Investigating patient-centred care in orthodontics

• Research type

  Research Study

• Full title

  Investigating patient-centred care in orthodontics

• IRAS ID

  244913

• Contact name

  Fiona Ryan

• Contact email

  fiona.ryan@nhs.net

• Sponsor organisation

  University College London

• Clinicaltrials.gov Identifier

  Z6364106/2018/04/18 , UCL Data Protection Number

• Duration of Study in the UK

  3 years, 0 months, 31 days

• Research summary

  This study aims to investigate patient-centred care (PCC) in adult orthodontics (brace treatment for developmental problems of the teeth and jaws).

  PCC is a fundamental concept in healthcare that puts the patient’s needs first. Since its introduction in the 1970s to replace paternalistic, ‘illness-centred’ care, the concept has been well described, but unfortunately not as widely practiced or investigated.

  PCC has been proven to enhance patient adherence to care pathways, improve outcomes, improve both patient and clinician satisfaction, and reduce the burden on over-stretched public services (Stewart et al., 2000; Dwemena et al., 2012). It has become a priority within the NHS to measure and report PCC. PCC broadly encompasses information, communication, involvement in decisions (shared decision-making), care coordination, and care planning.

  The research questions for this study are:
  Is patient-centred care practiced in orthodontics? Specifically;
  a) What are patient and clinician perceptions of patient-centred care and communication?
  b) To what extent do orthodontic patients want to be involved in their treatment decisions and are clinicians involving patients in these decisions?

  This is a cross sectional study involving adult orthodontic patients. Data will be collected using validated questionnaires. The research programme will be divided into 3 separate sections:

  1. Study of patient and clinician perceptions of patient-centred care
  2. Study of patients’ preferences for involvement in their treatment decisions
  3. Study of shared decision-making in orthodontics

  This will be a single site study. There will not be any cross-over between the different sections and each participant will take part in only on section of the study and complete only 1 questionnaire. They will not be required to do anything further.

• REC name

  North West - Greater Manchester Central Research Ethics Committee

• REC reference

  18/NW/0592

• Date of REC Opinion

  23 Aug 2018

• REC opinion

  Favourable Opinion