| Unique ID issued by UMIN | UMIN000063192 |
|---|---|
| Receipt number | R000072317 |
| Scientific Title | Effects of a Death Cafe Intervention Among Nurses: A Randomized Controlled Trial With Post-intervention Interviews |
| Date of disclosure of the study information | 2026/10/06 |
| Last modified on | 2026/10/06 16:47:43 |
Effects of a Death Cafe Intervention Among Nurses: A Randomized Controlled Trial With Post-intervention Interviews
Death Cafe RCT for Nurses
Effects of a Death Cafe Intervention Among Nurses: A Randomized Controlled Trial With Post-intervention Interviews
Death Cafe RCT for Nurses
| Japan |
Nurses (not a disease-specific study)
| Nursing |
Others
NO
The primary objective of this study is to evaluate the effects of a Death Cafe intervention on terminal care attitudes among nurses working at a single acute care hospital in Japan through a randomized controlled trial. Secondary exploratory objectives are to examine changes in each subscale score of the Death Attitude Inventory (DAI) and associations between these changes and changes in terminal care attitudes. In addition, post-intervention focus group interviews and free-text questionnaire responses will be used to explore participants' experiences of dialogue and insights, providing a complementary understanding of the context and meaning of the quantitative findings.
Efficacy
Confirmatory
Explanatory
Not applicable
The between-group difference in the change in FATCOD-BJ total score from baseline (one week before the Death Cafe intervention) to one month after the intervention.
Assessments in the control group will follow the same schedule relative to a prespecified corresponding Death Cafe date.
1. The between-group difference in the change in FATCOD-BJ total score from baseline to one week after the intervention.
2. Between-group differences in changes in each Death Attitude Inventory subscale score from baseline to one week and one month after the intervention.
3. Associations between changes from baseline in each Death Attitude Inventory subscale score and changes in FATCOD-BJ total score at one week and one month after the intervention.
4. Qualitative findings regarding participation experiences, insights, and perspectives on life, death, and terminal care, obtained from focus group interviews immediately after the Death Cafe and free-text questionnaire responses at one week and one month after the intervention in the intervention group.
Baseline assessments will be conducted one week before the intervention. Control-group questionnaires will follow the same schedule relative to a prespecified corresponding Death Cafe date. Between-group comparisons of Death Attitude Inventory subscale scores and analyses of associations between score changes will be exploratory.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
No treatment
NO
NO
Institution is not considered as adjustment factor.
Central registration
2
Educational,Counseling,Training
| Behavior,custom |
Intervention group (Group A):
Each participant will attend one approximately 60-minute Death Cafe session involving participant-led dialogue about death and life. Each group will normally comprise five participants, with adjustments to four to six participants as needed. The session will consist of a five-minute introduction and explanation of ground rules, 50 minutes of dialogue, and a five-minute closing. The same facilitator will conduct all sessions using a predefined discussion theme and a facilitation checklist.
One approximately 60-minute focus group interview will be conducted for evaluation purposes on the same day after the Death Cafe. Both the Death Cafe and the interview will be audio-recorded.
Questionnaires will be administered one week before, one week after, and one month after the Death Cafe.
Control group (Group B):
Participants will continue their usual work and daily activities without receiving a study-provided Death Cafe session or focus group interview during the comparative assessment period.
The same questionnaires as those used in the intervention group will be administered at three time points: one week before, one week after, and one month after a prespecified corresponding Death Cafe date.
After the study period ends, participants who wish to attend will be offered an opportunity to participate in a Death Cafe.
| Not applicable |
| Not applicable |
Male and Female
1. Nurses employed at the participating acute care hospital in Japan.
2. Previous experience of participating in a death conference.
3. Ability to understand the purpose and procedures of the study and provision of voluntary written informed consent.
1. Individuals judged by the investigator to be at risk of substantial psychological distress from participation in research concerning terminal care. Eligibility will be determined in consultation with the individual, using an individual consultation and the K6 psychological distress scale as needed.
2. Individuals planning to take a leave of absence or leave their employment during the data collection period.
50
| 1st name | AYAKO |
| Middle name | |
| Last name | KAMIYA |
National Defense Medical College
Department of Nursing
359-8513
3-2 Namiki, Tokorozawa, Saitama
04-2995-1211
a-kamiya@ndmc.ac.jp
| 1st name | AYAKO |
| Middle name | |
| Last name | KAMIYA |
National Defense Medical College
Department of Nursing
359-8513
3-2 Namiki, Tokorozawa, Saitama
04-2995-1211
a-kamiya@ndmc.ac.jp
National Defense Medical College
AYAKO KAMIYA
Self-funded by the principal investigator
Other
National Defense Medical College
3-2 Namiki, Tokorozawa, Saitama
04-2995-1211
a-kamiya@ndmc.ac.jp
NO
| 2026 | Year | 10 | Month | 06 | Day |
Unpublished
Enrolling by invitation
| 2027 | Year | 05 | Month | 26 | Day |
| 2027 | Year | 06 | Month | 16 | Day |
| 2027 | Year | 10 | Month | 07 | Day |
| 2028 | Year | 03 | Month | 31 | Day |
| 2026 | Year | 10 | Month | 06 | Day |
| 2026 | Year | 10 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072317