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A decision-making process to undergo orthodontic treatment: a qualitative study
Mohammad Moslem Imani1, Amir Jalali2,3, Ebraheim Ezzati4
1Department of Orthodontics, Faculty of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Patient Preference and Adherence
|November 23, 2018
Summary
Hope for a better future drives Iranian families to pursue orthodontic treatment despite significant financial and social challenges. This pursuit highlights the perceived importance of aesthetics and child satisfaction in decision-making.
Area of Science:
- Medical treatment and rehabilitation services.
- Qualitative research methodology.
Background:
- Orthodontic treatment is often perceived as a cosmetic service, despite being a medical necessity.
- High costs and societal attitudes necessitate understanding decision-making processes for orthodontic interventions in Iran.
Purpose of the Study:
- To investigate the decision-making process for undergoing orthodontic treatment among Iranian individuals and families.
- To explore the factors influencing the choice to pursue orthodontic interventions.
Main Methods:
- Qualitative study employing grounded theory.
- Purposive sampling of 18 participants, with data saturation reached at 19 semi-structured interviews (50-70 minutes each).
- Data analysis followed Strauss and Corbin's (1998) method, including open, axial, and selective coding.
Main Results:
- Analysis yielded 207 codes, 22 sub-categories, and 9 main categories.
- Key themes included distorted self-image, desire for attractiveness, social and family influences, financial constraints, and decision-making challenges.
- A primary factor identified was the 'hope for a better future'.
Conclusions:
- The primary facilitator for orthodontic treatment acceptance is 'hope for a better future'.
- Families are willing to endure difficulties like high costs and frequent follow-ups.
- The importance of aesthetics and ensuring children's satisfaction are key drivers for families.
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