Informed Consent in Orthodontics PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Informed Consent in Orthodontics PDF full book. Access full book title Informed Consent in Orthodontics by Karen Jacobson Reese. Download full books in PDF and EPUB format.
Author: Karen Jacobson Reese
Publisher:
ISBN:
Category : Informed consent (Medical law)
Languages : en
Pages : 134
Get Book Here
Book Description
Author: Karen Jacobson Reese
Publisher:
ISBN:
Category : Informed consent (Medical law)
Languages : en
Pages : 134
Get Book Here
Book Description
Author: Edith Young Kang
Publisher:
ISBN:
Category : Informed consent (Medical law)
Languages : en
Pages : 290
Get Book Here
Book Description
Abstract: Introduction: A few studies have shown minimal recall of risks after an orthodontic case presentation/consultation appointment, where obtaining informed consent is usually part of this process. Reducing the reading grade level and altering the format for improved processability may improve recall and comprehension of this information. This study developed a measuring tool for recall and comprehension and investigated differences in these variables among different methods of communicating orthodontic informed consent information. Methods: The American Association of Orthodontists' (AAO®) informed consent document was used as the gold standard; a modified informed consent document (MIC) represented improved readability; and an automated PowerPoint® slide show with visual and audio cues for elements of informed consent had improved processability. A questionnaire that probed 18 elements of an orthodontic informed consent was created. A pilot study consisting of 20 orthodontists validated this measurement tool for face and content validity. The slideshow was also validated for face and content validity. Twenty graduate orthodontic clinic patients and their parents were recruited for a second pilot study to establish face validity of the measurement tool and the slideshow. A convenience sample of 90 patient/parent pairs (n=180) from a university-based graduate orthodontic clinic were recruited at their initial orthodontic consultationltreatment presentation appointment. Patients were 12-18 years of age, with no previous history of orthodontic treatment, no family members had treatment or were currently in treatment at the clinic, and spoke English (as did their parents). The subject pairs were stratified into three treatment groups matched by age of the patient. Group A received only the AAO® document (grade level 14) during their consultation -- gold standard informed consent. Group B received the MIC document (grade level 7) -- improved readability. Group C received the MIC document and the PowerPoint® slide show -- improved readability and processability. Reading level, health literacy, and anxiety were evaluated using three standard measurement tools - the Wide Range Achievement Test 3 (WRAT 3)̧, Rapid Estimate of Adult Literacy in Medicine (REALM)̧, and the 6 item State Trait Anxiety Inventory (STAI-6), respectively. The validated measurement tool was administered to subjects in an interview format to determine comprehension and recall of orthodontic treatment risks and benefits. All interviews were digitally recorded and later transcribed. Each response in the interview was scored for the desired response on a 4 point scale: inappropriate response; on target; don't know/don't remember; no answer given/skipped. Demographic information was collected to determine if various socioeconomic factors have an impact on comprehension. Fisher's exact test, X2 test and multivariate regression analysis were used for data analysis. Results: The orthodontist pilot study showed no significant difference (p>0.05) between the pre and post refinements and a greater than 96% rating of approval for the measurement tool. There was no significant difference (p>0.05) in the pre and post refinements regarding the content validity of each of the questions in the measurement tool. The clinic pilot study showed the level of recall and comprehension to be 73.2% and 78% acceptable for pre and post refinements, respectively, with no significant difference (p>0.05) between pre and post refinements for the questionnaire. There was no statistically significant difference (p>0.05) in the level of recall and comprehension between treatment group A and treatment group B. Internal reliability was low for both patient and parent. Conclusions: The patient and parent subjects and orthodontists appear to have established face validity for the measurement tool and the slideshow. The orthodontist established content validity for the measurement tool. The clinical pilot study also established face validity. The level of recall and comprehension is moderate at best and does not appear to improve with an improved readability form.
