Universität zu Köln

Graf, Isabelle, Enders, Anna, Karbach, Ute ORCID: 0000-0003-3479-9474, Mihailovic, Tatjana, Kruse, Teresa, Pollklas, Melanie, Hoefer, Karolin, Zoeller, Joachim and Braumann, Bert (2022). Does one size fit all? A qualitative study about the need for individualized information transfer for orthognathic patients. Head Face Med., 18 (1). LONDON: BMC. ISSN 1746-160X

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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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Graf, Isabelle UNSPECIFIED UNSPECIFIED UNSPECIFIED Enders, Anna UNSPECIFIED UNSPECIFIED UNSPECIFIED Karbach, Ute UNSPECIFIED orcid.org/0000-0003-3479-9474 UNSPECIFIED Mihailovic, Tatjana UNSPECIFIED UNSPECIFIED UNSPECIFIED Kruse, Teresa UNSPECIFIED UNSPECIFIED UNSPECIFIED Pollklas, Melanie UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoefer, Karolin UNSPECIFIED UNSPECIFIED UNSPECIFIED Zoeller, Joachim UNSPECIFIED UNSPECIFIED UNSPECIFIED Braumann, Bert UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-662266
DOI:	10.1186/s13005-022-00321-6
Journal or Publication Title:	Head Face Med.
Volume:	18
Number:	1
Date:	2022
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1746-160X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HEALTH-SERVICES RESEARCH; PATIENTS PERCEPTIONS; DECISION-MAKING; SURGERY; SUPPORT; SATISFACTION; INTERNET; IMPACT; PAPER Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66226