical University HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Ecologic or community
- Time perspective
- Cross-sectional
- Enrolment
- 82 participants (actual)
Sponsor and investigators
- Lead sponsor
- China Medical University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Kwo-Chen Lee, China Medical University Hospital
- Investigators
- KwoChen Lee, ph.D, Study director, 011+886+4+22053366#7102
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07012265
- Sponsor's protocol ID
- CMUH113-REC3-127
- Status last verified
- Feb 2025
- First submitted
- 28 Apr 2025
- Last updated
- 10 Jun 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Yoo SH, Kim M, Yun YH, Keam B, Kim YA, Kim YJ, Shim HJ, Song EK, Kang JH, Kwon JH, Lee JL, Lee SN, Kim SY, Kang EJ, Do YR, Choi YS, Jung KH. Attitudes toward early palliative care in cancer patients and caregivers: a Korean nationwide survey. Cancer Med. 2018 May;7(5):1784-1793. doi: 10.1002/cam4.1441. Epub 2018 Mar 25.
PubMed 29577624Tang ST, Huang EW, Liu TW, Wang HM, Chen JS. A population-based study on the determinants of hospice utilization in the last year of life for Taiwanese cancer decedents, 2001-2006. Psychooncology. 2010 Nov;19(11):1213-20. doi: 10.1002/pon.1690.
PubMed 20119936Tan WS, Beatty L, Koczwara B. Do cancer patients use the term resilience? A systematic review of qualitative studies. Support Care Cancer. 2019 Jan;27(1):43-56. doi: 10.1007/s00520-018-4456-y. Epub 2018 Sep 12.
PubMed 30209600Stewart DE, Yuen T. A systematic review of resilience in the physically ill. Psychosomatics. 2011 May-Jun;52(3):199-209. doi: 10.1016/j.psym.2011.01.036.
PubMed 21565591Spence ND, Wells S, Graham K, George J. Racial Discrimination, Cultural Resilience, and Stress. Can J Psychiatry. 2016 May;61(5):298-307. doi: 10.1177/0706743716638653. Epub 2016 Mar 28.
PubMed 27254805Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007 Aug;30(4):459-67. doi: 10.1002/nur.20199.
PubMed 17654487Pandya SP. Faith Maturity and Mental Well-Being: A Longitudinal Study of Indian American Followers of a Guru Tradition. J Relig Health. 2020 Apr;59(2):743-757. doi: 10.1007/s10943-018-0632-0.
PubMed 29730808Ni K, Gong Y, Li F, Cao X, Zhang H, Chu H, Li T, Mairipaiti A, Zhao Y, Li N. Knowledge and attitudes regarding hospice care among outpatients and family members in two hospitals in China. Medicine (Baltimore). 2019 Apr;98(16):e15230. doi: 10.1097/MD.0000000000015230.
PubMed 31008953Narayan MC. Culture's effects on pain assessment and management. Am J Nurs. 2010 Apr;110(4):38-47; quiz 48-9. doi: 10.1097/01.NAJ.0000370157.33223.6d.
PubMed 20335689Min S. [The relationship between maturity of Christian faith and anxiety of patients with cancer]. Kanho Hakhoe Chi. 1989 Apr;19(1):118-26. doi: 10.4040/jnas.1989.19.1.118. Korean.
PubMed 2739232Maggi S, Roberts W, MacLennan D, D'Angiulli A. Community resilience, quality childcare, and preschoolers' mental health: a three-city comparison. Soc Sci Med. 2011 Oct;73(7):1080-7. doi: 10.1016/j.socscimed.2011.06.052. Epub 2011 Jul 22.
PubMed 21835523Lau J, Khoo AM, Ho AH, Tan KK. Psychological resilience among palliative patients with advanced cancer: A systematic review of definitions and associated factors. Psychooncology. 2021 Jul;30(7):1029-1040. doi: 10.1002/pon.5666. Epub 2021 Mar 16.
PubMed 33728728Jordan RI, Allsop MJ, ElMokhallalati Y, Jackson CE, Edwards HL, Chapman EJ, Deliens L, Bennett MI. Duration of palliative care before death in international routine practice: a systematic review and meta-analysis. BMC Med. 2020 Nov 26;18(1):368. doi: 10.1186/s12916-020-01829-x.
