Psychometric validation of a pre-existing questionnaire used to measure patient satisfaction following orthodontic treatment in a UK population

Tidbury, Katy; Sayers, Mark; Andiappan, Manoharan; Newton, Tim

doi:10.1177/1465312520985520

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…In the past, questionnaire studies have provided valuable information regarding patient experiences at various stages of orthodontic treatment. [13][14][15][16] Questionnaires are helpful in gathering baseline data which can then be used to formulate evidence-based guidelines. With this in mind, a questionnaire survey was conducted to identify dietary preferences and experiences during FA treatment from a patient perspective.…”

Section: Introductionmentioning

confidence: 99%

Dietary experiences during fixed orthodontic treatment

SoYeon

Nor

et al. 2023

APOS

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Objectives: Orthodontists generally recommend avoidance of certain foods during fixed appliance (FA) treatment, based on anecdotal information. This study aimed to identify the dietary preferences and experiences of patients undergoing FA treatment as a step toward the preparation of evidence-based dietary guidelines. Material and Methods: Questionnaires regarding dietary preferences and experiences of patients undergoing FA treatment were applied to a convenience sample of 38 adolescents (12 M; 26 F). Open-ended responses were summarized and visualized in a world cloud generator. 5-point Likert and Visual Analog Scales (VAS) were used to record the closed-ended responses. Descriptive statistics and multivariate analysis of variance were used to analyze questionnaire findings. Results: Lollies, apples, and nuts frequently caused problems with FA. The most frequent reason for avoiding certain types of food was worry about appliance breakage, followed by pain and sensitivity. VAS scores indicated that toffee and caramel scored highest (65.1% F and 54.1% M) for discomfort followed by corn on the cob (64.4% F and 48.7% M) and apples (56.6% F and 55.3% M). VAS scores did not differ significantly between the sexes (P > 0.05). Nearly, a quarter of the sample reported that FA negatively affected their eating behaviors, causing pain and discomfort during eating. No sex differences (P > 0.05) were found for negative experiences with food. Conclusion: Dietary preferences and experiences of patients undergoing FA treatment were identified concerning a New Zealand diet profile. A future study with a larger sample size will help formulate evidence-based dietary guidelines during FA treatment.

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Section: Introductionmentioning

confidence: 99%

Dietary experiences during fixed orthodontic treatment

SoYeon

Nor

et al. 2023

APOS

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“…The psychometric properties have been tested in a sample of 100 individuals with a mean age of 15.81 years (SD 1.81) 5 . Since its development, the tool has been used in Canada 9 , and Saudi Arabia 10 and recently validated for use in the United Kingdom 11 .…”

Section: Introductionmentioning

confidence: 99%

Semantic equivalence of the Brazilian version of the Patient Satisfaction Questionnaire (B-PSQ)

et al. 2023

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The Patient Satisfaction Questionnaire (PSQ) is a self-administered instrument to assess adolescent patients' satisfaction with orthodontic treatment. A pre-existing North American instrument was further explored in the Netherlands. Semantic equivalence is part of cross-cultural adaptation and is necessary to achieve a valid and reliable instrument for a specific culture. The present study aimed to evaluate the semantic equivalence of the items, subscales, and overall PSQ between the original English version and the Brazilian Portuguese language version (B-PSQ). The PSQ has 58 items, distributed across 6 subscales: doctor-patient relationship, situational aspects of the clinic, dentofacial improvement, psychosocial improvement, dental function, and a residual category. Semantic equivalence was evaluated according to the following methods: (1) independent translations to Portuguese by two translators, both native in Brazilian Portuguese and fluent in English; (2) an expert committee drafted the first summarized version in Portuguese; (3) two independent back-translations into English by two native English-speaking translators fluent in Portuguese; (4) committee review; (5) committee drafted a summarized version of the back-translations; (6) expert committee drafted the second summarized version in Portuguese; (7) pre-test of the instrument using individual semi-structured interviews with 10 adolescents; (8) review and final version of the B-PSQ. Semantic equivalence between the original and the Brazilian versions of the questionnaire was achieved through diligent and rigorous methods, with effective translation and expert evaluations, incorporating the opinions of the target population.

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Orthodontic patient satisfaction: Validation of an Arabic patient satisfaction questionnaire

Alansari

2024

APOS

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Objectives: Orthodontic patient satisfaction is a primary aim of orthodontic treatment. Satisfaction is a multidimensional concept, requiring multi-item questionnaires for it to be adequately assessed. A 58-item, orthodontic patient satisfaction questionnaire (PSQ) was developed to assess orthodontic patient satisfaction. Appropriately adapted assessment tools are needed to assess orthodontics patient satisfaction in different populations. The validity and reliability of such tools should be demonstrated before their use for each target population. The PSQ was yet to be validated in Arabic. Therefore, the objective of this study was to translate, adapt, and validate an Arabic orthodontic PSQ. Material and Methods: The 58-item English PSQ was translated to Arabic through translation and back-translation. An expert panel examined the relevance of PSQ items. The questionnaire was circulated through social media to recruit responses from Arabic-speaking orthodontic patients who completed orthodontic treatment. Cronbach’s alpha, item-total correlation (I-TC), and kappa reliability coefficient were calculated. The analysis of variance test was used to compare satisfaction scores between genders and different orthodontic treatment appliances. Results: Ten items were removed based on expert ratings. The questionnaire was filled by 327 patients (55.6% females, mean age = 28.5 ± 7.2, 59.8% on metal braces, 35.3% on clear aligners, and 5.2% on tooth-colored braces). Nine questionnaire items were removed because of low I-TC (<0.3). The resulting 39-item questionnaire had a Cronbach alpha of 0.79 and a kappa coefficient of 0.82. The mean total PSQ score of the sample was 167.61 ± 21.45. Items with the top ten highest I-TC correlations had a Cronbach’s alpha of 0.90. Patients on metal braces had a highest mean total PSQ score (P = 0.004). Among these patients, satisfaction with situational aspects was lower but satisfaction with dentofacial, psychosocial, and dental improvements were all higher compared to other orthodontic treatments (P < 0.001). Conclusion: The 39-item Arabic PSQ is valid and reliable. A shorter collection of 10 items with high validity were identified. Patients on metal braces had better outcomes, driving higher satisfaction. Studies collecting satisfaction data using the PSQ from orthodontic clinics are needed.

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Psychometric validation of a pre-existing questionnaire used to measure patient satisfaction following orthodontic treatment in a UK population

Cited by 3 publications

References 21 publications

Dietary experiences during fixed orthodontic treatment

Dietary experiences during fixed orthodontic treatment

Semantic equivalence of the Brazilian version of the Patient Satisfaction Questionnaire (B-PSQ)

Orthodontic patient satisfaction: Validation of an Arabic patient satisfaction questionnaire

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