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The Impact of Transition of Paper-Based Consent Forms to Digital Format on Dental Healthcare Efficiency

Year 2024, Volume: 14 Issue: 4, 1066 - 1075, 29.12.2024
https://doi.org/10.33808/clinexphealthsci.1494119

Abstract

Objective: To evaluate the perceptions and attitudes of patients of different ages and education levels regarding the transition of paper-based consent forms to digital format.
Methods: Ninety-four patients were divided into three groups according to their age range (18–39, 40–59, over 60) as well as education level (primary/secondary school, high school, university). Participants were administered a digital consent form along with an online questionnaire aimed at determining perceptions and attitudes of patients towards paper-based and digital consent. Demographic data was analyzed using descriptive statistics. Pearson’s Chi-Square test was used to compare the answer rates between patient groups categorized according to age ranges and educational levels (p=.05).
Results: 79.8% and 90.4% of participants reported that converting paper-based consent forms to digital format would be more advantageous for the workflow of healthcare services and in terms of functionality and usability, respectively. The proportion of participants stating they had sufficient knowledge about informed consent was higher in the university graduate group (p<.05). While 47.8% of the primary and/or secondary school graduates and 48.2% of high school graduates preferred written consent, 34.1% of the university graduate group was in favor of digital consent (p<.05). No other differences were obtained among patient groups regarding answers given to the questionnaire (p>.05).
Conclusions: Digital consent may provide advantages for the workflow and efficiency of healthcare services and the quality of consent process. However, using digital forms as a part of in-person dentist-patient communication may be more favorable in obtaining trust-based patient consent.

Ethical Statement

This study was approved by Ethics Committee of Ege University University, Scientific Research and Publication Ethics Board (Approval date: 31.01.2023; Number: 1805)

Supporting Institution

This research was financially supported within the scope of TUBITAK 2209-B - Industry Oriented Research Project Support Programme for Undergraduate Students (Project no: 1139B412200720).

Project Number

1139B412200720

Thanks

We would like to thank TUBITAK Directorate of Science Fellowships and Grant Programmes (BIDEB) for providing the necessary funding and assistance for our research.

