Evidence map›Paper›PMID 41560904›Full record

ArticlePEC innovation2026

Development of a multimedia informed consent tool for fixed prosthodontic treatment: A cognitive theory-based approach to enhance patient understanding.

Barbara Ndagire, Sudeshni Naidoo, John Barugahare, Joseph Kibombo Balikuddembe, Joaniter Nankabirwa, Annet Nakiggudde, Jovan Mugerwa, Margaret Wandera, Charles Mugisha Rwenyonyi

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PEC innovation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Barbara NdagireClinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Sudeshni NaidooFaculty of Dentistry, University of the Western Cape, Cape Town, South Africa.
John BarugahareDepartment of Philosophy, School of Liberal and Performing Arts, College of Humanities and Social Sciences, Makerere University, Kampala, Uganda.
Joseph Kibombo BalikuddembeSchool of Computing and Informatics Technology, College of Computing and Information Sciences, Makerere University, Kampala, Uganda.
Joaniter NankabirwaClinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Annet NakigguddeDepartment of Psychiatry, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Jovan MugerwaClinical Epidemiology Unit, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
Margaret WanderaSchool of Dentistry, College of Health Sciences, Makerere University, Kampala, Uganda.
Charles Mugisha RwenyonyiSchool of Dentistry, College of Health Sciences, Makerere University, Kampala, Uganda.

Funding

Makerere University International Bioethics Research Training ProgramD43TW010892 · FIC · MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES · PI SEWANKAMBO, NELSON K · 2019 to 2023
$1.2M
FIC NIH HHS D43 TW010892
6 · The paper itself

Abstract

Background: To develop and test a multimedia informed consent tool for fixed prosthodontic treatment among patients attending Makerere University Dental Hospital. The tool was designed to support verbal dentist-patient discussions, provide standardized treatment information, and enhance patient understanding in a low health literacy context. Methods: The multimedia tool was developed using content-validated informed consent specifications for fixed prosthodontic treatment. Design and development of the tool were guided by principles of the cognitive theory of multimedia learning. The tool was tested among 20 patients to solicit feedback on acceptability and assess their understanding of fixed prosthodontic treatment after viewing it. It was also tested by 12 dentists to determine its acceptability and usability. Results: The patients had a median age (range), 28.5 (18-52) years, and 65.5 % were male. Dentists had a mean (SD) age of 34.3 (9.67) years, and about one-third (33.3 %) had more than 5 years of work experience. Overall, both groups of participants found the tool to be user-friendly and provided comprehensive information. The majority (85.0 %) of patients had an adequate understanding of fixed prosthodontic treatment after viewing the tool. Suggestions for improvement included making the tool more accessible by placing it online and translating it into local languages. Conclusion: The multimedia informed consent tool developed using the cognitive theory of learning was user-friendly, offered comprehensive treatment information, and aided patients' understanding of treatment information. Innovation: Using a cognitive theory of learning-grounded development process, the study developed a multimedia informed consent tool to support verbal dentist-patient discussions in a low health literacy context.

Indexed as

Cognitive theoryFixed prosthodonticsInformed consentLearning principlesMultimedia toolPatientsUnderstanding

Identifiers

PMID41560904
PMCPMC12813223

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.