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New research · Internal Medicine
Patient education and counseling · 3h
Randomized trialPatient education and counseling · 2026

Evaluating a culturally adapted question prompt list to improve end-of-life communication among indonesian migrant caregivers: A randomized controlled trial with qualitative insights.

Yu-Yun Den, Mei-Chuan Chang, Ying-Wei Wang
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Internal MedicineRandomized trial

Culturally adapted question prompt list increased caregivers' question-asking in end-of-life care

Evaluating a culturally adapted question prompt list to improve end-of-life communication among indonesian migrant caregivers: A randomized controlled trial with qualitative insights.

Yu-Yun Den … Ying-Wei Wang
Patient education and counseling · 2026
Purpose

This study evaluated the effectiveness of a culturally adapted Question Prompt List (Question Prompt List).

Methods

This study employed a two-arm randomized controlled trial design supplemented with qualitative interviews.

n = 30
t = -4.35
Results
t = -4.35
intervention caregivers asked more questions than controls
n = 30
More results

Analysis of covariance revealed no statistically significant between-group differences in caregiving preparedness (F = 1.58, p = .215 [-0.41, 0.44]) or communication selfefficacy (F = 0.83, p = .366 [-0.44, 0.79]).

However, communication satisfaction was significantly higher in the intervention group (F = 4.19, p < .05 [0.04, 0.44]).

More results

Thematic analysis of qualitative data identified 4 themes and 14 subthemes, illustrating how the Question Prompt List reduced anxiety, clarified care needs, and improved confidence.

“
Conclusion · 1 of 2

A culturally adapted Question Prompt List can enhance communication engagement and satisfaction among migrant caregivers.

Conclusion · 2 of 2

PRACTICE IMPLICATIONS: Integrating culturally tailored QPLs into caregiver education and palliative care practice may promote more inclusive and effective communication.

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