References

  • Kakar H, Gambhir RS, Singh S, Kaur A, Nanda T. Informed consent: Corner stone in ethical medical and dental practice. J Family Med Prim Care 2014;3(1):68-71. DOI: 10.4103/2249-4863.130284
  • Sert G, Alkan OG. Hekimlerin tıbbi müdahale öncesinde hastalardan alınan aydınlatılmış onam bilinci ve uygulamaları. TJOB. 2022;9(4):146-154. (Turkish)
  • Hall DE, Prochazka AV, Fink AS. Informed consent for clinical treatment. CMAJ. 2012;184(5):533-540. DOI: 10.1503/cmaj.112120
  • Dyke R, St-John E, Shah H, Walker J, Loughran D, Anakwe R, Nathwani D. Comparing shared decision making using a paper and digital consent process. A multi-site, single centre study in a trauma and orthopaedic department. Surgeon 2023;21(4):235-241. DOI: 10.1016/j.surge.2022.05.004
  • St John ER, Scott AJ, Irvine TE, Pakzad F, Leff DR, Layer GT. Completion of hand-written surgical consent forms is frequently suboptimal and could be improved by using electronically generated, procedure-specific forms. Surgeon 2017;15(4):190-195. DOI: 10.1016/j.surge.2015.11.004
  • Chhin V, Roussos J, Michaelson T, Bana M, Bezjak A, Foxcroft S, Hamilton JL, Liu FF. Leveraging mobile technology to improve efficiency of the consent-to-treatment process. JCO Clin Cancer Inform. 2017;1:1-8. DOI: 10.1200/CCI.17.00041
  • De Sutter E, Zaçe D, Boccia S, Di Pietro ML, Geerts D, Borry P, Huys I. Implementation of electronic informed consent in biomedical research and Stakeholders' perspectives: Systematic review. J Med Internet Res. 2020;22(10):e19129. DOI: 10.2196/19129
  • Martu I, Ciurcanu OE, Savin CN, Diaconu-Popa D, Butnaru O, Pasarin L. Dental healthcares system during the Covid-19 pandemic and impact of digital technologies. Rom J Oral Rehabil. 2023;15:432-444.
  • Talla PK, Levin L, Glogauer M, Cable C, Allison PJ. Delivering dental care as we emerge from the initial phase of the COVID-19 pandemic: Teledentistry and face-to-face consultations in a new clinical world. Quintessence Int. 2020;51(8):672-677. DOI: 10.3290/j.qi.a44920
  • Ghai B, Saxena AK. Patient’s consent for publication. Anaesthesia 2005;60(3):289. DOI: 10.1111/j.1365-2044.2005.04126.x
  • Ellis LB, Barcroft J, St John E, Loughran D, Kyrgiou M, Phelps D. Digital consent in gynecology: An evaluation of patient experience. Arch Gynecol Obstet. 2024;309(2):611-619. DOI: 10.1007/s00404-023-07304-1
  • Ngoliwa C, Chakwiya C, Gondwe J, Nsomba E, Nkhoma V, Reuben M, Chantunga L, Liwonde P, Mangani E, Kudowa E, Makhaza L, Toto N, Sochera T, Chikaonda T, Morton B, Henrion M, Dula D, Gordon SB, Chirwa AE. Piloting electronic informed consenting in a pneumococcal human infection study in Blantyre, Malawi. Wellcome Open Res. 2024;9:233. DOI: 10.12688/wellcomeopenres.20770.1
  • Unal A, Sparkman A, Nadpara P, Goode JR. The impact of a digital vaccine consent form in a large community pharmacy chain. Innov Pharm. 2021;12(3):10.24926/iip.v12i3.3898. DOI: 10.24926/iip.v12i3.3898
  • Terzi C, Şahin M, Yurdugül H. İki-yönlü olumsallık çizelgelerinde gözenek artık testi: Ki-kare analizi için Post-Hoc testleri. Eğitim Teknolojisi Kuram ve Uygulama 2023;13(1):304-328. DOI: 10.17943/etku.1075830
