Patients’ expectations of orthodontic treatment: part 1 – development of a questionnaire

Sayers, Mark; Newton, Tim

doi:10.1179/146531205225021753

Cited by 40 publications

(46 citation statements)

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“…Some methods are applied often, such as the distribution of responses [32], item-total correlations [33], the ability to discriminate ill and well populations [34] and the results of factor analysis [35]. However, the procedure of item selection is problematic, due to the subjective component of decisions regarding inclusion or exclusion.…”

Section: Discussionmentioning

confidence: 99%

Design of a questionnaire for evaluating the quality of life of postpartum women (PQOL) in China

Zhou

Wang

2009

Qual Life Res

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Objective To design an instrument for measuring quality of life (QOL) of postpartum women in China 0-12 months after delivery. Methods A standardized procedure included the following activities: (1) item pool development by in-depth interview and focus group discussion with postpartum women, consultation with experts, participant observation, and literature review; (2) item pool modification by experts and postpartum women; (3) item selection used multiple methods including expert scoring, factor analysis, coefficient of variation, item-removed Cronbach's alpha, itemexpected domain correlation, item-unexpected domain correlation and test-retest correlation analysis, based on the data of item pool test among women at 0-12 months after childbirth and maternal health experts. Results More than 167 items were generated, of which 101 were considered suitable for the questionnaire pool. Ten experts and 15 women then revised them. The 101-revised-item pool was tested on 200 women and ten experts scored the importance of each item. Based on these data, 40 items referring to child care, physical function, psychological function, and social support were selected for the final questionnaire. Conclusions This was the first questionnaire for evaluating postpartum QOL of women in China. We need to do additional fieldwork to further establish its validity and reliability.

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Section: Discussionmentioning

confidence: 99%

Design of a questionnaire for evaluating the quality of life of postpartum women (PQOL) in China

Zhou

Wang

2009

Qual Life Res

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“…Qualitative studies suggest that adolescent orthodontic patients can experience many risks of treatment including pain and dietary impacts, dental aesthetic issues, problems with oral hygiene, appliances breaking and issues with retainers [20,[25][26][27][28][29]. In addition, adolescent orthodontic patients appear to be concerned about demineralisation, gingival irritation, relapse and root shortening [20,30,31].…”

Section: Introductionmentioning

confidence: 99%

Adolescent perceptions of orthodontic treatment risks and risk information: A qualitative study

Perry

Johnson

Popat

et al. 2018

Journal of Dentistry

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Introduction: For effective risk communication, clinicians must understand patients' values and beliefs in relation to the risks of treatment. This qualitative study aimed to explore adolescent perceptions of orthodontic treatment risks and risk information. Methods: Five focus groups were carried out with 32 school/college pupils aged 12-18 in Wales, UK. Participants were purposively selected and had all experienced orthodontic treatment. A thematic approach was used for analysis and data collection was completed at the point of data saturation. Results: Four themes emerged from the data; (a) day-to-day risks of orthodontic treatment, (b) important orthodontic risk information, (c) engaging with orthodontic risk information and (d) managing the risks of orthodontic treatment. Day-to-day risks of orthodontic treatment that were affecting participants "here and now" were of most concern. Information about preventing the risks of treatment was deemed to be important. Participants did not actively seek risk information but engaged passively with information from convenient sources. Perceptions of risk susceptibility influenced participants' management of the risks of orthodontic treatment. Conclusions: This study demonstrates that adolescent patients can understand information about the nature and severity of orthodontic treatment risks. However, adolescent patients can have false perceptions if the risks are unfamiliar, perceived only to have a future impact or if seen as easy to control. Adolescent patients must be provided with timely and easily accessible risk information and with practical solutions to prevent the risks of treatment. Clinical significance: The views and experiences gathered in this study can assist clinicians to better understand their young patients' beliefs about treatment risks, facilitate effective risk communication and contribute to improved patient-centred care.

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“…psychosocial impact of dental aesthetics), (29) or the impact of pain during treatment on quality of life. (30) Moreover, previously published valid and reliable questionnaires have limitations, for example some of these questionnaires are age specific (28)(29)(30)(31)(32)(33)(34)(35)(36). Other limitations are related to the aims of existing questionnaires developed for cross-sectional use to measure either motivation, expectations, experiences, or satisfaction (28-37).…”

Section: Comparison With Other Questionnairesmentioning

confidence: 99%

“…With regard to the validation methods, some studies have depended solely on face validity (31,32,34,35,37), which may not be robust enough to fully assess the validity of questionnaires when compared to the content validity process. Mandall et al (33) assumed their questionnaire measuring the impact of fixed appliance on daily life as having face and content validity; however, this was based only on the method of development without using any formal validity assessment.…”

Section: Comparison With Other Questionnairesmentioning

confidence: 99%

Three questionnaires to assess the perception of fixed orthodontic therapy before, during and after treatment: validity and reliability

Yassir

McIntyre

Bearn

2016

EORTHO

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SummaryBackground/objective: To assess the validity and reliability of a series of three questionnaires for the quantification of patient perception of fixed appliance orthodontic treatment. Subjects and methods:The study was carried out at the University of Dundee with content and face validity being assessed using proformas. Initially ten experts (Orthodontic Specialists) assessed content validity with 11 professionals (seven Orthodontic Specialists and four Postgraduates) and 20 patients assessing face validity. Content validity was determined according to the values of item-level content validity index (I-CVI) and scale-level CVI (S-CVI/Ave), while specially designed feedback forms were used for face validation. Internal consistency determined the reliability of the questionnaires according to the value of Cronbach alpha correlation coefficient test. The three questionnaires were then modified according to the recommendations of professionals and patients with seven experts reassessing content validity and ten newly selected patients assessing face validity. Results: The first round of content validity revealed that around half of the items in the questionnaires were not valid. Therefore, the questionnaires were not valid as a whole (S-CVI/Ave = 0.60). After modifying the questionnaires and removing the non-valid items, the new versions of the Pretreatment, Orthodontic Experience, and Post-treatment Questionnaires showed high levels of face validity, content validity (S-CVI/Ave: 0.99, 0.97, and 0.99, respectively) and good levels of internal consistency (α = 0.86, 0.78, and 0.88, respectively). Limitation: The patient sample was collected from a single university clinic and from one city within the UK and this could affect the generalizability of the results. Conclusion: Three content valid and reliable questionnaires have been developed and validated for the evaluation of patient perception of fixed appliance orthodontic treatment. Implications: Unlike other tools that assess oral health quality of life, this series of three questionnaires assess the perception of fixed appliance orthodontic treatment before, during and after treatment.

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Patients’ expectations of orthodontic treatment: part 1 – development of a questionnaire

Abstract: This study provides a valid and reliable measure of orthodontic expectations in participants aged 12-14 years and their parents.

Cited by 40 publications

References 10 publications

Design of a questionnaire for evaluating the quality of life of postpartum women (PQOL) in China

Design of a questionnaire for evaluating the quality of life of postpartum women (PQOL) in China

Adolescent perceptions of orthodontic treatment risks and risk information: A qualitative study

Three questionnaires to assess the perception of fixed orthodontic therapy before, during and after treatment: validity and reliability

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