Kidney Res Clin Pract.
2022 Mar;41(2):175-187. 10.23876/j.krcp.21.125.
Evaluating a shared decision-making intervention regarding dialysis modality: development and validation of self-assessment items for patients with chronic kidney disease
- Affiliations
-
- 1Division of Communication and Media, Ewha Womans University, Seoul, Republic of Korea
- 2Department of Internal Medicine, Institute of Kidney Disease Research, Yonsei University College of Medicine, Seoul, Republic of Korea
- 3Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Republic of Korea
- 4Department of Internal Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea
- 5Division of Nephrology, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea
- 6Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea
- 7Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Republic of Korea
- 8Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
- KMID: 2531745
- DOI: http://doi.org/10.23876/j.krcp.21.125
Abstract
- Background
Shared decision-making is a two-way symmetrical communication process in which clinicians and patients work together to achieve the best outcome. This study aimed to develop self-assessment items as a decision aid for choosing a dialysis modality in patients with chronic kidney disease (CKD) and to assess the construct validity of the newly developed items. Methods: Five focus group interviews were performed to extract specific self-assessment items regarding patient values in choosing a dialysis modality. After survey items were refined, a survey of 330 patients, consisting of 152 hemodialysis (HD) and 178 peritoneal dialysis (PD) patients, was performed to validate the self-assessment items. Results: The self-assessment for the decision aid was refined to 35 items. The structure of the final items appeared to have three dimensions of factors; health, lifestyle, and dialysis environment. The health factor consisted of 12 subscales (α = 0.724), the lifestyle factor contained 11 subscales (α = 0.624), and the dialysis environment factor was represented by 12 subscales (α = 0.694). A structural equation model analysis showed that the relationship between the decision aid factors (health, lifestyle, and dialysis environment), patients’ CKD perception, and cognition of shared decision-making differed between HD patients and PD patients. Conclusion: We developed and validated self-assessment items as part of a decision aid to help patients with CKD. This attempt may assist CKD patients in making informed and shared decisions closely aligned with their values when considering dialysis modality.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- The role of nurses in shared decision-making about caring for older adults with chronic disease: A qualitative descriptive study
- Impact of Shared-Decision Making on Patient Satisfaction
- Development and Evaluation of Shared Medical Decision-Making Scale for End-of-Life Patients in Korea
- Invited review: Enabling shared decision making in gerontological nursing: Barriers and facilitators
- Do Elderly Patients Need Dialysis?
