UMIN-ICDS Clinical Trial

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

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Basic information

Public title

Effects of a Death Cafe Intervention Among Nurses: A Randomized Controlled Trial With Post-intervention Interviews

Acronym

Death Cafe RCT for Nurses

Scientific Title

Effects of a Death Cafe Intervention Among Nurses: A Randomized Controlled Trial With Post-intervention Interviews

Scientific Title:Acronym

Death Cafe RCT for Nurses

Region

Japan


Condition

Condition

Nurses (not a disease-specific study)

Classification by specialty

Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

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.

Key secondary outcomes

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.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking


Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

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.

Interventions/Control_2

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.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

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.

Key exclusion criteria

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.

Target sample size

50


Research contact person

Name of lead principal investigator

1st name AYAKO
Middle name
Last name KAMIYA

Organization

National Defense Medical College

Division name

Department of Nursing

Zip code

359-8513

Address

3-2 Namiki, Tokorozawa, Saitama

TEL

04-2995-1211

Email

a-kamiya@ndmc.ac.jp


Public contact

Name of contact person

1st name AYAKO
Middle name
Last name KAMIYA

Organization

National Defense Medical College

Division name

Department of Nursing

Zip code

359-8513

Address

3-2 Namiki, Tokorozawa, Saitama

TEL

04-2995-1211

Homepage URL


Email

a-kamiya@ndmc.ac.jp


Sponsor or person

Institute

National Defense Medical College

Institute

Department

Personal name

AYAKO KAMIYA


Funding Source

Organization

Self-funded by the principal investigator

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Defense Medical College

Address

3-2 Namiki, Tokorozawa, Saitama

Tel

04-2995-1211

Email

a-kamiya@ndmc.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 10 Month 06 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2027 Year 05 Month 26 Day

Date of IRB

2027 Year 06 Month 16 Day

Anticipated trial start date

2027 Year 10 Month 07 Day

Last follow-up date

2028 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2026 Year 10 Month 06 Day

Last modified on

2026 Year 10 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072317