Author: Caroline Elizabeth Pawlak
Publisher:
ISBN:
Category :
Languages : en
Pages : 120
Get Book Here
Book Description
Introduction: Previous research has demonstrated that current methods of informed consent are relatively ineffective as shown by poor recall and comprehension by adolescent patients and their parents. The purpose of this study was to determine if adding a short video reiterating the issues related to informed consent to a modified informed consent document that places emphasis on a limited number of core and patient specific custom "chunks" located at the beginning of an informed consent presentation improved the recall and comprehension of the risks, benefits and alternatives related to orthodontic treatment. Methods: 70 patient/parent pairs were randomly divided into two groups. The intervention group (Group A) patients and parents reviewed a customized slideshow and a short video describing the key risks of orthodontic treatment together. Group B followed the same protocol without viewing the video. All patients and parents were interviewed independently by research assistants using an established measurement tool with open-ended questions. Interviews were transcribed and scored for appropriateness of response using a previously established codebook. Lastly, the patients and parents were administered the REALM and WRAT questionnaires to establish health literacy and literacy in general, respectively, and completed the self-administered demographic and psychological state questionnaires. Results: No significant differences existed between the groups for socio-demographic variables. There were no significant differences between the groups for overall recall and comprehension; recall and comprehension for the domains of treatment, risk and responsibility; and recall and comprehension for core, general and custom items. Conclusions: There was no benefit to adding a short video to the previously established improved readability and audiovisual supplementation. When compared to previous studies, these data further demonstrate the benefit of improved readability and audiovisual supplementation with the addition of chunking. Positional effects indicate the most important informed consent information should be presented last.
Author: Kelly Marie Carr
Publisher:
ISBN:
Category :
Languages : en
Pages : 76
Get Book Here
Book Description
Abstract: Introduction: Previous orthodontic informed consent research shows low patient/parent recall and comprehension of treatment risks and limitations. The purpose of this study was to: 1) evaluate the effectiveness of a shortened oral presentation of an established informed consent method and 2) determine if customized computer-based presentations (PPTs) improve the recall and comprehension of the risks and limitations of orthodontic treatment.
Author: Brennan Skulski
Publisher:
ISBN:
Category : Orthodontics
Languages : en
Pages : 77
Get Book Here
Book Description
Introduction: Proper informed consent allows patients to take an active role in their own treatment decisions and may improve treatment outcomes due to enhanced compliance. The objective was to determine if hand-written rehearsal of core and custom consent items would increase short-term recall and comprehension. Methods: Ninety patient-parent pairs were randomly assigned to two groups. After case presentation, each subject was provided 10 minutes to read a modified informed consent document. Group A received visual printouts containing the four core elements (root resorption, decalcification, pain, and relapse/retention) likely to be encountered by all patients and up to four custom elements (e.g. impacted teeth, orthognathic surgery or other case specific treatment issues). Subjects identified and wrote what the image depicted and how it could affect treatment. Group B viewed a slideshow presentation on all 18 consent elements arranged from general to specific. All participants were interviewed, and each provided their socio-demographic data, as well as completed literacy, health literacy, and state anxiety questionnaires. The groups were compared for recall and comprehension through an ANCOVA. Results: The rehearsal intervention significantly improved recall and comprehension of the core elements (p=0.001). Rehearsal also improved custom recall and comprehension, but not significantly. Group B performed significantly better on treatment questions (p=0.001). Overall, as anxiety increased, correct responses decreased. Conclusions: The rehearsal group improved recall and comprehension of the core and custom elements of informed consent and proved a more efficient method than an audiovisual presentation to provide informed consent.
