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Shared decision making using augmented reality a multicentre pilot randomised controlled trial in orthognathic

S J C Sander Tabernée Heijtmeijer1,2, N Noa Nicolai3, N G Nard Janssen3

  • 1Department of Oral and Maxillofacial Surgery, University Medical Centre Groningen, University of Groningen, Groningen, the Netherlands. s.j.c.tabernee.heijtmeijer@umcg.nl.

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Summary

Augmented Reality (AR) did not improve patient satisfaction or knowledge for orthognathic surgery compared to traditional monitors. Monitor-based 3D models were preferred, especially by women, indicating they remain the most practical patient education tool.

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Area of Science:

  • Medical Education
  • Surgical Innovation
  • Patient Decision Making

Background:

  • Effective patient education is crucial for informed consent in surgical procedures.
  • Augmented Reality (AR) presents a potential tool for enhancing patient understanding, but evidence is limited.
  • Orthognathic surgery requires comprehensive patient education for informed decision-making.

Purpose of the Study:

  • To evaluate the added value of AR compared to monitor-based 3D models for patient education in orthognathic surgery.
  • To assess the impact of AR on patient satisfaction and knowledge acquisition.
  • To compare patient preferences between AR and traditional 3D models for surgical consultations.

Main Methods:

  • A multicentre randomized controlled trial involving 60 patients undergoing orthognathic surgery.
  • Patients were randomized into an AR intervention group or a control group using monitor-based 3D models.
  • Patient satisfaction and knowledge were measured using validated questionnaires.

Main Results:

  • Patient satisfaction was significantly higher in the control group (monitor-based 3D models) (p=0.04).
  • No significant differences in knowledge acquisition were observed between the AR and control groups (p=0.74).
  • Women showed a significant preference for monitor-based consultations (p=0.01).

Conclusions:

  • Augmented Reality (AR) did not demonstrate a clear added benefit over monitor-based 3D models for patient education in orthognathic surgery.
  • Traditional monitor-based 3D models appear to be a more practical and preferred option for patient education in this context.
  • Further research may be needed to explore AR's potential, but current evidence favors conventional methods for patient satisfaction and understanding.