{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T03:46:05Z","timestamp":1782618365478,"version":"3.54.5"},"reference-count":50,"publisher":"Belitung Raya Foundation","issue":"3","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Research Unit in Palliative Care for Adults and\nOlder Adults, Faculty of Nursing, Thammasat University","award":[""],"award-info":[{"award-number":[""]}]}],"content-domain":{"domain":["belitungraya.org"],"crossmark-restriction":true},"short-container-title":["Belitung Nurs J"],"abstract":"<jats:p>Background:\u00a0Chronic kidney disease (CKD) is a progressive condition associated with declining decisional capacity and increased end-of-life care needs. Although advance care planning (ACP) supports patient autonomy and goal-concordant care, engagement remains limited, particularly among patients with pre-dialysis CKD in Thailand.\nObjectives:\u00a0To assess the level of intention to engage in ACP and identify factors predicting ACP intention among patients with CKD stages 3\u20135 in Thailand.\nMethods:\u00a0A cross-sectional study was conducted from April to June 2025 among 184 patients aged \u226520 years with CKD stages 3\u20135 attending nephrology outpatient clinics at five public tertiary-level hospitals. Participants were recruited through purposive sampling using a multistage approach. Data were collected using validated questionnaires and analyzed using descriptive statistics and hierarchical multiple regression.\nResults:\u00a0The mean age of participants was 64.48 years (SD = 11.78), and 51.6% were female. The level of intention to engage in ACP was low (M = 16.89, SD = 7.83). Hierarchical regression analysis identified attitudes toward ACP (\u03b2 = 0.296, p &lt; 0.001), family support (\u03b2 = 0.220, p = 0.001), perceived self-efficacy in self-management (\u03b2 = 0.155, p &lt; 0.05), and knowledge of ACP (\u03b2 = 0.145, p &lt; 0.05) as significant predictors. The final model explained 56.6% of the variance in ACP intention (R\u00b2 = 0.566), with the independent variables contributing an additional 33.3% beyond demographic and clinical variables (\u0394R\u00b2 = 0.333, p &lt; 0.001). Death anxiety was not a significant predictor.\nConclusions:\u00a0ACP intention among Thai patients with CKD was low, influenced by attitudes, family support, self-efficacy, and ACP knowledge. Nurses should implement family-centered, empowerment-based educational interventions and integrate ACP discussions into routine nephrology care to promote timely and culturally aligned end-of-life decision-making.<\/jats:p>","DOI":"10.33546\/bnj.4466","type":"journal-article","created":{"date-parts":[[2026,6,28]],"date-time":"2026-06-28T03:03:19Z","timestamp":1782615799000},"page":"336-343","update-policy":"https:\/\/doi.org\/10.33546\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Factors predicting intention to engage in advance care planning among patients with chronic kidney disease in Thailand: A cross-sectional study"],"prefix":"10.33546","volume":"12","author":[{"given":"Kanokwan","family":"Linthong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4000-7699","authenticated-orcid":false,"given":"Yaowarat","family":"Matchim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3658-1269","authenticated-orcid":false,"given":"Piyawan","family":"Kanan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thatsanee","family":"Poosumang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"19163","published-online":{"date-parts":[[2026,6,28]]},"reference":[{"key":"156598","doi-asserted-by":"crossref","unstructured":"Ajzen, I. 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