Author: Boston John D. Da Silva Director of Advanced Graduate Education Harvard School of Dental Medicine
Publisher: Oxford University Press, USA
ISBN: 0199748276
Category : Medical
Languages : en
Pages : 759
Get Book Here
Book Description
Written by leading American practitioners, the Oxford American Handbooks in Medicine each offer a pocket-sized overview of an entire specialty, featuring instant access to guidance on the conditions that are most likely to be encountered. Precise and prescriptive, the handbooks offer up-to-date advice on examination, investigations, common procedures, and in-patient care. These books will be invaluable resources for residents and students, as well as a useful reference for practitioners. The Oxford Handbook of Clinical Dentistry is a dependable manual geared for ultra-quick reference at any time. Part of the worldwide best-selling series, this book provides much more information than a standard handbook in the field. Thin and light, it uses concise, bulleted text, quick reference tabs, four color presentation, and bookmark ribbons to help provide fast answers on the ward. It is ideal for students, residents and anyone wanting a succinct, comprehensive, and affordable volume in the proven format of the Oxford Handbook Series.
Author: Royal College of Dental Surgeons of Ontario
Publisher:
ISBN:
Category : Dental ethics
Languages : en
Pages :
Get Book Here
Book Description
Author: Alexander Robert Desman
Publisher:
ISBN:
Category : Informed consent (Medical law)
Languages : en
Pages : 90
Get Book Here
Book Description
Introduction: The purpose of this study was to determine if written rehearsal of informed consent improved six-months recall and comprehension compared to the current best practices. Methods: A consultation was provided and subjects read the modified informed consent. They were randomized to Group A (received the core and up to four custom elements of treatment, wrote what each image displayed) or Group B (presentation of the 18 elements with core elements chunked at the end followed by up to four custom elements). Interviews recording recall/comprehension occurred immediately and six months later. Results: Overall, no significant differences in baseline or 6-month follow-up scores were found between groups. Initially, Group A outperformed Group B in some core domains. There were no significant differences between groups in the change of scores from initial to recall. Follow-up scores were significantly lower than baseline scores (p0.05). Higher initial scores were associated with larger drops at follow-up. A decrease in knowledge 20% was common. Conclusions: Overall the methods are comparable at baseline and 6-months. Initial content retention was roughly 2/3, with 6-9% deterioration. For areas of treatment methods, risk, discomfort, and resorption at 6-months, the current processes fail the patient and leave the practitioner vulnerable to risk management issues. Results support the rehearsal method with immediate feedback for misunderstandings as the preferred method for informed consent.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309317304
Category : Medical
Languages : en
Pages : 228
Get Book Here
Book Description
Informed consent - the process of communication between a patient or research subject and a physician or researcher that results in the explicit agreement to undergo a specific medical intervention - is an ethical concept based on the principle that all patients and research subjects should understand and agree to the potential consequences of the clinical care they receive. Regulations that govern the attainment of informed consent for treatment and research are crucial to ensuring that medical care and research are conducted in an ethical manner and with the utmost respect for individual preferences and dignity. These regulations, however, often require - or are perceived to require - that informed consent documents and related materials contain language that is beyond the comprehension level of most patients and study participants. To explore what actions can be taken to help close the gap between what is required in the informed consent process and communicating it in a health-literate and meaningful manner to individuals, the Institute of Medicine's Roundtable on Health Literacy convened a one-day public workshop featuring presentations and discussions that examine the implications of health literacy for informed consent for both research involving human subjects and treatment of patients. Topics covered in this workshop included an overview of the ethical imperative to gain informed consent from patients and research participants, a review of the current state and best practices for informed consent in research and treatment, the connection between poor informed consent processes and minority underrepresentation in research, new approaches to informed consent that reflect principles of health literacy, and the future of informed consent in the treatment and research settings. Informed Consent and Health Literacy is the summary of the presentations and discussion of the workshop.
Author: Nancy Zelno
Publisher: Lulu.com
ISBN: 1365375439
Category : Business & Economics
Languages : en
Pages : 62
Get Book Here
Book Description
Workbook that containing the needed consent forms for a dental practice. This workbook is intended to help dentists begin protecting themselves and their practice. These forms can be used as is or after customization.
