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An evaluation of a novel decision aid - mobile app in a shared decision making for patients in dentistry
Tong Wah Lim1, Siti Nor Shazwani Binti Abdul Adzim2, Maizatin Fitrah Binti Akbar3, Siti Mariam Ab. Ghani4, Teh Adilla Mustaza5.
The idea of Shared Decision Making (SDM) is well known in medical field
but not well acknowledged in dental practices. It is an educational model for
actively involving patients in clinical decision making process by providing
patients with the best currently available clinical evidences regarding
treatment outcomes, allowing for the clarification of patient and practitioner
preferences. SDM need to be implemented effectively with the use of
decision aids that provide evidence-based answers for patient questions
and integrate the patient preferences. This study aimed to develop a novel
Decision Aid – Mobile App (MA) for chairside used in the SDM process
and to compare patients’ dental knowledge, satisfaction and anxiety level by
using MA and Standard Care (SC). The MA was developed by mobile app
designer and researchers. The MA provides an evidence-based prognoses,
benefits, risks and costs for various treatment options based on review by
a group of prosthodontists. Thirty-four (34) participants were selected to
participate in this study. Subjects were randomly assigned into two groups
which were SC (n=17) and MA (n=17). Questionnaire regarding knowledge,
satisfaction and anxiety was answered by the subjects after the treatment
options discussion in the students’ clinic. From the results of this study, 26
questionnaires (76.5%) were completely answered and included in the study.
Subjects in the MA group (n=13) demonstrated a statistically significant
increase in knowledge (chi-square test; p<0.05) compared to the SC group
(n=13). However, there was no significant difference between two groups
with regards to their anxiety and satisfaction level (Mann-Whitney U-test;
p>0.05). This study reported that the use of novel mobile app as a decision
aid play an important role to facilitate SDM process in clinical dentistry.
The result has reported a significant improvement in patient knowledge of
prosthodontic treatment options.
Affiliation:
- Universiti Teknologi MARA, Sungai Buloh Campus, Malaysia
- Universiti Teknologi MARA, Sungai Buloh Campus, Malaysia
- Universiti Teknologi MARA, Sungai Buloh Campus, Malaysia
- Universiti Teknologi MARA, Sungai Buloh Campus, Malaysia
- Universiti Teknologi MARA, Sungai Buloh Campus, Malaysia
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