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Patients' expectations: is there a typical patient?

Mark S Sayers1, Susan J Cunningham2, Tim J Newton3

  • 1Department of Orthodontics, King's College Hospital NHS Foundation Trust/King's College, London, UK.

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|December 10, 2019
PubMed
Summary

This study explored patient expectations before orthodontic treatment, identifying three distinct typologies of patient expectations regarding the treatment process and its impact on daily life. Understanding these typologies aids clinicians in managing patient expectations effectively.

Keywords:
orthodontic treatmentpatients’ expectationsqualitative research

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Area of Science:

  • Orthodontics
  • Qualitative Research
  • Patient Psychology

Background:

  • Patient expectations significantly influence treatment adherence and satisfaction in orthodontics.
  • Understanding these expectations is crucial for effective clinical communication and management.

Purpose of the Study:

  • To qualitatively explore and analyze patient expectations prior to fixed appliance orthodontic treatment.
  • To identify distinct typologies of patient expectations regarding the orthodontic treatment process.

Main Methods:

  • Prospective cross-sectional qualitative study involving 13 patients (aged 12-15 years).
  • In-depth interviews conducted before the start of fixed appliance orthodontic treatment.
  • Data transcribed and analyzed using a framework approach followed by associative analysis.

Main Results:

  • Two major themes emerged: expectations about the treatment process/outcome and self-expectations during/after treatment.
  • Three typologies of patient expectations for the orthodontic treatment process were identified: minimal, moderate, and marked.
  • Typologies differed in anticipated discomfort, pain, and disruption to daily life.

Conclusions:

  • Identified patient typologies provide clinicians with valuable insights into patient expectations.
  • These findings offer direction for clinicians in communicating with patients and managing their expectations pre-treatment.
  • Tailoring communication based on identified typologies can enhance the patient experience and treatment outcomes.