Measuring Orthodontic Treatment Satisfaction: Questionnaire Development and Preliminary Validation

Abstract

Objectives-The aims of this study were to develop a reliable self-report measure of consumer satisfaction with orthodontic treatment, and to preliminarily assess its validity.Method-Transcripts of qualitative interviews with patients, their parents, and practicing orthodontists together with items from existing dental satisfaction questionnaires were used to develop a pool of 41 items assessing satisfaction with various aspects of orthodontic care. These items were paired with five-point Likert scales (1=strongly disagree, 5=strongly agree) and were administered to 299 parents of children who had completed orthodontic treatment at two university-based clinics.Results-Factor analyses and reliability analyses identified three main subscales with high reliabilities: 13 items assessing satisfaction with treatment process (Cronbach's alpha=.92), seven items assessing satisfaction with psychosocial effects of treatment (Cronbach's alpha=.87), and five items assessing satisfaction with overall treatment outcome (Cronbach's alpha=. 79). Relationships among these three subscales and pre-and posttreatment variables were examined in a subset of 86 parent/patients. Forward stepwise regression with backward overlook revealed no significant relationships between any satisfaction subscale and demographic variables. Posttreatment overjet was inversely related to parental satisfaction with orthodontic treatment process (R 2 =.13; P<.001), and parent satisfaction with treatment outcome (R 2 =.28; P<.0001).Improvement in esthetics as measured by improvement in IOTN Aesthetic Component scores was positively related to satisfaction with psychosocial outcomes (R 2 =.28; P<.0001).Conclusions-The present instrument is reliable and can be used to assess three dimensions of parental satisfaction with their child's orthodontic treatment. Relationships between visible orthodontic outcome variables and parent satisfaction provide preliminary validity support for the instrument. Keywordsconsumer satisfaction; orthodontic treatment satisfaction; questionnaire; reliability; validity Correspondence to: J. F. Camilla Tulloch, jfc_tulloch@dentistry.unc.edu. Portions of this paper were presented at the 75th General Session of IADR in Washington, DC, April 2000. Interest in patient satisfaction with various aspects of health care has grown over the past 25 years. The rise in the consumer rights movement in the United States during the 1970s provided a strong impetus for assessment of patient satisfaction (1). Managed health care has driven the development of satisfaction measures in almost every patient care arena because purchasers of health care plans need evidence that their employees are indeed satisfied with the health care they receive (2). Evidence shows that satisfied patients are more likely to be compliant with their treatment regimens, which should lead to more complete recovery (1). In addition, increased marketing of all health services has led to a focus on patient satisfaction as part of "practice building" (i.e., as a means ...

Patient compliance and locus of control in orthodontic treatment: A prospective study

“…Further studies are required with more objective variables, such as an index of orthodontic treatment need, 34,35 more objective indicators of compliance, 36 and a patient satisfaction scale, 37 to increase understanding of the roles of patient compliance and psychology in orthodontic treatment.…”

Nivel de satisfacción de los pacientes atendidos en el Servicio de Ortodoncia de una Clínica Dental Docente peruana

“…Algunas dimensiones de la satisfacción asociadas al cuidado dental han sido identificadas y son relacionadas a aspectos asociados al diagnóstico y tratamiento, relaciones interpersonales, accesibilidad/ disponibilidad, costos, eficacia/ resultados, facilidades y actitudes acerca de la atención en general (11). La Comunidad Europea de Ortodoncia ha calificado a la satisfacción como un componente importante de calidad de atención (12) y ha desarrollado una medida de satisfacción del tratamiento de ortodoncia; sin embargo, la información de validez de este instrumento no ha sido publicada hasta el momento (12,13).…”

Piloting a Patient-based Questionnaire to Assess Patient Satisfaction with the Process of Orthodontic Treatment

“…Measures have been developed in Continental Europe and the United States, but because of differences in funding and patients' attitudes, these may not be valid within the United Kingdom. [2][3][4][5] Assessments of the quality of health care can be based on patient, parental, and professional perspectives, or a combination of the three. Although there is evidence that adult 6 and adolescent 7 patients can provide reliable judgments on their health care experience, there is some concern that parental reports, although valid, should not substitute for child reports.…”