  • García-pérez MA, Núñez-antón V. Cellwise residual analysis in two-way contingency tables. Educ Psychol Meas. 2003;63(5):825-839. DOI: 10.1177/0013164403251280
  • Chen C, Lee PI, Pain KJ, Delgado D, Cole CL, Campion TR Jr. Replacing paper informed consent with electronic informed consent for research in academic medical centers: A scoping review. AMIA Jt Summits Transl Sci Proc. 2020;2020:80-88.
  • Siracuse JJ, Benoit E, Burke J, Carter S, Schwaitzberg SD. Development of a web-based surgical booking and informed consent system to reduce the potential for error and improve communication. Jt Comm J Qual Patient Saf. 2014;40(3):126-133. DOI: 10.1016/s1553-7250(14)40016-3
  • Issa MM, Setzer E, Charaf C, Webb AL, Derico R, Kimberl IJ, Fink AS. Informed versus uninformed consent for prostate surgery: The value of electronic consents. J Urol. 2006;176(2):694-699. DOI: 10.1016/j.juro.2006.03.037
  • Mazzochi AT, Dennis M, Chun HY. Electronic informed consent: Effects on enrolment, practical and economic benefits, challenges, and drawbacks-a systematic review of studies within randomized controlled trials. Trials 2023;24(1):127. DOI: 10.1186/s13063-022-06959-6
  • World Health Organization. Global strategy on digital health 2020–2025. Published [18 August 2021] Accessed [26 May 26 2024]. https://www.who.int/publications/i/item/9789240020924
  • Tait AR, Voepel-Lewis T. Digital multimedia: A new approach for informed consent? JAMA 2015; 313(5):463–464. DOI: 10.1001/jama.2014.17122
  • Warriner AH, Foster PJ, Mudano A, Wright NC, Melton ME, Sattui SE, Calmbach W, Curtis JR, Kilgore M, Lewis CE, Pace W, Saag KG. A pragmatic randomized trial comparing tablet computer informed consent to traditional paper-based methods for an osteoporosis study. Contemp Clin Trials Commun. 2016;3:32-38. DOI: 10.1016/j.conctc.2016.02.003
  • Afolabi MO, McGrath N, D'Alessandro U, Kampmann B, Imoukhuede EB, Ravinetto RM, Alexander N, Larson HJ, Chandramohan D, Bojang K. A multimedia consent tool for research participants in the Gambia: A randomized controlled trial. Bull World Health Organ 2015;93(5):320-328. DOI: 10.2471/BLT.14.146159
  • Alqaydi A, Williams E, Nanji S, Zevin B. Optimizing the consent process for emergent laparoscopic cholecystectomy using an interactive digital education platform: A randomized control trial. Surg Endosc. 2024;38(5):2593-2601. DOI: 10.1007/s00464-024-10775-1
  • Rothwell E, Wong B, Rose NC, Anderson R, Fedor B, Stark LA, Botkin JR. A randomized controlled trial of an electronic informed consent process. J Empir Res Hum Res Ethics. 2014;9(5):1-7. DOI: 10.1177/1556264614552627
  • Mattock HC, Ryan R, O’Farrelly C, Babalis D, Ramchandani PG. Does a video clip enhance recruitment into a parenting trial? Learnings from a study within a trial. Trials 2020;21(1):856. DOI: 10.1186/s13063-020-04779-0
Year 2024, Volume: 14 Issue: 4, 1066 - 1075, 29.12.2024
https://doi.org/10.33808/clinexphealthsci.1494119

