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Orthodontic Informed Consent Considering Information Load and Serial Position Effect

Pawlak, Caroline E
http://rave.ohiolink.edu/etdc/view?acc_num=osu1395964866

Abstract Details

2014, Master of Science, Ohio State University, Dentistry.
Abstract 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.
Henry Fields (Advisor)
120 p.
Dentistry
Orthodontics; dentistry; informed consent; risk management

Recommended Citations

Citations

  • Pawlak, C. E. (2014). Orthodontic Informed Consent Considering Information Load and Serial Position Effect [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1395964866

    APA Style (7th edition)

  • Pawlak, Caroline. Orthodontic Informed Consent Considering Information Load and Serial Position Effect. 2014. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1395964866.

    MLA Style (8th edition)

  • Pawlak, Caroline. "Orthodontic Informed Consent Considering Information Load and Serial Position Effect." Master's thesis, Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1395964866

    Chicago Manual of Style (17th edition)

osu1395964866
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This open access ETD is published by The Ohio State University and OhioLINK.