Royal Bournemouth Hospital, Bournemouth, United Kingdom; Faculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, United Kingdom.
Royal Bournemouth Hospital, Bournemouth, United Kingdom.
Am J Orthod Dentofacial Orthop. 2019 Aug;156(2):169-177.e2. doi: 10.1016/j.ajodo.2019.03.017.
A randomized controlled trial was undertaken to compare the efficacy of 3 methods of delivering information on short- and long-term recall of information in orthodontic patients and parents.
Participants who received an audiovisual presentation on orthodontic treatment were randomly allocated to 1 of 3 written information groups (leaflets, generic mind map, or participant's customized mind map). A questionnaire was used to assess short- and long-term retention of information (maximum score 30).
Eighty-eight patients (94.6%) and 77 parents (86.5%) completed the study. The average knowledge scores at baseline for the patient groups were 17.71 95 CI 16.28-19.14), 16.58 (14.67-18.49), and 17.37 (15.92-18.81), respectively. The parents' knowledge scores for the 3 groups were 19.06 (17.51-20.62), 19.39 (17.44-21.35), and 18.76 (17.19-20.33), respectively. The short- and long-term knowledge scores improved over baseline in all 3 groups (P <0.0001). The parents achieved higher scores than the patients (P = 0.002) and their rate of forgetting information was less. The knowledge scores of the mind map groups were higher than that of the leaflet group for all cohorts (P = 0.025). No statistical difference was found between the type of mind map. The correlation between patient and parent knowledge scores was significant (P <0.0001) at all 3 time points.
Provision of an audiovisual presentation supplemented with 1 of 3 written information methods is an effective way of delivering information. There was a significant improvement in the retention of information with the use of mind maps compared with leaflets. The generic mind map is equally as effective, more consistent in information delivered, and less labor intensive than the individual customized mind map and therefore would be our recommendation. Participation of parents is important because they comprehend and retain information better. In this study, 100% of parents shared information with their children, perhaps improving the patients' recall.
本研究采用随机对照试验,比较了 3 种信息传递方法在正畸患者及其家长的短期和长期记忆信息方面的效果。
参与者接受正畸治疗的视听演示后,随机分配至 3 种书面信息组之一(活页夹、通用思维导图或参与者定制思维导图)。使用问卷评估短期和长期信息保留情况(最高 30 分)。
88 名患者(94.6%)和 77 名家长(86.5%)完成了研究。患者组基线平均知识得分分别为 17.71(95%CI 16.28-19.14)、16.58(14.67-18.49)和 17.37(15.92-18.81),家长组分别为 19.06(17.51-20.62)、19.39(17.44-21.35)和 18.76(17.19-20.33)。所有 3 组的短期和长期知识得分均高于基线(P<0.0001)。家长的得分高于患者(P=0.002),遗忘信息的比例较低。思维导图组的知识得分均高于活页夹组(所有队列 P=0.025)。思维导图类型之间无统计学差异。患者和家长的知识得分之间存在显著相关性(P<0.0001),在所有 3 个时间点均如此。
视听演示加 3 种书面信息方法中的 1 种是传递信息的有效方法。与活页夹相比,使用思维导图可显著提高信息保留率。通用思维导图与个性化定制思维导图同样有效,在信息传递方面更一致,且劳动强度更小,因此我们推荐使用。家长的参与很重要,因为他们能更好地理解和保留信息。在本研究中,100%的家长与孩子分享了信息,这可能提高了患者的记忆。