The development and validation of a psychological questionnaire for patients undergoing orthognathic treatment

Shelton, Andrew; Houghton, Nadine; Morris, David; Latchford, Gary; Bekker, Hilary; Munyombwe, Theresa

doi:10.1111/ocr.12061

Cited by 9 publications

(8 citation statements)

References 23 publications

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“… Qualitative / Semi-structured interviews / 18 / Adolescents and Adults The motivating factors for treatment are directly or indirectly associated with the impact of the condition, which may be related to a complex generated by other factors such as personality, education, and personal relationships. Shelton et al 23 (2015) / United Kingdom / Orthodontics & Craniofacial Research Develop a questionnaire to assess the psychosocial aspects that orthognathic patients considered important regarding their dentofacial deformities. Qualitative and quantitative / Semi-structured interviews / 30 / Adolescents (over 16 years’ age) / Adults The specific questionnaire for orthognathic patients proved to be reliable, valid, and sensitive for evaluating the psychological aspects related to dentofacial deformities of these patients, which did not happen with anxiety and depression questionnaires Soma et al 33 (2012) / New Zealand / Australian Orthodontic Journal Investigate the daily practice routine of orthodontists in order to generate an understanding of the reality of the specialty’s practice and its effects on their personal and professional lives.…”

Section: Resultsmentioning

confidence: 99%

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Evidence in Orthodontics related to qualitative research

Almeida

Leite

Silva

2018

Dental Press J. Orthod.

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Introduction: Research in Orthodontics has historically followed the positivist model based on the direct relationship of cause and effect between diseases and their specific etiological factors. Despite the objectivity and the great potential of statistical procedures, quantitative methods have progressively been sharing space with other models that can encompass the multiplicity of factors that affect the health-disease process, which until such time was reduced to its biological dimension. Objectives: This study aims, through an integrative review, to identify orthodontics articles published over a 10-year period that have used, exclusively or not, some method of qualitative research, and analyze the main aspects of their content. Methods: A survey was performed on Pubmed, Medline, Scopus, and Lilacs databases from 2007 to 2016 with a focus on the applicability of the qualitative methodology in orthodontic research. Results: The 27 articles selected showed a trend to increase in publications, with the most recent four years concentrating almost 60% of them. Most studies were from Europe, particularly the UK, and the more frequent study objectives were related to the perception of people about the reasons for orthodontic treatment, about the aesthetic and psychosocial impact of malocclusion or orthodontic treatment, and the implications of these factors for their quality of life. Conclusions: Because of its potential to explore behaviours and socio-cultural attitudes sustained in subjectivity, qualitative research offers new possibilities for orthodontic studies and can be used in an exclusive or complementary way in relation to quantitative methods.

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Section: Resultsmentioning

confidence: 99%

“… 44 Therefore, they can and should be used as complementary approaches, as observed in a number of studies of this review. 14 , 15 , 19 , 20 , 23 , 27 , 28 , 31 , 32 , 37 , 40 , 39 …”

Section: Discussionmentioning

confidence: 99%

Evidence in Orthodontics related to qualitative research

Almeida

Leite

Silva

2018

Dental Press J. Orthod.

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“…The fit and function of the 17‐item measure were examined using a Rasch item response theory model. Rasch analysis was originally used in educational testing, but more recently has been used in the development and evaluation of patient‐reported outcome measures. Formal testing of a scale against a mathematical model assesses how well the participants’ responses fit the model.…”

Section: Methodsmentioning

confidence: 99%

Development and evaluation of the children's experiences of dental anxiety measure

Porritt

Morgan

Rodd

et al. 2017

Int J Paed Dentistry

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“…The fit and function of the initial MIQ questions were examined using an item response theory (IRT) Rasch model. Rasch analysis was originally used in educational testing, but more recently has been used in the development and validation of patient-reported outcome measures (Batcho et al ., 2012 ; Chien et al ., 2014 ; Shelton et al ., 2015 ). Formal testing of a scale against a mathematical model assesses how well the participant responses fit the model (Rasch, 1960 ).…”

Section: Methodsmentioning

confidence: 99%

Development of the Malocclusion Impact Questionnaire (MIQ) to measure the oral health-related quality of life of young people with malocclusion: part 2 – cross-sectional validation

Benson

Cunningham

Shah

et al. 2016

Journal of Orthodontics

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Objective: To test the items, identified through qualitative inquiry that might form the basis of a new Malocclusion Impact Questionnaire (MIQ) to measure the oral health-related quality of life (OHQoL) of young people with malocclusion. Methods: Piloting with 13 young people reduced the number of items from 37 to 28. Cross-sectional testing involved a convenience sample aged 10-16 years, attending the Orthodontic Department of the Charles Clifford Dental Hospital, Sheffield. The fit and function of the initial MIQ questions were examined using item response theory. Results: 184 participants (113 females; 71 males) completed a questionnaire (response 85%), seven participants were excluded due to missing responses. The mean age of participants was 12·9 years (SD 1·4) and they had a wide range of malocclusions. The majority were White British (67·4%). Data from 47 participants were used to analyse test-retest reliability. Rasch analysis was undertaken, which further reduced the number of items in the questionnaire from 28 to 17. Unidimensionality of the scale was confirmed. The analysis also identified that the original 5-point response scale could be reduced to three points. The new measure demonstrated good criterion validity (r = 0·751; P < 0·001) and construct validity with the two global questions ('Overall bother' ρ = 0·733 and 'Life overall' ρ = 0·701). Internal consistency (Cronbach's alpha = 0·906) and test-retest reliability Intraclass correlation coefficient (ICC = 0·78; 95% CI 0·61-0·88) were also good. Conclusion: Cross-sectional testing has shown the new MIQ to be both valid and reliable. Further evaluation is required to confirm the generalisability as well as the ability of the new measure to detect change over time (responsiveness).

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The development and validation of a psychological questionnaire for patients undergoing orthognathic treatment

Abstract: A new condition-specific orthognathic questionnaire has been developed which has been shown to be reliable, valid and responsive for the well-being scale. The HADS, as tested by Rasch analysis, was found not to be valid for this orthognathic population.

Cited by 9 publications

References 23 publications

Evidence in Orthodontics related to qualitative research

Evidence in Orthodontics related to qualitative research

Development and evaluation of the children's experiences of dental anxiety measure

Development of the Malocclusion Impact Questionnaire (MIQ) to measure the oral health-related quality of life of young people with malocclusion: part 2 – cross-sectional validation

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