NCT06490835

✓ Unanimous Initial: yes Requery: no — The intervention consists of general supportive counseling, family meetings, and consultations for palliative care, which do not meet the criteria for a structured or named psychological therapy.

✓ Unanimous Initial: no Requery: no — The trial focuses on multidisciplinary palliative care support, including family counseling and support meeting facilitation but does not specify a named or structured psychological therapeutic approach like CBT or psychotherapy.

✓ Unanimous Initial: yes Requery: yes — The intervention integrates multiple interacting components across different categories, including psychological support (family counseling), educational/organizational facilitation (family meetings), and medical consultation (symptom management, goal of care) delivered by a multidisciplinary palliative care team.

✓ Unanimous Initial: no Requery: yes — The intervention combines palliative care consultations (behavioral/psychological) with family counseling (educational/supportive), indicating multiple interacting components from different categories.

✓ Unanimous Initial: yes Requery: yes — The intervention includes 'goal of care setting' and family meeting support to reduce communication conflicts and respect patient values, which constitutes advance care planning.

✓ Unanimous Initial: no Requery: no — The intervention focuses on consultation-based palliative care services without specific mention of Advance Care Planning as a core component. Thinking: yes — The consultation-based palliative care service centrally provides family meetings and counseling focused on goals-of-care and decisional support, making structured advance care planning a core part of the intervention.

✓ Unanimous Initial: yes Requery: yes — The secondary and other outcomes include the Hospital Anxiety and Depression Scale (HADS), which is a validated instrument for measuring anxiety and depression symptoms.

✓ Unanimous Initial: no Requery: yes — The study measures surrogates' emotional state using the Hospital Anxiety and Depression Scale (HADS), which is a validated tool for assessing symptoms of anxiety and depression.

✓ Unanimous Initial: yes Requery: no — The study measures length of stay as a clinical outcome without framing it in terms of cost analysis, healthcare utilization, or resource use.

✓ Unanimous Initial: no Requery: yes — The trial measures length of hospital stay, which can be a proxy for cost analysis. Thinking: yes — It measures ICU and hospital length of stay, a recognized proxy for healthcare resource use.