Characterizing the orthodontic patient's purchase decision: A novel approach using netnography

Area of Science:

• Dental research
• Orthodontics
• Patient decision-making

Background:

• Effective shared decision-making in orthodontics requires a deeper understanding of patient treatment choices.
• Previous research identified some decision-making dimensions, but patient interpretation of benefits and barriers remains unclear.

Purpose of the Study:

• To expand the list of dimensions influencing orthodontic treatment decisions.
• To develop a conceptual framework detailing the patient decision-making process.

Main Methods:

• Qualitative analysis of orthodontic discussion boards.
• Iterative data collection, dimension identification, and refinement to saturation.
• Development of a conceptual framework for decision-making.

Main Results:

• Identified 54 dimensions influencing orthodontic treatment decisions.
• Established 10 domains: function, esthetics, psychosocial benefits, diagnosis, finances, inconveniences, risks, individual aspects, societal attitudes, and child-specific influences.
• Patient desires, self-perception, public views, and parenting philosophies significantly impact perceived benefits and barriers.

Conclusions:

• An expanded list of decision-making dimensions was identified.
• A conceptual framework for orthodontic patient decision-making was created.
• Dimensions linked to treatment acceptance or refusal were identified, enhancing clinician understanding of patient attitudes.