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Young people's and adults' views and experiences of decision-making to manage compromised first permanent molars: a
Greig D Taylor1,2, Catherine Exley2, Nicola Innes3
1School of Dental Sciences, Newcastle University, Newcastle, UK.
Background:
Little information on young people's and adults' views and experiences on decision-making for managing compromised first permanent molars (cFPM) exists.
Aim:
To establish young people's and adults' views and experiences of decision-making for managing cFPM.
Design:
Face-to-face (online) semi-structured interviews were undertaken using an iteratively designed topic guide. Participants aged 12-65 were purposively sampled with recruitment from different dental clinics (three primary care, an out-of-hours emergency and one dental hospital). Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis.
Results:
Three themes were generated from young people's interviews (n = 9): (i) influencing factors; (ii) long-term considerations; and (iii) shared decision-making. Three themes were generated from adults' interviews (n = 13): (i) influences that affect decisions; (ii) perceptions of the specialist's role; and (iii) importance of shared decision-making for children and young people.
Conclusion:
Several factors influenced decision-making; for young people, professional opinions were important, and parental/peer influences less so. For adults, it was based on decisions on their prior experiences. Adults felt young people were abnormal if referred to a specialist. Young people wanted autonomy in decision-making to be respected; in reality, their views were rarely heard. There is potential to increase young people's involvement in shared decision-making for cFPM, which aligns with their aspirations.
