The School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
School of Dentistry, University of Liverpool, Liverpool, UK.
Int J Paediatr Dent. 2017 Sep;27(5):344-355. doi: 10.1111/ipd.12267. Epub 2016 Sep 29.
Decision aids are tools used to help individuals faced with difficult healthcare decisions. They help patients further understand the treatment options available and encourage the sharing of information between patients and clinicians.
To develop a decision aid for young patients faced with the decision to undergo dental treatment with inhalation sedation, intravenous sedation, or general anaesthesia (GA).
Qualitative interviews with dental patients (aged 10-16 years), and their parents/guardians were used to inform the content of a draft decision aid. Following further revisions, a pilot evaluation of the decision aid was conducted. Patients referred for dental treatment with sedation or GA were recruited from a UK dental hospital. Patients (n = 15) and parents/guardians (n = 13) assigned to the intervention group received the decision aid and routine clinical counselling, whereas patients (n = 17) and parents/guardians (n = 13) in the control group only received routine clinical counselling. Participants completed measures of knowledge, decisional conflict, and dental anxiety.
Knowledge scores were significantly higher for participants who received the decision aid when compared to standard care. There were no other significant differences between groups.
A decision aid was successfully developed, and initial findings suggest such tools could be beneficial to dental sedation or GA patients and their parents/guardians. Further research is required on the use of such tools in primary care settings, with particular attention to the impact of the decision aid on attendance and completion rates of treatment.
决策辅助工具是用于帮助面临困难医疗保健决策的个人的工具。它们帮助患者进一步了解可用的治疗方案，并鼓励患者和临床医生之间分享信息。
为面临接受牙科治疗时选择吸入镇静、静脉镇静或全身麻醉（GA）的年轻患者开发决策辅助工具。
对牙科患者（10-16 岁）及其父母/监护人进行定性访谈，以了解决策辅助工具草案的内容。在进一步修订后，对决策辅助工具进行了试点评估。从英国一家牙科医院招募了接受镇静或 GA 牙科治疗的患者。干预组的患者（n=15）及其父母/监护人（n=13）接受决策辅助工具和常规临床咨询，而对照组的患者（n=17）及其父母/监护人（n=13）仅接受常规临床咨询。参与者完成了知识、决策冲突和牙科焦虑的测量。
与标准护理相比，接受决策辅助工具的参与者的知识得分显著更高。两组之间没有其他显著差异。
成功开发了决策辅助工具，初步结果表明，这些工具可能对牙科镇静或 GA 患者及其父母/监护人有益。需要进一步研究此类工具在初级保健环境中的使用情况，特别关注决策辅助工具对治疗参与率和完成率的影响。