Abstract

Project Number

1139B412200720

References

  • Kakar H, Gambhir RS, Singh S, Kaur A, Nanda T. Informed consent: Corner stone in ethical medical and dental practice. J Family Med Prim Care 2014;3(1):68-71. DOI: 10.4103/2249-4863.130284
  • Sert G, Alkan OG. Hekimlerin tıbbi müdahale öncesinde hastalardan alınan aydınlatılmış onam bilinci ve uygulamaları. TJOB. 2022;9(4):146-154. (Turkish)
  • Hall DE, Prochazka AV, Fink AS. Informed consent for clinical treatment. CMAJ. 2012;184(5):533-540. DOI: 10.1503/cmaj.112120
  • Dyke R, St-John E, Shah H, Walker J, Loughran D, Anakwe R, Nathwani D. Comparing shared decision making using a paper and digital consent process. A multi-site, single centre study in a trauma and orthopaedic department. Surgeon 2023;21(4):235-241. DOI: 10.1016/j.surge.2022.05.004
  • St John ER, Scott AJ, Irvine TE, Pakzad F, Leff DR, Layer GT. Completion of hand-written surgical consent forms is frequently suboptimal and could be improved by using electronically generated, procedure-specific forms. Surgeon 2017;15(4):190-195. DOI: 10.1016/j.surge.2015.11.004
  • Chhin V, Roussos J, Michaelson T, Bana M, Bezjak A, Foxcroft S, Hamilton JL, Liu FF. Leveraging mobile technology to improve efficiency of the consent-to-treatment process. JCO Clin Cancer Inform. 2017;1:1-8. DOI: 10.1200/CCI.17.00041
  • De Sutter E, Zaçe D, Boccia S, Di Pietro ML, Geerts D, Borry P, Huys I. Implementation of electronic informed consent in biomedical research and Stakeholders' perspectives: Systematic review. J Med Internet Res. 2020;22(10):e19129. DOI: 10.2196/19129
  • Martu I, Ciurcanu OE, Savin CN, Diaconu-Popa D, Butnaru O, Pasarin L. Dental healthcares system during the Covid-19 pandemic and impact of digital technologies. Rom J Oral Rehabil. 2023;15:432-444.
  • Talla PK, Levin L, Glogauer M, Cable C, Allison PJ. Delivering dental care as we emerge from the initial phase of the COVID-19 pandemic: Teledentistry and face-to-face consultations in a new clinical world. Quintessence Int. 2020;51(8):672-677. DOI: 10.3290/j.qi.a44920
  • Ghai B, Saxena AK. Patient’s consent for publication. Anaesthesia 2005;60(3):289. DOI: 10.1111/j.1365-2044.2005.04126.x
  • Ellis LB, Barcroft J, St John E, Loughran D, Kyrgiou M, Phelps D. Digital consent in gynecology: An evaluation of patient experience. Arch Gynecol Obstet. 2024;309(2):611-619. DOI: 10.1007/s00404-023-07304-1
  • Ngoliwa C, Chakwiya C, Gondwe J, Nsomba E, Nkhoma V, Reuben M, Chantunga L, Liwonde P, Mangani E, Kudowa E, Makhaza L, Toto N, Sochera T, Chikaonda T, Morton B, Henrion M, Dula D, Gordon SB, Chirwa AE. Piloting electronic informed consenting in a pneumococcal human infection study in Blantyre, Malawi. Wellcome Open Res. 2024;9:233. DOI: 10.12688/wellcomeopenres.20770.1
  • Unal A, Sparkman A, Nadpara P, Goode JR. The impact of a digital vaccine consent form in a large community pharmacy chain. Innov Pharm. 2021;12(3):10.24926/iip.v12i3.3898. DOI: 10.24926/iip.v12i3.3898
  • Terzi C, Şahin M, Yurdugül H. İki-yönlü olumsallık çizelgelerinde gözenek artık testi: Ki-kare analizi için Post-Hoc testleri. Eğitim Teknolojisi Kuram ve Uygulama 2023;13(1):304-328. DOI: 10.17943/etku.1075830
  • García-pérez MA, Núñez-antón V. Cellwise residual analysis in two-way contingency tables. Educ Psychol Meas. 2003;63(5):825-839. DOI: 10.1177/0013164403251280
  • Chen C, Lee PI, Pain KJ, Delgado D, Cole CL, Campion TR Jr. Replacing paper informed consent with electronic informed consent for research in academic medical centers: A scoping review. AMIA Jt Summits Transl Sci Proc. 2020;2020:80-88.
  • Siracuse JJ, Benoit E, Burke J, Carter S, Schwaitzberg SD. Development of a web-based surgical booking and informed consent system to reduce the potential for error and improve communication. Jt Comm J Qual Patient Saf. 2014;40(3):126-133. DOI: 10.1016/s1553-7250(14)40016-3
  • Issa MM, Setzer E, Charaf C, Webb AL, Derico R, Kimberl IJ, Fink AS. Informed versus uninformed consent for prostate surgery: The value of electronic consents. J Urol. 2006;176(2):694-699. DOI: 10.1016/j.juro.2006.03.037
  • Mazzochi AT, Dennis M, Chun HY. Electronic informed consent: Effects on enrolment, practical and economic benefits, challenges, and drawbacks-a systematic review of studies within randomized controlled trials. Trials 2023;24(1):127. DOI: 10.1186/s13063-022-06959-6
  • World Health Organization. Global strategy on digital health 2020–2025. Published [18 August 2021] Accessed [26 May 26 2024]. https://www.who.int/publications/i/item/9789240020924
  • Tait AR, Voepel-Lewis T. Digital multimedia: A new approach for informed consent? JAMA 2015; 313(5):463–464. DOI: 10.1001/jama.2014.17122
  • Warriner AH, Foster PJ, Mudano A, Wright NC, Melton ME, Sattui SE, Calmbach W, Curtis JR, Kilgore M, Lewis CE, Pace W, Saag KG. A pragmatic randomized trial comparing tablet computer informed consent to traditional paper-based methods for an osteoporosis study. Contemp Clin Trials Commun. 2016;3:32-38. DOI: 10.1016/j.conctc.2016.02.003
  • Afolabi MO, McGrath N, D'Alessandro U, Kampmann B, Imoukhuede EB, Ravinetto RM, Alexander N, Larson HJ, Chandramohan D, Bojang K. A multimedia consent tool for research participants in the Gambia: A randomized controlled trial. Bull World Health Organ 2015;93(5):320-328. DOI: 10.2471/BLT.14.146159
  • Alqaydi A, Williams E, Nanji S, Zevin B. Optimizing the consent process for emergent laparoscopic cholecystectomy using an interactive digital education platform: A randomized control trial. Surg Endosc. 2024;38(5):2593-2601. DOI: 10.1007/s00464-024-10775-1
  • Rothwell E, Wong B, Rose NC, Anderson R, Fedor B, Stark LA, Botkin JR. A randomized controlled trial of an electronic informed consent process. J Empir Res Hum Res Ethics. 2014;9(5):1-7. DOI: 10.1177/1556264614552627
  • Mattock HC, Ryan R, O’Farrelly C, Babalis D, Ramchandani PG. Does a video clip enhance recruitment into a parenting trial? Learnings from a study within a trial. Trials 2020;21(1):856. DOI: 10.1186/s13063-020-04779-0
There are 26 citations in total.

