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Measuring orthodontic treatment satisfaction: questionnaire development and preliminary validation.

M E Bennett1, J F Tulloch, K W Vig

  • 1Department of Dental Ecology, School of Dentistry, University of North Carolina at Chapel Hill, USA.

Journal of Public Health Dentistry
|October 18, 2001
PubMed
Summary

This study developed a reliable self-report measure for parental satisfaction with orthodontic treatment, finding it assesses treatment process, psychosocial effects, and overall outcome effectively. Visible treatment outcomes correlate with parental satisfaction, supporting the measure's validity.

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Area of Science:

  • Orthodontics
  • Patient-Reported Outcomes
  • Health Services Research

Background:

  • Assessing patient satisfaction is crucial for evaluating healthcare quality.
  • Existing measures may not fully capture satisfaction with orthodontic treatment.
  • Parental perspectives are vital in pediatric orthodontic care.

Purpose of the Study:

  • To develop and validate a reliable self-report questionnaire for parental satisfaction with orthodontic treatment.
  • To identify key dimensions of satisfaction in orthodontic care.
  • To explore relationships between treatment outcomes and parental satisfaction.

Main Methods:

  • Developed a 41-item pool from qualitative interviews and existing questionnaires.
  • Administered the questionnaire to 299 parents of children completing orthodontic treatment.

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  • Utilized factor analysis, reliability analysis, and regression to assess the instrument and its validity.
  • Main Results:

    • Identified three reliable subscales: treatment process (Cronbach's alpha = .92), psychosocial effects (Cronbach's alpha = .87), and overall outcome (Cronbach's alpha = .79).
    • Posttreatment overjet and esthetic improvements were significantly related to parental satisfaction.
    • No significant relationships were found between satisfaction subscales and demographic variables.

    Conclusions:

    • The developed instrument is a reliable tool for assessing three dimensions of parental satisfaction with pediatric orthodontic treatment.
    • The correlation between objective outcome measures and satisfaction scores provides preliminary evidence of the instrument's validity.
    • This measure can aid in evaluating orthodontic care quality from a parental perspective.