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Designing written patient information in primary dental care: the right tools for the job

From Volume 39, Issue 1, January 2012 | Pages 57-62

Authors

Ross OC Elledge

BChD(Hons), MBChB(Hons), PGDipMedEd, MFDS RCPS(Glasg), MRCS MAcadMedEd, FHEA

Year 2 doctor in Otorhinolaryngology, Worcestershire Royal Hospital, Charles Hastings Way, Worcester WR5 1DD, Worcestershire, UK

Articles by Ross OC Elledge

Abstract

There is a good evidence base in the literature for the use of written patient information in healthcare settings to enable patients to retain information concerning procedures and treatments following initial consultations. A number of tools exist to help in the design of written patient information. These include checklists such as the Department of Health Toolkit for Producing Patient Information, EQIP and DISCERN tools, readability scores such as the Flesch-Kincaid Formula and Flesch Reading Ease score, as well as cultural sensitivity scores. These tools are presented and their possible role in dental primary care discussed.

Clinical Relevance: The tools provided here will enable clinicians to develop a better standard of patient information literature concerning procedures and treatments on offer.

Article

Research has demonstrated that patients only retain a fifth of the information imparted to them at any consultation, with evidence of improvement by as much as 50% when supplemental written information is provided.1 There is a growing evidence base in the literature for the use of patient information leaflets in dental practice. The use of these has been shown to correlate well with improved information retention by patients, aiding informed consent for procedures such as wisdom tooth removal, orthodontics and implant surgery, as well as reducing anxiety in patients in general.25 In particular, there has been shown to be a role for leaflets in cultivating public awareness of oral cancer risk factors and screening.6 Whilst guidance exists from the Department of Health and the General Medical Council on the provision of patient information in the medical setting, no similar guidelines exist for general dental practice.7,8 Lewis and Newton have highlighted a trend of patient information literature in primary dental care that tends to exceed the standards of recommended readability to suit the average patient, whilst falling short of standards expected of the Royal National Institute for the Blind (RNIB) and universally established good practice criteria, such as clearly stating aims and citing sources.9 There are a number of considerations to be made in designing patient information leaflets beyond these, and a number of evaluation methods exist to ensure that these are met.

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