Details

Primary Language English
Subjects Oral and Maxillofacial Radiology
Journal Section Articles
Authors

Elif Aslan 0000-0001-7609-999X

Omer Berfu Komat 0009-0000-7324-838X

Asena Karatay 0009-0009-2501-922X

Mehmet Emin Kacar 0009-0008-9043-8247

Onur Mutlu 0009-0004-6204-5535

Elif Şener 0000-0003-1402-9392

Project Number 1139B412200720
Publication Date December 29, 2024
Submission Date June 5, 2024
Acceptance Date November 27, 2024
Published in Issue Year 2024 Volume: 14 Issue: 4

Cite

APA Aslan, E., Komat, O. B., Karatay, A., Kacar, M. E., et al. (2024). The Impact of Transition of Paper-Based Consent Forms to Digital Format on Dental Healthcare Efficiency. Clinical and Experimental Health Sciences, 14(4), 1066-1075. https://doi.org/10.33808/clinexphealthsci.1494119
AMA Aslan E, Komat OB, Karatay A, Kacar ME, Mutlu O, Şener E. The Impact of Transition of Paper-Based Consent Forms to Digital Format on Dental Healthcare Efficiency. Clinical and Experimental Health Sciences. December 2024;14(4):1066-1075. doi:10.33808/clinexphealthsci.1494119
Chicago Aslan, Elif, Omer Berfu Komat, Asena Karatay, Mehmet Emin Kacar, Onur Mutlu, and Elif Şener. “The Impact of Transition of Paper-Based Consent Forms to Digital Format on Dental Healthcare Efficiency”. Clinical and Experimental Health Sciences 14, no. 4 (December 2024): 1066-75. https://doi.org/10.33808/clinexphealthsci.1494119.
EndNote Aslan E, Komat OB, Karatay A, Kacar ME, Mutlu O, Şener E (December 1, 2024) The Impact of Transition of Paper-Based Consent Forms to Digital Format on Dental Healthcare Efficiency. Clinical and Experimental Health Sciences 14 4 1066–1075.
IEEE E. Aslan, O. B. Komat, A. Karatay, M. E. Kacar, O. Mutlu, and E. Şener, “The Impact of Transition of Paper-Based Consent Forms to Digital Format on Dental Healthcare Efficiency”, Clinical and Experimental Health Sciences, vol. 14, no. 4, pp. 1066–1075, 2024, doi: 10.33808/clinexphealthsci.1494119.
ISNAD Aslan, Elif et al. “The Impact of Transition of Paper-Based Consent Forms to Digital Format on Dental Healthcare Efficiency”. Clinical and Experimental Health Sciences 14/4 (December 2024), 1066-1075. https://doi.org/10.33808/clinexphealthsci.1494119.
JAMA Aslan E, Komat OB, Karatay A, Kacar ME, Mutlu O, Şener E. The Impact of Transition of Paper-Based Consent Forms to Digital Format on Dental Healthcare Efficiency. Clinical and Experimental Health Sciences. 2024;14:1066–1075.
MLA Aslan, Elif et al. “The Impact of Transition of Paper-Based Consent Forms to Digital Format on Dental Healthcare Efficiency”. Clinical and Experimental Health Sciences, vol. 14, no. 4, 2024, pp. 1066-75, doi:10.33808/clinexphealthsci.1494119.
Vancouver Aslan E, Komat OB, Karatay A, Kacar ME, Mutlu O, Şener E. The Impact of Transition of Paper-Based Consent Forms to Digital Format on Dental Healthcare Efficiency. Clinical and Experimental Health Sciences. 2024;14(4):1066-75.

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