PubMed 33239021Hou CC, Kuo T. Home Care Services for Indigenous Population in Taiwan: Cultural and Socio-Structural Implications for Long-Term Care Policy. J Gerontol Soc Work. 2019 Apr;62(3):306-323. doi: 10.1080/01634372.2019.1575307. Epub 2019 Feb 11.
PubMed 30739607Hasson F, Nicholson E, Muldrew D, Bamidele O, Payne S, McIlfatrick S. International palliative care research priorities: A systematic review. BMC Palliat Care. 2020 Feb 3;19(1):16. doi: 10.1186/s12904-020-0520-8.
PubMed 32013949
Study at a glance
From the registry record, last updated by the sponsor on 10 Jun 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Investigation of the Factors Related to Attitudes Towards Hospice and Palliative Care Among the Bunun Tribe in Taiwan: A Case Study of the Lona Village in Nantou
- ClinicalTrials.gov ID
- NCT07012265
- Acronym / sponsor ID
- CMUH113-REC3-127
- Conditions
- Resilience, Hospice Care
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 82 participants (actual)
- Lead sponsor
- China Medical University HospitalUniversity, hospital or other
- Study start
- 11 Oct 2024 (actual)
- Primary completion
- 24 Oct 2024 (actual)
- Study completion
- 30 Jan 2025 (actual)
- First posted
- 10 Jun 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to investigate the factors related to attitudes towards hospice and palliative care among the Bunun tribe in Taiwan, with a specific focus on the influence of faith maturity and resilience. A cross-sectional study will be conducted in Lona Village, Nantou County, enrolling 82 Bunun participants aged 20 and above, who have resided in the village for at least 20 years. Participants must possess basic literacy skills and will complete structured questionnaires assessing faith maturity, resilience, and attitudes towards hospice and palliative care. Pearson correlation tests will be used for data analysis, with significance set at p \< 0.05. The expected outcome is to provide empirical data on the relationship between faith maturity, resilience, and attitudes towards hospice care among the Bunun, contributing to healthcare policy tailored to Indigenous communities.
Detailed description
The detailed design of this study emphasizes the cultural and spiritual dimensions that influence the Bunun tribe is attitudes toward hospice and palliative care. The Bunun tribe's cultural perspectives on death, illness, and caregiving differ from other ethnic groups in Taiwan. Faith plays a crucial role in the daily lives of the Bunun, while resilience reflects their capacity to cope with adversity, both of which may be key determinants of their attitudes toward hospice care.
Validated research instruments, such as the Faith Maturity Scale and Resilience Scale, are used to assess the participant is faith and psychological conditions. Additionally, the Attitudes Toward Hospice and Palliative Care Scale will help researchers gauge the level of acceptance and potential concerns regarding hospice care.
The cross-sectional design allows for the collection of sufficient data for an initial analysis to identify the relationship between faith maturity, resilience, and attitudes toward hospice care. Based on these findings, the research team will be able to provide specific recommendations to improve awareness and acceptance of hospice care among the Bunun and other Indigenous communities in Taiwan, thus contributing to more culturally appropriate healthcare service designs and policies.
Study design
- Observational model
- Ecologic or community
- Time perspective
- Cross-sectional
Who may qualify
- Ages
- 20 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- (1) being twenty years of age or older; (2) residing in Lona Village, Xinyi Township, Nantou County for at least twenty years; (3) being literate with at least an elementary level of reading ability to complete structured questionnaires.
Key inclusion criteria (1 listed)
- Aged 20 years or older Resided in Lona Village, Xinyi Township, Nantou County for at least 20 years Literate with at least an elementary level of reading ability to complete structured questionnaires
Key exclusion criteria (1 listed)
- Individuals with hearing impairments or speech disorders Individuals diagnosed with emotional disorders by a physician
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Explore the current status and related factors of faith maturity, resilience, and attitudes towards hospice and palliative care among the Bunun tribe in Taiwan.
Time frame: The plan is to collect structured questionnaire responses from 82 Bunun Indigenous people within three months.
Structured questionnaires will be administered to 82 Bunun Indigenous adults to assess: 1. Faith Maturity (FMS, score range: 12-84; higher = greater faith maturity) 2. Resilience (RS-14, score range: 14-98; higher = greater resilience) 3. Palliative Care Attitudes (score range: 20-100; higher = more favorable attitudes)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jun 2025.
