ArticleBMJ open2019
Evaluation of a shared decision-making intervention for dialysis choice at four Danish hospitals: a qualitative study of patient perspective.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Patient engagement during the transition from nondialysis-dependent chronic kidney disease to dialysis: A meta-ethnography.Health expectations : an international journal of public participation in health care and health policy · 2023Pooled it
- Supporting Shared Decision-Making in Life-Altering Kidney Therapy Decisions for Older Adults: A Review.JAMA internal medicine · 2025Review
- Determinants of practice for decision coaching in Germany: a qualitative exploration of decision coaches' perspectives.BMC health services research · 2025Article
- Understanding the kidney replacement therapy decision-making process.BMC nephrology · 2025Article
- Shared decision-making for kidney replacement therapy: a comprehensive review and a proposed model.The Korean journal of internal medicine · 2025Review
- Developing and Evaluating a Home Hemodialysis Training Program-A Quality Improvement Study.Hemodialysis international. International Symposium on Home Hemodialysis · 2025Article
- Systematic Review of Patient and Caregiver Involvement in CKD Research.Kidney international reports · 2025Article
- Effectiveness of a shared decision-making program in reducing unplanned dialysis in advanced chronic kidney disease: a retrospective cohort study.BMC nephrology · 2025Article
- Uptake of Peritoneal Dialysis by Minoritized Patients: The Role of Modality Education.Kidney360 · 2025Article
- Integrating Clinical Reasoning Into a Patient Decision Aid for People Making Conservative Kidney Management and Dialysis Decisions: A User-Centered Intervention Development Design.Kidney medicine · 2025Article
- Effects of Shared Decision-Making, Health Literacy, and Self-Care Knowledge on Self-Care Behavior Among Hemodialysis Patients in Korea: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Feasibility and acceptability of the ShareD dEciSIon making for patients with kidney failuRE to improve end-of-life care intervention: A pilot multicentre randomised controlled trial.International journal of nursing studies advances · 2024Article
- Exploring Healthcare Paradoxes in Hospital Haemodialysis-A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Decision aids to assist patients and professionals in choosing the right treatment for kidney failure.Clinical kidney journal · 2023Review
- Healthcare professional education in shared decision making in the context of chronic kidney disease: a scoping review.BMC nephrology · 2023Article
- Measures used to assess interventions for increasing patient involvement in Danish healthcare setting: a rapid review.BMJ open · 2022Review
- Shared decision-making and planning end-of-life care for patients with end-stage kidney disease: a protocol for developing and testing a complex intervention.Pilot and feasibility studies · 2022Article
- Article
- Shared Decision-Making for a Dialysis Modality.Kidney international reports · 2022Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the 'Shared Decision-making and Dialysis Choice' (SDM-DC) intervention with regard to patients' experience and involvement.
designSemistructured individual interviews and systematic text condensation for data analysis.
settingThe SDM-DC intervention was implemented and evaluated at four different hospitals in Denmark.
participantsA total of 348 patients had received the SDM-DC intervention, and of these 29 patients were interviewed.
interventionsSDM-DC was designed for patients facing a choice of dialysis modality. The available modalities were haemodialysis and peritoneal dialysis, either performed by patients on their own or with help from a healthcare professional. The intervention was tailored to individual patients and consisted of three meetings with a dialysis coordinator who introduced a patient decision aid named 'Dialysis Choice' to the patient.
findingsThe following were the four main findings: the decision was experienced as being the patient's own; the meetings contributed to the decision process; 'Dialysis Choice' contributed to the decision process; and the decision process was experienced as being iterative.
conclusionsThe patients experienced SDM-DC as involving them in their choice of dialysis modality. Due to the iterative properties of the decision-making process, a shared decision-making intervention for dialysis choice has to be adapted to the needs of individual patients. The active mechanisms of the meetings with the dialysis coordinator were (1) questions to and from the patient, and (2) the dialysis coordinator providing accurate information about the options. The overview of options and the value clarification tool in the decision aid were particularly helpful in establishing a decision-making process based on informed preferences.
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