A Decision Aid on End-of-life Care for Patients With Advanced COPD and Their Family

Inclusion Criteria of patients: * are aged 50 years or over * have been diagnosed with COPD * are cognitively sound (scored \> 5 on the validated Abbreviated Mental Test (Hong Kong version) \[AMT-HK\]) * meet at least two of the six specific clinical indicators related to advanced COPD in the Gold Standards Framework (GSF) Proactive Identification Guidance, 6th Edition * can nominate a family member who would take part in their healthcare decision- making. Inclusion Criteria of patients' family members: * are aged 18 years or over, * can communicate in Cantonese, * have at least one personal contact per week with the patient in the past 6 months and * are willing to join the study. Family members will be excluded if they score \< 6 on the AMT-HK or are expecting to leave Hong Kong within the next 6 months. Exclusion Criteria: * non-communicable due to a severe hearing impairment, dysphasia or a language barrier; * are receiving palliative care services or * have already completed ACP or an advance directive.