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Knowledge of, and attitudes to, shared decision-making in orthodontics in the UK

Barber, SK; Ryan, F; Cunningham, SJ; (2020) Knowledge of, and attitudes to, shared decision-making in orthodontics in the UK. Journal of Orthodontics 10.1177/1465312520941526. (In press). Green open access

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Abstract

OBJECTIVE: To establish UK orthodontic treatment providers' knowledge of, and attitudes to, shared decision-making (SDM). SDM involves patients as equal partners in decisions about treatment. DESIGN: Cross-sectional survey. SETTING: Online survey across the UK. POPULATION: Dentists and orthodontists providing orthodontic treatment in the UK. METHODS: Potential participants were contacted through the British Orthodontic Society mailing lists. An online survey was developed to examine knowledge of, and attitudes to, SDM using a combination of evidence-based statements and free text boxes. Questions regarding previous training in SDM and preferences for further training were also included. RESULTS: The survey was completed by 210 respondents, yielding an approximate response rate of 15%. Respondents were mainly consultants (34%) and specialist orthodontists (42%). SDM was well described in terms of the people involved in this process, how it is approached, the components and topics of discussion, and the overall purpose of SDM. Generally, there was consistency in attitudinal responses, with the largest variance in responses to questions about the professional-patient partnership, the interface between SDM and clinical guidelines, and accepting a decision that is discordant with the professional's opinion. Fifty-one respondents reported having some previous teaching/training in SDM, with the majority (87%) indicating that they would like more training. CONCLUSION: Clinicians providing orthodontic treatment in the UK have a good understanding of the meaning of shared decision-making. Concerns raised about using SDM and knowledge gaps suggest there is value in providing SDM training for the orthodontic team and that orthodontic providers would welcome it.

Type: Article
Title: Knowledge of, and attitudes to, shared decision-making in orthodontics in the UK
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/1465312520941526
Publisher version: https://doi.org/10.1177/1465312520941526
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: patient-centred care, shared decision-making, teaching
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute > EDI Craniofacial and Development Sci
URI: https://discovery.ucl.ac.uk/id/eprint/10107485
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