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Difference and Commonness Among CLP, NON-CLP Patients and Their Parents Seeking for Orthodontic Treatment: A Questionnaire Applying Q Methodology to Investigate Motives

Authors Tang X, Tong Q, Li Z, Chen Z, Weng M, Zhang X, Huang S, Chen Y, Chen Z

Received 23 July 2019

Accepted for publication 18 November 2019

Published 6 December 2019 Volume 2019:13 Pages 2047—2060

DOI https://doi.org/10.2147/PPA.S224254

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Naifeng Liu


Xia Tang,1,2 Qian Tong,3 Zhujun Li,4 Zhiyi Chen,2 Mengjia Weng,1 Xiaoyu Zhang,1 Sijing Huang,1 Yang Chen,5 Zhenqi Chen6

1Department of Orthodontics, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China; 2Department of Orthodontics, Shanghai Xu Hui Dental Clinic, Shanghai, People’s Republic of China; 3Department of Pediatric Dentistry, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China; 4Department of Orthodontics, Shanghai Jing-an Dental Clinic, Shanghai, People’s Republic of China; 5Department of Oral and Craniomaxillofacial Surgery, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, People’s Republic of China; 6Department of Orthodontics, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology, Shanghai, People’s Republic of China

Correspondence: Zhenqi Chen; Yang Chen
Shanghai Ninth People’s Hospital Affiliated with Shanghai Jiao Tong University School of Medicine, No. 639, Zhi Zao Ju Road, Huangpu District, Shanghai 200001, People’s Republic of China
Tel/Fax +86-021-23271699-5056
Email orthochen@yeah.net; whitesurgeon@163.com

Purpose: Based on Q methodology, this study investigated the motivation of orthodontic treatment for patients and their parents. Through investigation, this paper attempts to explore the motivational factors of CLP and NON-CLP children and their parents, which are different or general.
Patients and methods: Q methodology involves 4 phases. (1) Interviews of CLP (N=5), NON-CLP (N=5) patients generated 30 statements (Q-set 1) and CLP (N=5), NON-CLP (N=5) patients’ parents produced 36 statements (Q-set 2) about different reasons to pursue orthodontic care. (2) P-set: recruitment participants. The sample comprised 40 CLP patients (G1) and 40 NON-CLP patients (G2) aged 9–16 years, 40 CLP patients’ parents (G3) and 40 NON-CLP patients’ parents (G4) wanting their children to have orthodontic treatment. (3) Q-sort: 4 groups ranked statements in order of comparative significance using enforced distribution grids (G1, G2 ranked Q-set 1; G3, G4 ranked Q-set 2). (4) Analysis: using the PQMehtod 2.35 vision to analyze data.
Results: Three factors in each group were identified as representing the most widespread views of the majority of the participants, described as G1: (1) aesthetics, (2) preparation for other oral treatments, (3) timely. G2: (1) admiration of others, aesthetics, (2) oral function, (3) oral hygiene and improvement of smile. G3: (1) worrying about the future of children, parents’ responsibilities, children’s feelings; (2) mental health, timely; (3) parents’ responsibilities, ready for treatment. G4: (1) aesthetics, children’s will; (2) future problems, timely; (3) timely, parents’ responsibility and no need to worry about physical problems.
Conclusion: CLP and NON-CLP patients and parents have different orthodontic treatment motives, yet, they still shared 3 global motivation themes, respectively. Consideration of these motives may help clinicians develop their treatment discussions with patients and parents, which could consequently improve their cooperation and may achieve a more satisfactory outcome.

Keywords: cleft lip and/or palate patient, parent, orthodontic, Q methodology, cooperation

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