Death AnxietyNCT07774468
Platform for End-of-life Awareness, Conversations, and Education (PEACE) Among Registered Nurses
A study testing Death Conversation and Online ACP Education in people with Death Anxiety and Death Attitude (Implicit/Explicit), run by National University of Singapore at 1 site in Singapore.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 21 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Death Anxiety, Death Attitude (Implicit/Explicit), End of Life Care
- What is being tested?
- Death Conversation and Online ACP Education
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 150 participants
- Where
- 1 siteSingapore
- Study dates
- 1 Sep 2026to 31 Dec 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 21 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Registered nurses within the first five years of practice
- Between the ages of 21 to 65 years
- Currently working in a healthcare setting in SIngapore
Who cannot join
- Participated in a similar death conversation program
- Received training in Advance Care Planning or Serious Illness Conversations
- Any self-reported history of mental health disorders (e.g., depression), or neurological disorders (e.g., brain tumors)
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Singapore1 site
National University of Singapore
Singapore
Darryl Ang, PhD, +65 65167792, darrylang@nus.edu.sg
About this study
Official title: Platform for End-of-life Awareness, Conversations, and Education (PEACE) Among Registered Nurses: A Mixed Methods Study
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:
Read more
- Does the PEACE program 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?
- What are the participants' experiences of participating in the PEACE program?
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:
- Complete online questionnaires measuring attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations.
- Participate in a facilitator-led group discussion session about experiences of patients' deaths, coping with patients' death and dying, communications with patients and/or family members about death and dying, and discussing advance care planning with patients and/or family members (intervention group only).
- Complete an asynchronous online ACP education session consisting of short recorded videos and an online discussion forum (both intervention and control group).
- Complete follow-up surveys, including a 3-month follow-up assessing whether participants have engage with any patients and/or their family members in advance care planning conversations.
- Conditions
- Death Anxiety, Death Attitude (Implicit/Explicit), End of Life Care, Advanced Care Planning (ACP)
- Being tested
- Death Conversation, Online ACP Education
- Keywords
- Death Conversation, Death Anxiety, Advance Care Planning, Death Attitude
- Medical subject headings
- Necrophobia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Death ConversationBehavioural
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
Online ACP EducationBehavioural
An online asynchronous learning session with short videos on ACP with discussion forums.
| Study group | Role | What they receive |
|---|---|---|
| Intervention Group - on site group discussions + online learning session | Experimental | 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. Receives: Behavioral: Death Conversation; Behavioral: Online ACP Education |
| Control Group - Only online learning session | Active comparator | 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. Receives: Behavioral: Online ACP Education |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 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.
Measured: 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.
Measured: 3 months follow-up
Secondary outcomes (7)
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.
Measured: 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.
Measured: 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.
Measured: 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.
Measured: 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.
Measured: 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.
Measured: 3 months follow-up
End-of-life planning conversations
Self-reported number of conversations held with patients regarding Advance Care Planning
Measured: 3 months follow-up
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Aug 2026
- Study start1 Sep 2026 (estimated)
- Primary completion31 Dec 2027 (estimated)
- Study completion31 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Death AnxietyStudies of the same condition, open and under way.
- More trials run by National University of SingaporeThe 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 150 participants (estimated)
Sponsor and investigators
- Lead sponsor
- National University of Singapore
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Ang Wei How Darryl, National University of Singapore
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07774468
- Sponsor's protocol ID
- NUS-DERC-001647
- Other IDs
- A-0010425-00-00
- Status last verified
- Aug 2026
- First submitted
- 11 Aug 2026
- Last updated
- 28 Sep 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Platform for End-of-life Awareness, Conversations, and Education (PEACE) Among Registered Nurses: A Mixed Methods Study
- ClinicalTrials.gov ID
- NCT07774468
- Acronym / sponsor ID
- NUS-DERC-001647
- Conditions
- Death Anxiety, Death Attitude (Implicit/Explicit), End of Life Care, Advanced Care Planning (ACP)
- Keywords
- Death Conversation, Death Anxiety, Advance Care Planning, Death Attitude
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 150 participants (estimated)
- Lead sponsor
- National University of SingaporeUniversity, hospital or other
- Study start
- 1 Sep 2026 (estimated)
- Primary completion
- 31 Dec 2027 (estimated)
- Study completion
- 31 Dec 2027 (estimated)
- First posted
- 19 Aug 2026 (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.
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:
- Does the PEACE program 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?
- What are the participants' experiences of participating in the PEACE program?
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:
- Complete online questionnaires measuring attitudes towards caring for palliative patients, ability to cope with patients' death and self-efficacy in initiating advanced care planning conversations.
- Participate in a facilitator-led group discussion session about experiences of patients' deaths, coping with patients' death and dying, communications with patients and/or family members about death and dying, and discussing advance care planning with patients and/or family members (intervention group only).
- Complete an asynchronous online ACP education session consisting of short recorded videos and an online discussion forum (both intervention and control group).
- Complete follow-up surveys, including a 3-month follow-up assessing whether participants have engage with any patients and/or their family members in advance care planning conversations.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention Group - on site group discussions + online learning session | Experimental | Behavioral: Death Conversation, Behavioral: Online ACP EducationParticipants 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. |
| Control Group - Only online learning session | Active comparator | Behavioral: Online ACP EducationParticipants 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. |
Who may qualify
- Ages
- 21 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Registered nurses within the first five years of practice
- Between the ages of 21 to 65 years
- Currently working in a healthcare setting in SIngapore
Key exclusion criteria (3 listed)
- Participated in a similar death conversation program
- Received training in Advance Care Planning or Serious Illness Conversations
- Any self-reported history of mental health disorders (e.g., depression), or neurological disorders (e.g., brain tumors)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Death ConversationOn 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 | Behavioural | Intervention Group - on site group discussions + online learning session |
| Online ACP EducationAn online asynchronous learning session with short videos on ACP with discussion forums. | Behavioural | Control Group - Only online learning session, Intervention Group - on site group discussions + online learning session |
Primary outcome
Advance Care Planning Self-Efficacy (ACP-SE) Scale
Time frame: Baseline
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.
Advance Care Planning Self-Efficacy (ACP-SE) Scale
Time frame: Post-test (Immediately at end of 2-weeks intervention)
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.
Advance Care Planning Self-Efficacy (ACP-SE) Scale
Time frame: 3 months follow-up
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.
7 secondary outcomes
Palliative care self-efficacy scale
Time frame: Baseline
Palliative care self-efficacy scale
Time frame: Post-test (Immediately at end of 2-weeks intervention)
Palliative care self-efficacy scale
Time frame: 3 months follow-up
Frommelt Attitude Toward Care of the Dying Scale
Time frame: Baseline
Frommelt Attitude Toward Care of the Dying Scale
Time frame: Post-test (Immediately at end of 2-weeks intervention)
Frommelt Attitude Toward Care of the Dying Scale
Time frame: 3 months follow-up
End-of-life planning conversations
Time frame: 3 months follow-up
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Sep 2026.
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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.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Death Conversation and Online ACP Education in people with Death Anxiety and Death Attitude (Implicit/Explicit), run by National University of Singapore at 1 site in Singapore.
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 3 inclusion and 3 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: opening soon, as of the sponsor's last update on 28 Sep 2026. 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 Singapore. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Darryl Ang, PhD (+65 65167792, darrylang@nus.edu.sg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Advance Care Planning Self-Efficacy (ACP-SE) Scale (time frame: Baseline). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 28 Sep 2026.