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August 22, 2026HealthcareOpen Access

Shared Decision-Making in Dialysis Modality Selection Among Adults with Advanced Kidney Disease in Saudi Arabia: A Cross-Sectional Study

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Authors

AAAljawharah AlmariPrincess Nourah bint Abdulrahman UniversityHAHomood AlharbiKing Saud Medical CityABAnn BonnerGriffith University

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Implication

Cross-sectional study demonstrates moderate shared decision-making in advanced kidney disease, indicating structured education strongly promotes treatment engagement.

Key Points

  • To evaluate the extent of patient involvement in shared decision-making regarding dialysis modality selection and identify key factors influencing this process in advanced chronic kidney disease.
  • Conducted a cross-sectional correlational study among 294 adults with advanced chronic kidney disease at two hospitals in Saudi Arabia from July to December 2024.
  • Assessed shared decision-making using the Arabic 9-item Shared Decision-Making Questionnaire alongside measures of perceived health status and treatment options education class attendance using multiple regression analysis.
  • Participants reported an overall mean shared decision-making score of 64.7%, scoring highest on clarifying that a decision was needed (4.65 ± 1.861) and assisting in understanding information (4.60 ± 1.682).
  • The regression model explained 10.2% of the variance in shared decision-making perception (R² = 0.102, adjusted R² = 0.096, F(2, 291) = 16.60, p < 0.001).
  • Attendance at a kidney treatment options education class was the strongest predictor of shared decision-making (β = 0.282, p < 0.001), followed by perceived health status (β = 0.127, p = 0.024).

Cite This Study

Almari et al. (2026) studied this question.

synapsesocial.com/papers/6a895f0dca7ade938187d61chttps://doi.org/10.3390/healthcare14162610
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