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

Yassir, Yassir A.; McIntyre, Grant T; Bearn, David

doi:10.1093/ejo/cjw076

Cited by 14 publications

(13 citation statements)

References 32 publications

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“…All these questionnaires have been validated for use by patients undergoing fixed appliances orthodontic treatment. (24) The Index of Orthodontic Treatment Need -Aesthetic Component (IOTN AC) was also used for selfrating of dental attractiveness before and after treatment. (25) This was assessed by the participant using the standard IOTN AC images.…”

Section: Patient Perceptionmentioning

confidence: 99%

A randomized clinical trial of the effectiveness of 0.018-inch and 0.022-inch slot orthodontic bracket systems: part 2—quality of treatment

Yassir

El‐Angbawi

McIntyre

et al. 2018

European Journal of Orthodontics

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Section: Patient Perceptionmentioning

confidence: 99%

A randomized clinical trial of the effectiveness of 0.018-inch and 0.022-inch slot orthodontic bracket systems: part 2—quality of treatment

Yassir

El‐Angbawi

McIntyre

et al. 2018

European Journal of Orthodontics

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“…Face validity is a qualitative method, where the content is judged by lay persons or experts for its representativeness within the questionnaire, which includes its relevance to the construct, readability and clarity of language. Although this is often beneficial, face validity is considered a weaker form of validity due to its subjective nature (Lynn, 1986;Mosier, 1947;Yassir et al, 2017). Construct validity has been defined as 'the degree to which a test measures what it claims, or purports, to be measuring' (Cronbach and Meehl, 1995).…”

Section: Introductionmentioning

confidence: 99%

“…Validation of questionnaires specific to fixed orthodontic treatment has been undertaken in a previous study by Yassir et al (2017), involving the assessment of validity and reliability of three questionnaires for use with patients undergoing fixed orthodontic therapy, before, during and after treatment. The aim of the present study was to provide a validated age-specific satisfaction questionnaire for use with fixed orthodontic patients in the UK, incorporating items relating to the multidimensional construct of satisfaction, such as the situational aspects of treatment, and the doctor-patient relationship, which have been found in previous literature to have a close association with treatment satisfaction (Bos et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2021

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Objective: To determine the psychometric properties of a pre-existing orthodontic satisfaction questionnaire and to assess patient satisfaction of their orthodontic treatment. Design: Psychometric assessment of a pre-existing orthodontic satisfaction questionnaire. Setting: Two sites at King’s College Hospital NHS Foundation Trust. Participants: Individuals aged 12–15 years who had completed fixed orthodontic treatment. Methods: An expert panel assessed a pre-existing orthodontic treatment satisfaction questionnaire for validity and readability. As a result, revisions were made to the questionnaire and it was distributed to 103 participants aged 12–15 years, on completion of their fixed orthodontic treatment (T1). Test–retest reliability of the questionnaire was assessed through completion of a second questionnaire by 17 participants, at a two-week interval (T2). The questionnaire was assessed for reliability using item-total correlations (I-TC) and Cronbach’s alpha. Factor analysis allowed exploration of the underlying factor structure of the questionnaire. Test–retest reliability was assessed using Cohen’s kappa coefficient. Multiple regression analysis was used to find out the significant demographic variables that predicts the satisfaction level of treatment. Results: Following validity and readability assessment by the expert panel, the questionnaire was revised. Eleven items were removed following item analysis (with I-TC ⩽ 0.3). Factor analysis was deemed uninterpretable. The overall scale demonstrated greater reliability than the underlying sub-scales. Therefore, the sub-scales were removed, resulting in one scale which assessed overall orthodontic satisfaction, comprising 37 items, with a Cronbach alpha of 0.92. The test–retest reliability of the revised 37-item scale was deemed to be poor (kappa coefficient = 0.39). Multiple regression analysis identified ethnicity as a significant predictor of orthodontic treatment satisfaction ( P = 0.01). Conclusion: This study provides a valid measure to assess orthodontic treatment satisfaction for use in a UK population aged 12–15 years on completion of fixed orthodontic treatment.

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“…(14,17,18) These aspects are directly affected by malocclusion and other dentofacial deformities. (19,20) In addition to the OHRQoL measures, recently developed questionnaires (21) have been introduced as valid and reliable measures to be used in clinical trials for assessing expectations, experience, and satisfaction of fixed appliance orthodontic treatment. (22) However, no systematic review has evaluated all three aspects together.…”

Section: Introductionmentioning

confidence: 99%

The impact of labial fixed appliance orthodontic treatment on patient expectation, experience, and satisfaction: an overview of systematic reviews

Yassir

McIntyre

Bearn

2019

European Journal of Orthodontics

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Summary Background Patient perception with fixed appliance orthodontic treatment is important to improve oral health-related quality of life. Objective The main objective of this study was to evaluate the impact of labial fixed appliance orthodontic care on patient perception before, during, and after the treatment. Search methods Relevant systematic reviews investigating patient perception with fixed appliance orthodontic treatment were identified by searching electronic databases: MEDLINE via OVID (1946 to 31 December 2018), EMBASE (1974 to 31 December 2018), AMED (Allied and Complementary Medicine Database; 1985 to November 2018), PubMed (inception to 31 December 2018), Web of Science (1900 to 2018), and PsychINFO (1806 to 31 December 2018). Ongoing systematic reviews were searched using Prospero and a grey literature search was undertaken using Google Scholar and OpenGrey (www.opengrey.eu/). No language restriction was applied. Selection criteria Only studies investigating patient perception of fixed appliance orthodontic treatment were included. Data collection and analysis Screening, quality assessment [using the AMSTAR 2 tool (A Measurement Tool to Assess Systematic Reviews)], and data extraction were performed by two authors independently. Information was categorized and narratively synthesized for the key findings. Results A total of 163 articles investigating patient expectation, experience, and satisfaction with conventional ligation labial fixed orthodontic appliances were obtained. Of these, 152 observational or interventional studies were excluded, resulting in 11 eligible systematic reviews. Two were excluded as earlier reports of a Cochrane review. The quality of the reviews was variable (critically low, low, and moderate). The findings were as follows: aesthetics represents a primary motive for orthodontic treatment; a temporary deterioration in the quality of life occurs during the initial phases of treatment; gender and ethnicity factors do not have an impact on patient perception of treatment; and a positive relationship between orthodontist–patient–parent is important to achieve patient compliance and satisfaction. Conclusions There is a lack of high-quality studies in terms of systematic reviews and meta-analyses for assessing patient perception with fixed appliance orthodontic treatment. The aesthetic impact of malocclusion is the main motive for seeking orthodontic treatment. Quality of life reduces during the initial stages of orthodontic treatment but improves in the later stages of treatment. Assessment before, during, and after orthodontic treatment is necessary to comprehensively assess patient perception at all stages of care. Trial registration CRD42019122653. Conflict of Interest None to declare.

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

Cited by 14 publications

References 32 publications

A randomized clinical trial of the effectiveness of 0.018-inch and 0.022-inch slot orthodontic bracket systems: part 2—quality of treatment

A randomized clinical trial of the effectiveness of 0.018-inch and 0.022-inch slot orthodontic bracket systems: part 2—quality of treatment

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

The impact of labial fixed appliance orthodontic treatment on patient expectation, experience, and satisfaction: an overview of systematic reviews

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