Relationship of Oral Health Literacy with Decision-making in Dental Treatment Planning among Urban Population of Lahore: Oral Health Literacy & dental treatment planning

Wajiha Alamgir; Shanzay Tariq; Adeel Haider; Uzma Jabbar; Arfa Sarwar; Faheem Abrar

doi:10.54393/pjhs.v3i07.373

Authors

Wajiha Alamgir Department of Oral Pathology & Oral Diagnostics, University College of Dentistry, University of Lahore, Lahore, Pakistan
Shanzay Tariq Department of Oral Pathology & Oral Diagnostics, University College of Dentistry, University of Lahore, Lahore, Pakistan
Adeel Haider Department of Oral Pathology & Oral Diagnostics, University College of Dentistry, University of Lahore, Lahore, Pakistan
Uzma Jabbar Department of Oral Pathology & Oral Diagnostics, University College of Dentistry, University of Lahore, Lahore, Pakistan
Arfa Sarwar Department of Oral Pathology & Oral Diagnostics, University College of Dentistry, University of Lahore, Lahore, Pakistan
Faheem Abrar Punjab Healthcare Commission, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v3i07.373

Keywords:

Oral Health Literacy, REALD-30, Dental Treatment plan, Decision making

Abstract

In clinical settings, dentists frequently come across patients with variable oral health literacy, and they are not always able to tell which patients might comprehend with health-related explanations and instructions. Objective: To calculate oral health literacy level of patients reporting for dental treatment and correlation of the aforementioned with patients’ decision-making capacity regarding dental treatment. Methods: A quantitative cross-sectional study was conducted with a pilot study on 60 patients in University Dental Hospital, University of Lahore through non-probability purposive sampling technique. Sample of 200 patients was collected over a period of five months (June 2022-October 2022). Data were analyzed using SPSS version 25. Study was divided into two phases; in Phase I, REALD-30 scale was used. Phase-II involved individuals scoring 11-30 points on REALD-30 scale and who had to complete a self-administered 5-point Likert scale questionnaire with eleven closed-ended items in order to determine their level of decision-making. Results: Study revealed that there was significant association between Oral Health Literacy Level with getting prior information concerning dental issue (p=0.032), ability to appraise the decided treatment plan (p=0.033) and opinion regarding follow up visits (p=0.026). Conclusions: The results of the current study revealed a tenuous link between education, employment position, oral health literacy, and decision-making regarding dental treatment strategy. Effective patient-dentist communication generates strong link between the two leading to compliance of patients with treatment plan suggested by experts

References

Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International. 2000 Sep; 15(3): 259-67. doi: 10.1093/heapro/15.3.259.

Petersen PE and Kwan S. The 7th WHO Global Conference on Health Promotion-towards integration of oral health (Nairobi, Kenya 2009). Community Dental Health. 2010 Jun; 27(Suppl 1): 129-36. doi:10.1922/CDH_2643Petersen08.

Robinson LA, Crabtree MA, Allen NW, Baber G, Boseman JJ, Briskie DM, et al. Health Literacy in Dentistry Action Plan 2010-2015. Chicago, IL: American Dental Association. 2009; 27(1): 33-9. doi: 10.1186/1472-6831-14-135.

Batista MJ, Lawrence HP, Sousa MD. Oral health literacy and oral health outcomes in an adult population in Brazil. BMC Public Health. 2018 Dec; 18(1): 1-9. doi: 10.1186/s12889-017-4443-0.

Baker DW, Parker RM, Williams MV, Pitkin K, Parikh NS, Coates W, et al. The health care experience of patients with low literacy. Archives of Family Medicine. 1996 Jun; 5(6): 329. doi: 10.1001/archfami.5.6.329.

Martin LR, Williams SL, Haskard KB, DiMatteo MR. The challenge of patient adherence. Therapeutics and clinical risk management. 2005 Sep; 1(3): 189-199.

Schiavo JH. Oral health literacy in the dental office: the unrecognized patient risk factor. Journal of Dental Hygiene. 2011 Sep; 85(4): 248-55.

Cohen LA, Bonito AJ, Eicheldinger C, Manski RJ, Edwards RR, Khanna N. Health literacy impact on patient‐provider interactions involving the treatment of dental problems. Journal of Dental Education. 2011 Sep; 75(9): 1218-24. doi: 10.1002/j.0022-0337.2011.75.9.tb05165.x.

Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bulletin of the world health organization. 2005 Sep; 83: 661-9. doi: 10.1590/S0042-96862005000900011.

Khan K, Ruby B, Goldblatt RS, Schensul JJ, Reisine S. A pilot study to assess oral health literacy by comparing a word recognition and comprehension tool. BMC oral health. 2014 Dec; 14(1): 1-1. doi: 10.1186/1472-6831-14-135.

Lee JY, Rozier RG, Lee SY, Bender D, Ruiz RE. Development of a word recognition instrument to test health literacy in dentistry: the REALD‐30–a brief communication. Journal of Public Health Dentistry. 2007 Mar; 67(2): 94-8. doi: 10.1111/j.1752-7325.2007.00021.x.

National Institute of Dental, Craniofacial Research (US). Oral health in America: a report of the Surgeon General. US Public Health Service, Department of Health and Human Services; 2000. Available at: https://www.nidcr.nih.gov/sites/default/files/2017-10/hck1ocv.%40www.surgeon.fullrpt.pdf.

Levin ME. Language as a barrier to care for Xhosa-speaking patients at a South African pediatric teaching hospital. South African Medical Journal. 2006 Oct; 96(10): 1076-9.

Lahti S, Tuutti H, Hausen H, Kääriäinen R. Comparison of ideal and actual behavior of patients and dentists during dental treatment. Community Dentistry and Oral Epidemiology. 1995 Dec; 23(6): 374-8. doi: 10.1111/j.1600-0528.1995.tb00266.x.

Reissmann DR, Bellows JC, Kasper J. Patient preferred and perceived control in dental care decision making. JDR Clinical & Translational Research. 2019 Apr; 4(2): 151-9. doi:10.1177/2380084418811321.

Bin Mubayrik A, Al Dosary S, Alshawaf R, Alduweesh R, Alfurayh S, Alojaymi T, et al. Public Attitudes Toward Chairside Screening for Medical Conditions in Dental Settings. Patient Prefer Adherence. 2021 Feb; 15: 187-195. doi: 10.2147/PPA.S297882.

Barrett SE and Puryear JS. Health literacy: improving quality of care in primary care settings. Journal of Health Care for the Poor and Underserved. 2006 Nov; 17(4): 690-7. doi:10.1353/hpu.2006.0117.

Lehnhardt M, Daigeler A, Hauser J, Puls A, Soimaru C, Kuhnen C, et al. The value of expert second opinion in diagnosis of soft tissue sarcomas. Journal of Surgical Oncology. 2008 Jan; 97(1): 40-3. doi: 10.1002/jso.20897.

Tabassum N, Ahmed S, Alshammari Y, Barri G, Alnafea M, Subhi M, et al. Patient’s attitude towards dental treatment: treatment plan versus patient willingness. International Journal of Dentistry Research. 2017 Oct; 2(3): 73-5. doi: 10.31254/dentistry.2017.2304.

Brody DS, Miller SM, Lerman CE, Smith DG, Caputo GC. Patient perception of involvement in medical care. Journal of General Internal Medicine. 1989 Nov; 4(6): 506-11. doi: 10.1007/BF02599549.