Improving Advance Care Planning processes and outcomes for patients with advanced cancer

My Voice – Cancer is an LLM-powered AI chatbot for cancer patients guiding them through a structured values clarification exercise helping them elicit their goals of care through interactive dialogue. It generates a 'My Voice' document that can be shared with ACP facilitators, physicians, and care partners to support ACP discussions and documentation.

The usability and acceptability of My Voice – Cancer will be assessed locally using validated scales and in-depth qualitative interviews to refine the intervention.

The effectiveness and implementation of My Voice – Cancer will be evaluated through a Hybrid Type 1 two-arm randomized controlled trial, with longitudinal follow-up of patients and care partners, alongside a process evaluation to assess reach, acceptability, and implementation factors.

Principal Investigator

Associate Professor Chetna Malhotra

Head (Research), Lien Centre for Palliative Care, Duke-NUS Medical School

Study Team

• Ms. Shimoni Shah, Senior Research Associate, LCPC
• Ms. Foo Jie Yi, Senior Research Assistant, LCPC
• Ms. Ivy Chua Chin Ing, Senior Research Assistant, LCPC
• Ms. Sanam Naraindas Kaurani, Senior Research Assistant, LCPC
• Ms. Huang Xueying, Research Assistant, LCPC
• Ms. Shravya Murali, PhD Candidate, Duke-NUS Medical School