title: Does the British Orthodontic Society orthognathic DVD aid a prospective patient's decision making? A qualitative study.
abstract: OBJECTIVE
  To explore the views of potential orthognathic patients regarding the influence of the BOS Orthognathic DVD in their decision making process.
  
  
  METHODS
  Qualitative, cross-sectional study.
  
  
  METHODS
  A UK dental teaching hospital.
  
  
  METHODS
  Patients considering orthognathic treatment.
  
  
  METHODS
  New patients were recruited from orthognathic clinics following an initial consultation. After an appropriate time to view the DVD, in-depth interviews were conducted with 10 patients (aged 16-48 years) in their homes. Interviews explored the attitudes and perceptions that influenced decisions about surgery, with a focus on the role of the DVD in this process. The interviews were transcribed and a framework analysis was undertaken.
  
  
  RESULTS
  The main themes identified were participant perceptions on the patient stories, use of images, the nature of the DVD itself and its usefulness in the decision making process. Participants reported they were heavily influenced by the patient stories. Virtual animations of surgery were seen as useful; whereas the before and after images of surgery were found to be disorientating. The design of the menu resulted in confusion or information being missed. The DVD was seen as a trusted resource, whereas the Internet was seen as biased, general and sensationalistic.
  
  
  CONCLUSIONS
  The DVD gives trusted information that patients cannot obtain or process from professional sources or the Internet. If used properly it can have a role in the decision making process, but should be seen within the context of other influences on the patient. This research has highlighted some aspects of the DVD that could be improved upon.
authors: University of Sheffield, Sheffield, UK.
authors: Andrew Mark Cursiter
authors: AM
authors: Flett
authors: University of Sheffield, Sheffield, UK.
authors: Mel
authors: M
authors: Hall
authors: University of Sheffield, Sheffield, UK.
authors: Caroline
authors: C
authors: McCarthy
authors: University of Sheffield, Sheffield, UK.
authors: Zoe
authors: Z
authors: Marshman
authors: University of Sheffield, Sheffield, UK.
authors: Philip E
authors: PE
authors: Benson
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D054626:Consumer Health Information; D003430:Cross-Sectional Studies; D003657:Decision Making; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D020407:Internet; D008297:Male; D008312:Malocclusion, Angle Class II / Q000523:psychology; D008313:Malocclusion, Angle Class III / Q000523:psychology; D008875:Middle Aged; D009970:Orthodontics; D056948:Orthognathic Surgical Procedures / Q000523:psychology; D010353:Patient Education as Topic; D011446:Prospective Studies; D036301:Qualitative Research; D012953:Societies, Dental; D006113:United Kingdom; D014742:Videodisc Recording; D055815:Young Adult
keywords: Consent; decision making; orthognathic; patient information