Patients' role in treatment decision-making

Richards, Wayne
March 2003
British Dental Journal;3/22/2003, Vol. 194 Issue 6, p317
Academic Journal
AIMS:To assess the transferability of the Control Preferences Scale to dental settings and to explore patients' preferred and perceived roles in dental treatment decision-making. SETTING AND PARTICIPANTS:A convenience sample of 40 patients, 20 recruited from the University Dental Hospital of Manchester and 20 from a general dental practice in Cheshire. METHODS:A cross-sectional survey, using the Control Preferences Scale, a set of sort cards outlining five decisional roles (active, semi-active, collaborative, semi-passive, passive), slightly modified for use in dental settings. A second set of cards was used to identify perceived decisional role. Rationale for choice of preferred role was recorded verbatim. RESULTS:The Control Preferences Scale was found to be transferable to dental settings. All patients in the sample had identifiable preferences regarding their role in treatment decision-making. A collaborative decisional role, with patient and dentist equally sharing responsibility for decision-making, was most popular at both sites. However, patients at both sites typically perceived themselves as attaining a passive role in treatment decisions. Lack of knowledge about dentistry and trust in the dentist were reported contributors to a passive decisional role preference, whilst those with more active role preferences gave rationales consistent with a consumerist stance. CONCLUSIONS:This exploratory study's findings suggest that dental patients have distinct preferences in relation to treatment decision-making role and that these may not always be met during consultations with their dentist. The Control Preferences Scale appears to be appropriate for use in dental settings.


Related Articles

  • Exploring dental patients' preferred roles in treatment decision-making--a novel approach. Chapple, H.; Shah, S.; Caress, A-L.; Kay, E.J. // British Dental Journal;3/22/2003, Vol. 194 Issue 6, p321 

    AIMS: To assess the transferability of the Control Preferences Scale to dental settings and to explore patients' preferred and perceived roles in dental treatment decision-making. SETTING AND PARTICIPANTS: A convenience sample of 40 patients, 20 recruited from the University Dental Hospital of...

  • RETAIN OR EXTRACT: THE DECISION PROCESS. Simon, James F. // Quintessence International;Dec1999, Vol. 30 Issue 12, p851 

    The author responds to an article that discussed determining when a tooth has become untreatable and offers additional information on this decision making process. The author discusses several hypothetical situations that are overlooked in the paper and discusses the impact that certain...

  • Reflections on 50+ Years in Practice. Ursu, Samuel C. // International Journal of Periodontics & Restorative Dentistry;2010, Vol. 30 Issue 6, p557 

    The editorial presents the author's views on restorative dentistry and the patient-dentist relationship. The conditions that have to be met to create an effective therapeutic relationship and outcome are discussed. The idea that dental reconstruction is an art, the roles of the patient and...

  • The Building Blocks of Evidence-based Dentistry. Sutherland, Susan E. // Journal of the Canadian Dental Association;May2000, Vol. 66 Issue 5, p241 

    The practice of dentistry is becoming more complex and challenging. Changing socio-demographic patterns, patients as knowledgeable health care consumers, rapid technical advances and the information "explosion" all place greater demands on clinical decision making. The need for reliable...

  • You're in it together. Rattan, Raj // Journal of the Irish Dental Association;Feb/Mar2015, Vol. 61 Issue 1, p18 

    The article focuses on the application of shared decision making between dentists and patients in determining the best treatment and service options for the patient. Topics discussed include the key components of shared decision-making, the benefits of employing shared decision-making in dental...

  • To treat, or not to treat. Wathen, William F. // Quintessence International;Mar2000, Vol. 31 Issue 3, p151 

    The article presents an editorial which discusses how to find a balance in the practice of dentistry. The author looks at how dentists can be accused of either over-treating or under-treating their patients. He talks about how dentists rely on scientific knowledge, experience, and interaction...

  • Patient Autonomy in Evidence-based Dentistry. Ritwik, Priyanshi // Journal of Contemporary Dental Practice;Jan/Feb2014, Vol. 15 Issue 1, pi 

    The article discusses the evidence-based dental practice in which both patients and dentists share the responsibility of decision-making in treatment. Topics discussed include the challenges faced by dentists in evidence-based dentistry, the need for dentists to openly discuss with patients...

  • Written off. Croser, D // British Dental Journal;10/14/2006, Vol. 201 Issue 8, p497 

    David Croser considers the appalling situation faced by UK dentists if they are diagnosed HIV positive.

  • From Editor's desk. Shah, Darshana // Journal of Ahmedabad Dental College & Hospital (JADCH);Mar-Aug2014, Vol. 5 Issue 1, p1 

    The author discusses evidence-based dentistry in India. She states that they have to incorporate the evidence based education into their mainstream dental education if they are going to maintain and provide the personnel for the whole global village. She cites the Evidence-Based Dentistry's...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics