Addissie,Adamu(PhD, Associate Professor)Nega,Adiam(Bsc, MPH)Wagaw,Lealem(Bsc, Msc)Tilahun,Sosina Workineh2026-06-222026-06-222025-06https://etd.aau.edu.et/handle/123456789/8492Background: Shared decision-making is crucial for alignment of treatment options with patient values and preferences in clinical cancer care due to the complexity of treatment options and the significant impact of decisions on patients' lives. However, currently in Ethiopia, shared decisionmaking in clinical care of cancer, in which cervical cancer is not exceptional, is not well understood. Objectives: To determine the level of shared decision-making in the clinical care of women with cervical cancer and its associated factors. Methods: The study employed a convergent mixed study design from February to June 2025 at Tikur Anbessa Specialized Hospital. Quantitative data were collected through intervieweradministered questionnaires from 203 women undergoing treatment for cervical cancer. Additionally, qualitative data were gathered through in-depth interviews with 15 women with cervical cancer on follow-up, as well as 10 clinical oncologists who have provided care for these patients for the past three years. Statistical analysis was executed using software SPSS (version 26). Descriptive statistics were employed to summarize the variables of the study. Multiple linear regression analysis was then carried out to determine significant predictors of level of shared decision-making. Thematic analysis was conducted for the qualitative findings. Quantitative and qualitative findings were integrated to explain factors predicted the level of shared decisionmaking in the clinical care of women with cervical cancer. Result: With a ranging scale of 16–53 and a standardized mean score of 3.78 (± 0.54), the overall mean score for the current study's level of shared decision-making was 33.94 (± 9.11). According to this study, there are significant positive linear associations between higher levels of shared decision-making practice and younger age, separated marital status, active employment, increased trust in oncologists, short duration since diagnosis, and lower health literacy. The thematic analysis depicted socio-demographic, psychological, communication and institutional factors affecting practice of shared decision making in clinical care of women with cervical cancer. Conclusions: The study emphasizes the complex interplay of socio-demographic, psychological, communication, and institutional factors affecting practice of shared decision-making in the clinical care of women with cervical cancer. Thus, understanding these dynamics may help to enhance the practice of shared decision-making in the clinical care of women with cervical cancer.en-USShared Decision MakingCervical CancerTikur Anbessa Specialized HospitalThesis