- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07012265
- Original Trial
An Investigation of the Factors Related to Attitudes Towards Hospice and Palliative Care Among the Bunun Tribe in Taiwan
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
Study Overview
Status
Conditions
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 Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Nantou City, Taiwan, 556
- Luona Village, Xinyi Township, Nantou City, Taiwan 556
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
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
Exclusion Criteria:
Individuals with hearing impairments or speech disorders Individuals diagnosed with emotional disorders by a physician
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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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.
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Structured questionnaires will be administered to 82 Bunun Indigenous adults to assess:
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The plan is to collect structured questionnaire responses from 82 Bunun Indigenous people within three months.
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Collaborators and Investigators
Investigators
- Study Director: KwoChen Lee, ph.D, 011+886+4+22053366#7102
Publications and helpful links
General Publications
- Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76-82. doi: 10.1002/da.10113.
- Allen J, Hopper K, Wexler L, Kral M, Rasmus S, Nystad K. Mapping resilience pathways of Indigenous youth in five circumpolar communities. Transcult Psychiatry. 2014 Oct;51(5):601-31. doi: 10.1177/1363461513497232. Epub 2013 Aug 21.
- Polit 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.
- 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.
- Tang 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.
- Tan 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.
- Stewart 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.
- Spence 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.
- Pandya 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.
- Ni 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.
- Narayan 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.
- Min 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.
- Maggi 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.
- Lau 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.
- Jordan 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.
- Hou 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.
- Hasson 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.
- Gomez-Virseda C, de Maeseneer Y, Gastmans C. Relational autonomy in end-of-life care ethics: a contextualized approach to real-life complexities. BMC Med Ethics. 2020 Jun 30;21(1):50. doi: 10.1186/s12910-020-00495-1.
- Fleming J, Ledogar RJ. Resilience and Indigenous Spirituality: A Literature Review. Pimatisiwin. 2008 Summer;6(2):47-64.
- Choi JY, Chang YJ, Song HY, Jho HJ, Lee MK. Factors that affect quality of dying and death in terminal cancer patients on inpatient palliative care units: perspectives of bereaved family caregivers. J Pain Symptom Manage. 2013 Apr;45(4):735-45. doi: 10.1016/j.jpainsymman.2012.04.010. Epub 2012 Oct 25.
- Chen C, Sun X, Liu Z, Jiao M, Wei W, Hu Y. The relationship between resilience and quality of life in advanced cancer survivors: multiple mediating effects of social support and spirituality. Front Public Health. 2023 Aug 28;11:1207097. doi: 10.3389/fpubh.2023.1207097. eCollection 2023.
- An AR, Lee JK, Yun YH, Heo DS. Terminal cancer patients' and their primary caregivers' attitudes toward hospice/palliative care and their effects on actual utilization: A prospective cohort study. Palliat Med. 2014 Jul;28(7):976-985. doi: 10.1177/0269216314531312. Epub 2014 Apr 29.
Helpful Links
- Religion and Health: Public Health Research and Practice
- Palliative care: patient's autonomy in the end-of-life situation
- The Pursuit of Resilience: A Meta-Analysis and Systematic Review of Resilience-Promoting Interventions
- Resilience Processes in Development: Fostering Positive Adaptation in the Context of Adversity.
- Death, Emotions, and Social Change among the Austronesian-Speaking Bunun of Taiwan
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- CMUH113-REC3-127
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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