- Background: PubMed 29577624Yoo SH, Kim M, Yun YH, Keam B, Kim YA, Kim YJ, Shim HJ, Song EK, Kang JH, Kwon JH, Lee JL, Lee SN, Kim SY, Kang EJ, Do YR, Choi YS, Jung KH. Attitudes toward early palliative care in cancer patients and caregivers: a Korean nationwide survey. Cancer Med. 2018 May;7(5):1784-1793. doi: 10.1002/cam4.1441. Epub 2018 Mar 25.
- Background: PubMed 20119936Tang ST, Huang EW, Liu TW, Wang HM, Chen JS. A population-based study on the determinants of hospice utilization in the last year of life for Taiwanese cancer decedents, 2001-2006. Psychooncology. 2010 Nov;19(11):1213-20. doi: 10.1002/pon.1690.
- Background: PubMed 30209600Tan WS, Beatty L, Koczwara B. Do cancer patients use the term resilience? A systematic review of qualitative studies. Support Care Cancer. 2019 Jan;27(1):43-56. doi: 10.1007/s00520-018-4456-y. Epub 2018 Sep 12.
- Background: PubMed 21565591Stewart DE, Yuen T. A systematic review of resilience in the physically ill. Psychosomatics. 2011 May-Jun;52(3):199-209. doi: 10.1016/j.psym.2011.01.036.
- Background: PubMed 27254805Spence ND, Wells S, Graham K, George J. Racial Discrimination, Cultural Resilience, and Stress. Can J Psychiatry. 2016 May;61(5):298-307. doi: 10.1177/0706743716638653. Epub 2016 Mar 28.
- Background: PubMed 17654487Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007 Aug;30(4):459-67. doi: 10.1002/nur.20199.
- Background: PubMed 29730808Pandya SP. Faith Maturity and Mental Well-Being: A Longitudinal Study of Indian American Followers of a Guru Tradition. J Relig Health. 2020 Apr;59(2):743-757. doi: 10.1007/s10943-018-0632-0.
- Background: PubMed 31008953Ni K, Gong Y, Li F, Cao X, Zhang H, Chu H, Li T, Mairipaiti A, Zhao Y, Li N. Knowledge and attitudes regarding hospice care among outpatients and family members in two hospitals in China. Medicine (Baltimore). 2019 Apr;98(16):e15230. doi: 10.1097/MD.0000000000015230.
- Background: PubMed 20335689Narayan MC. Culture's effects on pain assessment and management. Am J Nurs. 2010 Apr;110(4):38-47; quiz 48-9. doi: 10.1097/01.NAJ.0000370157.33223.6d.
- Background: PubMed 2739232Min S. [The relationship between maturity of Christian faith and anxiety of patients with cancer]. Kanho Hakhoe Chi. 1989 Apr;19(1):118-26. doi: 10.4040/jnas.1989.19.1.118. Korean.
- Background: PubMed 21835523Maggi S, Roberts W, MacLennan D, D'Angiulli A. Community resilience, quality childcare, and preschoolers' mental health: a three-city comparison. Soc Sci Med. 2011 Oct;73(7):1080-7. doi: 10.1016/j.socscimed.2011.06.052. Epub 2011 Jul 22.
- Background: PubMed 33728728Lau J, Khoo AM, Ho AH, Tan KK. Psychological resilience among palliative patients with advanced cancer: A systematic review of definitions and associated factors. Psychooncology. 2021 Jul;30(7):1029-1040. doi: 10.1002/pon.5666. Epub 2021 Mar 16.
- Religion and Health: Public Health Research and PracticeLink provided by the sponsor.
- Palliative care: patient's autonomy in the end-of-life situationLink provided by the sponsor.
- The Pursuit of Resilience: A Meta-Analysis and Systematic Review of Resilience-Promoting InterventionsLink provided by the sponsor.
- Resilience Processes in Development: Fostering Positive Adaptation in the Context of Adversity.Link provided by the sponsor.
- Death, Emotions, and Social Change among the Austronesian-Speaking Bunun of TaiwanLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
KwoChen Lee, ph.D study director
011+886+4+22053366#7102
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Resilience and Hospice Care, run by China Medical University Hospital at 1 site in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 10 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Explore the current status and related factors of faith maturity, resilience, and attitudes towards hospice and palliative care among the Bunun tribe in Taiwan. (time frame: The plan is to collect structured questionnaire responses from 82 Bunun Indigenous people within three months.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07012265, which also lists 22 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Jun 2025.