Using Q methodology to investigate motives of seeking orthodontic treatment from parents' perspectives of cleft lip and/or palate patients

doi:10.19439/j.sjos.2019.06.014

Abstract

Abstract: PURPOSE: This study was aimed to use Q methodology to find out why parents of cleft lip and/or palate (CLP) patients want their children to undergo orthodontic treatment. METHODS: Q methodology involved five phases.①concourse, collecting all viewpoints from CLP patients' parents on seeking orthodontic treatment. ②Q sample, Selecting 36 items from the concourse. ③P sample, forty varieties of parents whose children were CLP patients and want to have braces. ④Q sort, participant- ranked statements (Q sample) in order of relative significance using an enforced distribution grid (Q grid). ⑤analysis: using PQMehtod 2.35 vision to analyze the data. RESULTS: Three factors were identified as representing the most widespread views of the majority of the parents. Group 1 consisted of parents of 13 CLP patients marked as factor 1: responsibility as parents. The parents of 8 participants made up group 2 designated as factor 2: parents' anxiety for their children's wellbeing. Group 3 was made up of parents of 9 CLP patients marked as factor 3: oral function. The opinions of the remaining participants did not fit into any of the outlined three groups. CONCLUSIONS: Parents' motives to seek orthodontic treatment for their children are complicated. Most CLP patients' parents are categorized into three different groups. Understanding these motives will help orthodontists frame their treatment discussions with parents and improve cooperation of both patients and parents.

Key words: Cleft lip and/or palate, Parent, Orthodontic treatment, Q methodology

CLC Number:

R782.2

TANG Xia, CHEN Yang, CHEN Zhen-qi. Using Q methodology to investigate motives of seeking orthodontic treatment from parents' perspectives of cleft lip and/or palate patients[J]. Shanghai Journal of Stomatology, 2019, 28(6): 627-631.

References

[1] Fan D, Wu S, Liu L, et al.Prevalence of non-syndromic orofacial clefts: based on 15,094,978 Chinese perinatal infants[J]. Oncotarget, 2018, 9(17): 13981-13990.
[2] Vig KW, Mercado AM.Overview of orthodontic care for children with cleft lip and palate, 1915-2015[J]. Am J Orthod Dentofacial Orthop, 2015, 148(4): 543-556.
[3] 韶青华, 陈振琦. 牙槽突裂植骨与颌骨生长发育的关系[J]. 国际口腔医学杂志, 2013, 40(1): 132-134.
[4] Kragt L, Jaddoe V, Wolvius E, et al.The association of subjective orthodontic treatment need with oral health-related quality of life[J]. Community Dent Oral Epidemiol, 2017, 45(4): 365-371.
[5] Daniels AS, Seacat JD, Inglehart MR.Orthodontic treatment motivation and cooperation: a cross-sectional analysis of adolescent patients' and parents' responses[J]. Am J Orthod Dentofacial Orthop, 2009, 136(6): 780-787.
[6] Jokovic A, Locker D, Stephens M, et al.Measuring parental perceptions of child oral health-related quality of life[J]. J Public Health Dent, 2003, 63(2): 67-72.
[7] Hamdan AM, Al-Omari IK, Al-Bitar ZB.Ranking dental aesthetics and thresholds of treatment need: a comparison between patients, parents, and dentists[J]. Eur J Orthod, 2007, 29(4): 366-371.
[8] Lansdown R, Lloyd J, Hunter J.Facial deformity in childhood: severity and psychological adjustment[J]. Child Care Health Dev, 1991, 17(3): 165-171.
[9] Chen ZQ, Qian YF, Wang GM, et al.Sagittal maxillary growth in patients with unoperated isolated cleft palate[J]. Cleft Palate Craniofac J, 2009, 46(6): 664-667.
[10] Farronato G, Cannalire P, Martinelli G, et al.Cleft lip and/or palate: review[J]. Minerva Stomatol, 2014, 63(4): 111-126.
[11] Zhang X, Zhang Y, Yang L, et al.Asymmetric dental development investigated by cone-beam computed tomography in patients with unilateral cleft lip and alveolus[J]. Cleft Palate Craniofac J, 2016, 53(4): 413-420.
[12] 杨礼安, 陈振琦. 单侧完全性唇腭裂患者上颌骨扩弓稳定性的研究进展[J]. 中国口腔颌面外科杂志, 2014, 12(2): 179-183.
[13] 陈铮晰, 潘晓岗, 陈振琦. 上颌前牵引联合扩弓对唇腭裂植骨患者上颌骨影响的有限元分析[J]. 上海口腔医学, 2012, 21(3): 287-293.
[14] Skidmore KJ, Brook KJ, Thomson WM, et al.Factors influencing treatment time in orthodontic patients[J]. Am J Orthod Dentofacial Orthop, 2006, 129(2): 230-238.
[15] Amin Z.Q methodology-a journey into the subjectivity of human mind[J]. Singapore Med J, 2000, 41(8): 410-414.
[16] Phd DSW, Stenner DP.Doing Q methodology: theory, method and interpretation[J]. Qual Res Psychol, 2005, 2(1):67-91.
[17] Brown SR.Political subjectivity: applications of Q methodology in political science[J]. J Polit, 1980, 43(3):912-914.
[18] Watts DS, Stenner DP.Doing Q methodological research: theory, method & interpretation[J]. Qual Res Psychol, 2005, 2(1) :67-91.
[19] Wedrychowska-Szulc B, Syryñska M.Patient and parent motivation for orthodontic treatment-a questionnaire study[J]. Eur J Orthod, 2010, 32(4): 447-452.
[20] Prabakaran R, Seymour S, Moles DR, et al.Motivation for orthodontic treatment investigated with Q-methodology: Patients' and parents' perspectives[J]. Am J Orthod Dentofacial Orthop, 2012, 142(2): 213-220.
[21] Tuncer C, Canigur BN, Balos TB, et al.How do patients and parents decide for orthodontic treatment-effects of malocclusion, personal expectations, education and media[J]. J Clin Pediatr Dent, 2015, 39(4): 392-399.
[22] 张艳艳, 龚彩霞, 武宏彦, 等. 115例唇腭裂患者的父母生活质量调查研究[J]. 华西口腔医学杂志, 2015, 33(2): 169-173.
[23] Tomlinson-Hansen S, Paliga JT, Tahiri Y, et al.Economic analysis of cleft palate repair in international adoptees[J]. Cleft Palate Craniofac J, 2016, 53(5): 503-507.
[24] 郑雷蕾, 郑谦, 石冰, 等. 唇腭裂患儿家长的心理分析[J]. 华西口腔医学杂志, 2005, 23(6): 489-491.
[25] Judge TA, Charlice H, Simon LS.Does it pay to be smart, attractive, or confident (or all three)? Relationships among general mental ability, physical attractiveness, core self-evaluations, and income[J]. J Appl Psychol, 2009, 94(3): 742-755.
[26] Fleming PS, Proczek K, Dibiase AT.I want braces: factors motivating patients and their parents to seek orthodontic treatment[J]. Community Dent Health, 2008, 25(3): 166-169.