Evaluating a shared decision-making intervention regarding dialysis modality: development and validation of self-assessment items for patients with chronic kidney disease
- Authors
- 김수진; Park, Jung Tak; 신성준; 장제현; 유경돈; 이정표; Ryu, Dong-Ryeol; An, Soontae; Kim, Sejoong
- Issue Date
- Mar-2022
- Publisher
- 대한신장학회
- Keywords
- Decision support techniques; Perception; Self-assessment; Shared decision-making
- Citation
- Kidney Research and Clinical Practice, v.41, no.2, pp.175 - 187
- Journal Title
- Kidney Research and Clinical Practice
- Volume
- 41
- Number
- 2
- Start Page
- 175
- End Page
- 187
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/84071
- DOI
- 10.23876/j.krcp.21.125
- ISSN
- 2211-9132
- 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.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/84071)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.