Does one size fit all? A qualitative study about the need for individualized information transfer for orthognathic patients
Abstract Aims For any orthodontic-orthognathic treatment, it is crucial that patients are provided with enough and proper information in order to make evidence-based decisions- not only prior to treatment start, but also throughout the course of therapy. Thus, the objectives of this qualitative stud...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-06-01
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| Series: | Head & Face Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13005-022-00321-6 |
| _version_ | 1811328772125753344 |
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| author | Isabelle Graf Anna Enders Ute Karbach Tatjana Mihailovic Teresa Kruse Melanie Pollklas Karolin Höfer Joachim Zöller Bert Braumann |
| author_facet | Isabelle Graf Anna Enders Ute Karbach Tatjana Mihailovic Teresa Kruse Melanie Pollklas Karolin Höfer Joachim Zöller Bert Braumann |
| author_sort | Isabelle Graf |
| collection | DOAJ |
| description | Abstract Aims For any orthodontic-orthognathic treatment, it is crucial that patients are provided with enough and proper information in order to make evidence-based decisions- not only prior to treatment start, but also throughout the course of therapy. Thus, the objectives of this qualitative study were to identify information needs of patients undergoing combined orthodontic-orthognathic treatment. Additionally, professionals’ perspectives were evaluated. Methods A qualitative research approach was chosen in order to determine crucial aspects of information needs before and throughout treatment. With respect to a purposive sampling strategy and thematic saturation, we conducted ten semi-structured interviews with patients who had finished their orthodontic-orthognathic surgery treatments (five women, five men; being 21 to 34 years old). The indications for the combination treatment were severe skeletal Class IIs to Class IIIs with various vertical and transverse discrepancies. In addition, a multidisciplinary focus-group with six professionals from the maxillofacial surgery and orthodontic department (three women, three men; being 30 to 38 years old) helped to reflect about the experts’ point of views. After transcription, data was categorized and analyzed by Mayring’s content analysis. Results We identified three key themes. During this analysis, we focused on theme (1) ‘information transfer’ with its corresponding categories ‘information needs’ – depending on different treatment stages –, ‘source of information’ and ‘doctor-patient-communication’. The affected patients ranked individualized patient information and empathetic doctor-patient-communication high. This was mostly in line with the professionals’ point of view. Verbal communication was seen as being the best way to communicate throughout treatment. The role of the internet as a source of information was seen diversely. Conclusion This qualitative study highlights the need for individualized patient information and reveals both met and unmet information needs by patients. Although evidence-based written information is highly necessary for orthognathic patients and their families alike, it cannot replace an empathetic way of direct verbal doctor-patient-communication. It seems crucial to give specific individualized information at different treatment stages, starting at a thoroughly interdisciplinary screening at the very beginning. |
| first_indexed | 2024-04-13T15:32:09Z |
| format | Article |
| id | doaj.art-62dcb0af0fb7471290e7f8905020f1e6 |
| institution | Directory Open Access Journal |
| issn | 1746-160X |
| language | English |
| last_indexed | 2024-04-13T15:32:09Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Head & Face Medicine |
| spelling | doaj.art-62dcb0af0fb7471290e7f8905020f1e62022-12-22T02:41:21ZengBMCHead & Face Medicine1746-160X2022-06-0118111010.1186/s13005-022-00321-6Does one size fit all? A qualitative study about the need for individualized information transfer for orthognathic patientsIsabelle Graf0Anna Enders1Ute Karbach2Tatjana Mihailovic3Teresa Kruse4Melanie Pollklas5Karolin Höfer6Joachim Zöller7Bert Braumann8Department of Orthodontics, Faculty of Medicine and University Hospital of Cologne, University of CologneDepartment for Research and Quality Management, Federal Centre for Health Education (BZgA)Institute of Medical Sociology, Health Services Research and Rehabilitation Science, Faculties of Medicine and Human Sciences, University of CologneDepartment of Orthodontics, Faculty of Medicine and University Hospital of Cologne, University of CologneDepartment of Orthodontics, Faculty of Medicine and University Hospital of Cologne, University of CologneClinical Psychology and Psychotherapy, University of CologneDepartment of Operative Dentistry and Periodontology, Faculty of Medicine and University Hospital of Cologne, University of CologneDepartment of Dental Surgery and Oral, Maxillofacial and Plastic Facial Surgery, Faculty of Medicine and University Hospital of Cologne, University of CologneDepartment of Orthodontics, Faculty of Medicine and University Hospital of Cologne, University of CologneAbstract Aims For any orthodontic-orthognathic treatment, it is crucial that patients are provided with enough and proper information in order to make evidence-based decisions- not only prior to treatment start, but also throughout the course of therapy. Thus, the objectives of this qualitative study were to identify information needs of patients undergoing combined orthodontic-orthognathic treatment. Additionally, professionals’ perspectives were evaluated. Methods A qualitative research approach was chosen in order to determine crucial aspects of information needs before and throughout treatment. With respect to a purposive sampling strategy and thematic saturation, we conducted ten semi-structured interviews with patients who had finished their orthodontic-orthognathic surgery treatments (five women, five men; being 21 to 34 years old). The indications for the combination treatment were severe skeletal Class IIs to Class IIIs with various vertical and transverse discrepancies. In addition, a multidisciplinary focus-group with six professionals from the maxillofacial surgery and orthodontic department (three women, three men; being 30 to 38 years old) helped to reflect about the experts’ point of views. After transcription, data was categorized and analyzed by Mayring’s content analysis. Results We identified three key themes. During this analysis, we focused on theme (1) ‘information transfer’ with its corresponding categories ‘information needs’ – depending on different treatment stages –, ‘source of information’ and ‘doctor-patient-communication’. The affected patients ranked individualized patient information and empathetic doctor-patient-communication high. This was mostly in line with the professionals’ point of view. Verbal communication was seen as being the best way to communicate throughout treatment. The role of the internet as a source of information was seen diversely. Conclusion This qualitative study highlights the need for individualized patient information and reveals both met and unmet information needs by patients. Although evidence-based written information is highly necessary for orthognathic patients and their families alike, it cannot replace an empathetic way of direct verbal doctor-patient-communication. It seems crucial to give specific individualized information at different treatment stages, starting at a thoroughly interdisciplinary screening at the very beginning.https://doi.org/10.1186/s13005-022-00321-6Information needsOrthodonticsOrthognathic surgeryQualitative research |
| spellingShingle | Isabelle Graf Anna Enders Ute Karbach Tatjana Mihailovic Teresa Kruse Melanie Pollklas Karolin Höfer Joachim Zöller Bert Braumann Does one size fit all? A qualitative study about the need for individualized information transfer for orthognathic patients Head & Face Medicine Information needs Orthodontics Orthognathic surgery Qualitative research |
| title | Does one size fit all? A qualitative study about the need for individualized information transfer for orthognathic patients |
| title_full | Does one size fit all? A qualitative study about the need for individualized information transfer for orthognathic patients |
| title_fullStr | Does one size fit all? A qualitative study about the need for individualized information transfer for orthognathic patients |
| title_full_unstemmed | Does one size fit all? A qualitative study about the need for individualized information transfer for orthognathic patients |
| title_short | Does one size fit all? A qualitative study about the need for individualized information transfer for orthognathic patients |
| title_sort | does one size fit all a qualitative study about the need for individualized information transfer for orthognathic patients |
| topic | Information needs Orthodontics Orthognathic surgery Qualitative research |
| url | https://doi.org/10.1186/s13005-022-00321-6 |
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