Dentists' Understanding of Diagnostic Test Results and Treatment Efficacy. (RCDENT2017)

The Influence of Different Formats for Presenting Diagnostic Test Results and Treatment Efficacy on Dentists' Understanding and on Their Reported Clinical Management.

There is little evidence on how best to present diagnostic and treatment effect information to dentists and whether this makes any difference to their understanding of the information given and clinical management. The objective of this study is to assess the influence of different formats for presenting diagnostic test results and treatment efficacy on dentists' understanding and on their reported clinical management. The hypothesis is that presenting diagnostic test and treatment effectiveness results using natural frequencies influences the threshold for treatment and improves interpretation of tests results compared to conditional probabilities and percentage differences. A group of dentists recruited from postgraduate courses were randomized to two of four arms, being two arms of a hypothetical realistic diagnostic scenario (a) and two arms of a hypothetical realistic treatment scenario (b): a1) diagnostic test results presented in conditional probabilities; a2) diagnostic test results presented in natural frequencies; b1) treatment efficacy presented in percentages; b2) treatment efficacy presented in natural frequencies. The main outcome measures were the correct answer as to whether disease was actually present (post-test probability) and the correct answer as the number of patients that would benefit from the treatment (efficacy). Secondary outcome measures included the decision whether to treat or not treat the hypothetical patient.

Study Overview

• Status: Completed
• Conditions: Health Education
• Intervention / Treatment: Other: Dental health information form

• Study Type: Interventional
• Enrollment (Actual): 101
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Graduated dentist undergoing a postgraduate course in a public university in Rio de Janeiro.

Exclusion Criteria:

• None.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Quadruple

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Diagnostic percentages.; Dentist receives diagnostic test results presented in conditional probabilities.	Other: Dental health information form; The format in which dentists receive information about diagnostic test results and efficacy of treatment.
Experimental: Diagnostic frequencies; Dentist receives diagnostic test results presented in natural frequencies.	Other: Dental health information form; The format in which dentists receive information about diagnostic test results and efficacy of treatment.
Active Comparator: Treatment percentages.; Dentist receives treatment efficacy presented in percentages.	Other: Dental health information form; The format in which dentists receive information about diagnostic test results and efficacy of treatment.
Experimental: Treatment frequencies.; Dentist receives treatment efficacy presented in natural frequencies.	Other: Dental health information form; The format in which dentists receive information about diagnostic test results and efficacy of treatment.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The probability that a patient will have a dental cavity as assessed by a dentist.	The assessement by the dentist was based on a questionnarie containing a clinical hypothetical situation and the result of a bite-wing radiographic exam.	Up to 20 minutes
The number of patients that will benefit from systemic antibiotics adjunct to periodontal treatment as assessed by a dentist.	The assessement by the dentist was based on a questionnarie containing a clinical hypothetical situation and the information about the usual efficacy of systemic antibiotics adjunct to periodontal treatment.	Up to 20 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The number of dentists that would recommend the use of systemic antibiotics adjunct to periodontal treatment in the clinical management of a patient with periodontal disease.	The recommendation by the dentist was based on a questionnarie containing a clinical hypothetical situation and the information about the usual efficacy of systemic antibiotics adjunct to periodontal treatment.	Up to 20 minutes

Collaborators and Investigators

• Sponsor: Rio de Janeiro State University

Study record dates

Study Major Dates

• Study Start (Actual): June 8, 2016
• Primary Completion (Actual): December 13, 2016
• Study Completion (Actual): December 13, 2016

Study Registration Dates

• First Submitted: February 6, 2017
• First Submitted That Met QC Criteria: February 10, 2017
• First Posted (Actual): February 13, 2017

Study Record Updates

• Last Update Posted (Actual): February 13, 2017
• Last Update Submitted That Met QC Criteria: February 10, 2017
• Last Verified: February 1, 2017

More Information

Terms related to this study

• Keywords: Risk; Communication Barriers; Persuasive Communication
• Other Study ID Numbers: riskcommunicationdentist2017

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No