Development of Patient Information Leaflets for Fixed, Removable, and Functional Appliances for Arabic-speaking Orthodontic Patients

Overview

Journal Saudi Dent J

Specialty Dentistry

Date 2021 Mar 8

PMID 33679107

Authors

Yassir A Yassir

Ammar S Kadhum

Hayder F Saloom

Grant T McIntyre

David R Bearn

Affiliations

Soon will be listed here.

Abstract

Objective: To develop Orthodontic Patient Information Leaflets (PILs) in Arabic.

Material & Method: This study included five phases starting with Arabic translation of existing British Orthodontic Society leaflets; initial face validation with three orthodontists; content validation with ten orthodontists; final face validation with ten orthodontists, five postgraduate students, and ten patients; and re-translation to English prior to comparing the new documents with the original PILs to verify that all the necessary information were included. The content validity index (CVI) assessed item level (I-CVI) and scale level (S-CVI).

Results: The three Arabic PILs were face validated with inclusion of mini-screws, rapid maxillary expansion, and interproximal reduction. Content validity was perfect with no item I-CVI < 0.80. The S-CVI/Ave for PIL Fixed Appliances = 0.98, PIL Removable Appliances = 0.98 and PIL Functional Appliances = 0.97. In the final face validation, the three leaflets received 100% agreement from all observers for consistency of leaflet format and style, clarity, readability and use of adequate phrases. Finally, the leaflets were re-translated and the information was checked by native English speakers to ensure the completeness of information. There were no discrepancies and face validity was excellent.

Conclusion: Valid PILs for Arabic-speaking patients undergoing orthodontic treatment with fixed, removable, and functional appliances have been developed.

References

DAmato S, Bonatti C, Frigo V, Pappagallo S, Raccanelli R, Rampoldi C . Validation of the Clinical COPD questionnaire in Italian language. Health Qual Life Outcomes. 2005; 3:9. PMC: 549036. DOI: 10.1186/1477-7525-3-9. View

Carter L, Geldenhuys M, Moynihan P, Slater D, Exley C, Rolland S . The impact of orthodontic appliances on eating - young people's views and experiences. J Orthod. 2015; 42(2):114-22. DOI: 10.1179/1465313314Y.0000000128. View

Ley P, Bradshaw P, Eaves D, Walker C . A method for increasing patients' recall of information presented by doctors. Psychol Med. 1973; 3(2):217-20. DOI: 10.1017/s0033291700048558. View

Thickett E, Newton J . Using written material to support recall of orthodontic information: a comparison of three methods. Angle Orthod. 2006; 76(2):243-50. DOI: 10.1043/0003-3219(2006)076[0243:UWMTSR]2.0.CO;2. View

Patel J, Moles D, Cunningham S . Factors affecting information retention in orthodontic patients. Am J Orthod Dentofacial Orthop. 2008; 133(4 Suppl):S61-7. DOI: 10.1016/j.ajodo.2007.07.019. View

Brattstrom V, Ingelsson M, Aberg E . Treatment co-operation in orthodontic patients. Br J Orthod. 1991; 18(1):37-42. DOI: 10.1179/bjo.18.1.37. View

George C, WATERS W, Nicholas J . Prescription information leaflets: a pilot study in general practice. Br Med J (Clin Res Ed). 1983; 287(6400):1193-6. PMC: 1549423. DOI: 10.1136/bmj.287.6400.1193. View

Gauld V . Written advice: compliance and recall. J R Coll Gen Pract. 1981; 31(230):553-6. PMC: 1972185. View

Petterson T . How readable are the hospital information leaflets available to elderly patients?. Age Ageing. 1994; 23(1):14-6. DOI: 10.1093/ageing/23.1.14. View

10.

Kitching J . Patient information leaflets--the state of the art. J R Soc Med. 1990; 83(5):298-300. PMC: 1292646. DOI: 10.1177/014107689008300506. View

11.

Parker R . Orthodontics leaflets. A brief review. Br J Orthod. 1996; 23(4):369-72. DOI: 10.1179/bjo.23.4.369. View

12.

Nasr I, Sayers M, Newton T . Do patient information leaflets affect patients' expectation of orthodontic treatment? A randomized controlled trial. J Orthod. 2011; 38(4):257-68. DOI: 10.1179/14653121141614. View

13.

SAYERS M, Newton J . Patients' expectations of orthodontic treatment: part 1 - development of a questionnaire. J Orthod. 2006; 33(4):258-69. DOI: 10.1179/146531205225021753. View

14.

Thomson A, Cunningham S, Hunt N . A comparison of information retention at an initial orthodontic consultation. Eur J Orthod. 2001; 23(2):169-78. DOI: 10.1093/ejo/23.2.169. View

15.

GRANT J, Davis L . Selection and use of content experts for instrument development. Res Nurs Health. 1997; 20(3):269-74. DOI: 10.1002/(sici)1098-240x(199706)20:3<269::aid-nur9>3.0.co;2-g. View

16.

Harwood A, Harrison J . How readable are orthodontic patient information leaflets?. J Orthod. 2004; 31(3):210-9. DOI: 10.1179/146531204225022425. View

17.

Kupst M, Dresser K, SCHULMAN J, PAUL M . Evaluation of methods to improve communication in the physician-patient relationship. Am J Orthopsychiatry. 1975; 45(3):420-9. DOI: 10.1111/j.1939-0025.1975.tb02553.x. View

18.

Culbertson V, Arthur T, Rhodes P, Rhodes R . Consumer preferences for verbal and written medication information. Drug Intell Clin Pharm. 1988; 22(5):390-6. DOI: 10.1177/106002808802200505. View

19.

Pines A . Patient information leaflets: friend or foe?. Climacteric. 2015; 18(5):663-5. DOI: 10.3109/13697137.2015.1007697. View

20.

Rajasundaram R, Phillips S, Clay N . Information leaflet used in out-patient clinics: a survey of attitude and understanding of the user. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2006; 19(6-7):575-9. DOI: 10.1108/09526860610704196. View