ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

Hispanics' Perceptions of Shared Decision Making in the Transplant Context: A Mixed Methods Study

N. Alhalel,1 J. Caicedo,1 R. Ruiz,2 A. Salazar,2 S. Primeaux,2 E. Gordon.1

1Northwestern University, Chicago, IL
2Baylor University Medical Center, Dallas, TX.

Meeting: 2018 American Transplant Congress

Abstract number: B346

Keywords: Hispanic, Kidney transplantation

Session Information

Session Name: Poster Session B: Non-Organ Specific: Economics, Public Policy, Allocation, Ethics

Session Type: Poster Session

Date: Sunday, June 3, 2018

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Hall 4EF

Background: Shared decision making (SDM) has been advocated by health researchers and policy-makers as a model to provide patient-centered care and increase patient knowledge, satisfaction, and adherence. Little is known about ethnic differences in SDM preferences, and no research has examined Hispanics' SDM preferences in the transplant context. We present preliminary findings from a multi-site study assessing Hispanic potential kidney transplant recipients' and living donors' preferences and experiences of SDM, and their associations with acculturation and ethnic identity.

Methods: Telephone surveys were conducted with Hispanic potential kidney transplant recipients and donors at Northwestern Memorial in Chicago, IL and Baylor University Medical Center in Dallas, TX. Validated surveys measured SDM using the Control Preference Scale (CPS) and the 9-item Shared Decision Making Questionnaire (SDM-Q-9). Acculturation and ethnic identity were measured using the Brief Acculturation Survey for Hispanics (BASH) and Scale of Ethnic Experience (SEE). Correlations assessed the relationship between SDM preferences and perceived SDM provided by the transplant surgeon, acculturation, and ethnic identity measures.

Results: To date, 11 potential recipients and 2 potential living donors participated (76% participation rate). Most participants were male (54%), of Mexican descent (85%), and were, on average, 55 years old. The mean scores for the CPS, SDM-Q-9, and BASH were 3.6 (1-5), 66 (0-100), and 6 (4-20). The SEE's scores (1-5) for the four factors (ethnic identity, perceived discrimination, mainstream comfort, and social affiliation) were 3.3, 3.2, 3.0, and 3.9, respectively. Most participants preferred a lesser role (69%) than the doctor in the decision making process, compared to an equal (15%) or greater role (23%). Preference for a lesser role in the SDM process was not associated with perceived SDM by the transplant surgeon (p=0.65), acculturation (p=0.86), ethnic identity (p=0.49), perceived discrimination (p=0.46), mainstream comfort (p=0.83), or social affiliation (p=0.92).

Conclusions: Our findings suggest that most Hispanics prefer to have a smaller role in SDM in the transplant context, irrespective of acculturation and ethnic experience. Transplant providers should assess patients' SDM preferences early in clinical care to provide optimal patient-centered care, facilitate decision making, and improve patient satisfaction.

CITATION INFORMATION: Alhalel N., Caicedo J., Ruiz R., Salazar A., Primeaux S., Gordon E. Hispanics' Perceptions of Shared Decision Making in the Transplant Context: A Mixed Methods Study Am J Transplant. 2017;17 (suppl 3).

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
  • Click to print (Opens in new window) Print

To cite this abstract in AMA style:

Alhalel N, Caicedo J, Ruiz R, Salazar A, Primeaux S, Gordon E. Hispanics' Perceptions of Shared Decision Making in the Transplant Context: A Mixed Methods Study [abstract]. https://atcmeetingabstracts.com/abstract/hispanics-perceptions-of-shared-decision-making-in-the-transplant-context-a-mixed-methods-study/. Accessed June 6, 2025.

« Back to 2018 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences