| Summary: | The patient diagnosed with Chronic Kidney Disease increasing tremendously. There are 5 stages of CKD progression and patient
diagnosed with CKD stages 4 and 5 needs to make decision on choosing the Renal Replacement Therapy (RRT) option as lifelong
treatment. The RRT comprises of renal transplant, CAPD (Continuous Ambulatory Peritoneal Dialysis) and Haemodialysis.
Decision-making and self-efficacy may play a role in choosing these options. Cognitive Behavior Therapy (CBT), as an intervention
tool to assist in the decision-making process. The aim is to study the decision making among Chronic Kidney Disease (CKD)
patients in choosing Renal Replacement Therapy (RRT) option. This study comprises mixed mode study of quantitative and
qualitative study. The sampling method that will be applied is stratified sampling, whereby the patients are selected based on
selected criteria. It is a prospective study that includes stages 4-5 CKD patients during Nephrology Clinic review. Demographic,
clinical, and number of visit data will be evaluated. A total number of 500 CKD patients will be screened and 200 (100 male and
100 female) CKD patients will be administrated with Shared Decision Making-Q-9 (SDM-Q-9) and Chronic Disease Self-Efficacy
scales (CDSES) questionnaire. A total number of 5 patients will be chosen for CBT intervention therapy. The quantitative data of
the findings will be analyzed using SPSS through p-value and correlation, where else for qualitative finding the 5 serial individual
counseling sessions will be conducted and the session will be recorded and analyzed. The significance of the study is to assist CKD
patients in decision making process, reduce delayed decision making leads to hospital administration, increase communication
skills between health care worker and CKD patient, develop mutual respect and understanding between CKD patient, CKD patient
can identify level of self-efficasy towards the illness, reduce number of regular visit and timing to nephrology clinic, reduce costing
of medical treatment, improve patients economy level and increases family unity and support and assisting health care provider
in designing effective treatment for the patients. (Abstract by authors)
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