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A chairside aid for shared decision making in dentistry: a randomized controlled trial
Bradford R Johnson1, Alan Schwartz, Julie Goldberg
1Department of Endodontics, College of Dentistry, University of Illinois, Chicago, 801 S. Paulina St., Chicago, IL 60612, USA. bjohnson@uic.edu
Journal of Dental Education
|February 16, 2006
Summary
An Endodontic Decision Board (EndoDB) improved patient knowledge regarding root canal therapy versus extraction. This shared decision-making tool did not affect patient satisfaction or anxiety levels.
Area of Science:
- Dental Research
- Clinical Decision Making
- Health Informatics
Background:
- Shared decision making (SDM) is crucial in clinical medicine but underrepresented in dental literature.
- Decision aids can enhance SDM by clarifying treatment options for patients and clinicians.
Purpose of the Study:
- To develop and evaluate an Endodontic Decision Board (EndoDB) for chairside use.
- To assess the impact of the EndoDB on patient knowledge, satisfaction, and anxiety compared to usual care.
Main Methods:
- A randomized controlled trial was conducted in a postgraduate endodontics clinic.
- Patients were randomized to either the EndoDB group or the usual care group.
- Patient knowledge, satisfaction, and anxiety were measured using questionnaires post-treatment discussion.
Main Results:
- The EndoDB group showed a statistically significant increase in patient knowledge compared to the usual care group (p=0.03).
- No significant differences were found between the groups in patient satisfaction or anxiety levels (p>0.05).
Conclusions:
- Decision aids, such as the EndoDB, can be valuable tools for facilitating SDM in endodontics.
- The EndoDB shows potential for improving patient understanding in evidence-based dental practice.