Experiences of decision making in pre-dialysis patients ver.1
Research type
Research Study
Full title
Experiences of decision making in adult pre-dialysis patients and carers of kidney failure treatment options
IRAS ID
168190
Contact name
Sarah Ofori-Ansah
Contact email
Sponsor organisation
University of Brighton
Clinicaltrials.gov Identifier
15/LO/1329, London-Stanmore NHS REC
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
Empowering and providing support for patients and their carers to be involved in treatment decision making has become one of the key drivers in health and social care in recent times and has been incorporated in various health policies documents (Department of Health (DoH) 2010; 2012a; 2012b & 2013a; Health and Social Care Policy, 2012 & 2013; National Institute for Health and Care Excellence (NICE), 2014). These policies recommend that patients are supported by healthcare professionals to gain an understanding of the available treatment options, benefits and risks to enable them make an informed decision. Growing evidence (Coulter 2002; Askham, Coulter & Parsons, 2008; Coulter & Collins 2007; Nunes et al 2009) suggests that shared decision making promotes realistic expectations and can reduce non-adherence therefore improving the overall outcome for the patient (Coulter 2002; Askham, Coulter & Parsons, 2008; Coulter & Collins 2007; Coulter & Ellins 2007).
However it has been found that involvement in decision making is inconsistent and one of the main reasons for this is lack of information given (Morton et al 2010; Roderick 2005; Tong et al 2008). Others have also reported decisional conflict about treatment choices and its associated risks (O’Connor et al 2003; O’Connor 1997).
Studies exploring barriers and enablers to providing decision support and perspectives of patients with chronic kidney disease and their carers remains limited (Coulter & Collins 2007; Morton et al 2010). This study aims to explore the lived experience of shared decision making in pre-dialysis patients and carers using semi-structured interviews. Purposeful sampling will be used to identify and recruit 8 participants (patients and carers), aged 18 years and above, diagnosed with chronic kidney disease greater than 3 months that have been involved in making treatment decisions. It is hoped that the study will inform policy development on effective delivery of patient education and engagement from patients and carers perspective.
REC name
London - Stanmore Research Ethics Committee
REC reference
15/LO/1329
Date of REC Opinion
20 Oct 2015
REC opinion
Further Information Favourable Opinion