A decision-making process to undergo orthodontic treatment: a qualitative study

Mohammad Moslem Imani,1 Amir Jalali,2,3 Ebraheim Ezzati,4 Zeinab Heirani,5 Mohammadreza Dinmohammadi6 1Department of Orthodontics, Faculty of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Department of Psychiatric Nursing, School of Nursing and Midwifery, Kermanshah Unive...

Full description

Bibliographic Details
Main Authors: Imani MM, Jalali A, Ezzati E, Heirani Z, Dinmohammadi M
Format: Article
Language:English
Published: Dove Medical Press 2018-10-01
Series:Patient Preference and Adherence
Subjects:
Online Access:https://www.dovepress.com/a-decision-making-process-to-undergo-orthodontic-treatment-a-qualitati-peer-reviewed-article-PPA
id doaj-a1112fac07e44788b7225335c4013e0c
record_format Article
spelling doaj-a1112fac07e44788b7225335c4013e0c2020-11-24T22:06:36ZengDove Medical PressPatient Preference and Adherence1177-889X2018-10-01Volume 122243225141852A decision-making process to undergo orthodontic treatment: a qualitative studyImani MMJalali AEzzati EHeirani ZDinmohammadi MMohammad Moslem Imani,1 Amir Jalali,2,3 Ebraheim Ezzati,4 Zeinab Heirani,5 Mohammadreza Dinmohammadi6 1Department of Orthodontics, Faculty of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Department of Psychiatric Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran; 3Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran; 4Anesthesiology Medical Department, School of Paramedical Kermanshah, University of Medical Sciences, Kermanshah, Iran; 5Department of Psychiatric Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran; 6Department of Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran Background: Orthodontics is a medical treatment and a rehabilitation service provided for individuals in need. Due to the high cost involved in performing this type of treatment along with the current attitude in communities toward it as a cosmetic service, it is essential to investigate the decision-making process to undergo orthodontic interventions among Iranian individuals and families.Methods: To conduct this qualitative study using grounded theory, 18 participants were selected through purposive sampling method and received semi-structured interviews each lasting 50–70 minutes. Eventually, the data were saturated after the fulfillment of 19 interviews. During the interviews, simultaneous analysis was also performed according to the method proposed by Strauss and Corbin (1998) and then the data were analyzed within three stages of open, axial, and selective coding.Results: Analysis of the clients’ statements produced 207 codes, 22 sub-categories, and 9 main categories, including distorted mental self-image, hope to look more attractive, inappropriate interactions with family and those around, family’s views toward the problem, social conditions, financial constraints, challenges in the family, as well as decision making to undergo orthodontic treatment, and finally, the main factor of hope for a better future were highlighted.Conclusion: The results showed that the main facilitating factor was “hope for a better future” for which families could accept numerous difficulties, such as high cost and repeated follow-ups due to the importance of beauty and meeting their children’s sense of satisfaction. Keywords: orthodontics, grounded theory, decision making, estheticshttps://www.dovepress.com/a-decision-making-process-to-undergo-orthodontic-treatment-a-qualitati-peer-reviewed-article-PPAOrthodonticsQualitative ResearchDecision-Making
collection DOAJ
language English
format Article
sources DOAJ
author Imani MM
Jalali A
Ezzati E
Heirani Z
Dinmohammadi M
spellingShingle Imani MM
Jalali A
Ezzati E
Heirani Z
Dinmohammadi M
A decision-making process to undergo orthodontic treatment: a qualitative study
Patient Preference and Adherence
Orthodontics
Qualitative Research
Decision-Making
author_facet Imani MM
Jalali A
Ezzati E
Heirani Z
Dinmohammadi M
author_sort Imani MM
title A decision-making process to undergo orthodontic treatment: a qualitative study
title_short A decision-making process to undergo orthodontic treatment: a qualitative study
title_full A decision-making process to undergo orthodontic treatment: a qualitative study
title_fullStr A decision-making process to undergo orthodontic treatment: a qualitative study
title_full_unstemmed A decision-making process to undergo orthodontic treatment: a qualitative study
title_sort decision-making process to undergo orthodontic treatment: a qualitative study
publisher Dove Medical Press
series Patient Preference and Adherence
issn 1177-889X
publishDate 2018-10-01
description Mohammad Moslem Imani,1 Amir Jalali,2,3 Ebraheim Ezzati,4 Zeinab Heirani,5 Mohammadreza Dinmohammadi6 1Department of Orthodontics, Faculty of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran; 2Department of Psychiatric Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran; 3Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran; 4Anesthesiology Medical Department, School of Paramedical Kermanshah, University of Medical Sciences, Kermanshah, Iran; 5Department of Psychiatric Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran; 6Department of Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran Background: Orthodontics is a medical treatment and a rehabilitation service provided for individuals in need. Due to the high cost involved in performing this type of treatment along with the current attitude in communities toward it as a cosmetic service, it is essential to investigate the decision-making process to undergo orthodontic interventions among Iranian individuals and families.Methods: To conduct this qualitative study using grounded theory, 18 participants were selected through purposive sampling method and received semi-structured interviews each lasting 50–70 minutes. Eventually, the data were saturated after the fulfillment of 19 interviews. During the interviews, simultaneous analysis was also performed according to the method proposed by Strauss and Corbin (1998) and then the data were analyzed within three stages of open, axial, and selective coding.Results: Analysis of the clients’ statements produced 207 codes, 22 sub-categories, and 9 main categories, including distorted mental self-image, hope to look more attractive, inappropriate interactions with family and those around, family’s views toward the problem, social conditions, financial constraints, challenges in the family, as well as decision making to undergo orthodontic treatment, and finally, the main factor of hope for a better future were highlighted.Conclusion: The results showed that the main facilitating factor was “hope for a better future” for which families could accept numerous difficulties, such as high cost and repeated follow-ups due to the importance of beauty and meeting their children’s sense of satisfaction. Keywords: orthodontics, grounded theory, decision making, esthetics
topic Orthodontics
Qualitative Research
Decision-Making
url https://www.dovepress.com/a-decision-making-process-to-undergo-orthodontic-treatment-a-qualitati-peer-reviewed-article-PPA
work_keys_str_mv AT imanimm adecisionmakingprocesstoundergoorthodontictreatmentaqualitativestudy
AT jalalia adecisionmakingprocesstoundergoorthodontictreatmentaqualitativestudy
AT ezzatie adecisionmakingprocesstoundergoorthodontictreatmentaqualitativestudy
AT heiraniz adecisionmakingprocesstoundergoorthodontictreatmentaqualitativestudy
AT dinmohammadim adecisionmakingprocesstoundergoorthodontictreatmentaqualitativestudy
AT imanimm decisionmakingprocesstoundergoorthodontictreatmentaqualitativestudy
AT jalalia decisionmakingprocesstoundergoorthodontictreatmentaqualitativestudy
AT ezzatie decisionmakingprocesstoundergoorthodontictreatmentaqualitativestudy
AT heiraniz decisionmakingprocesstoundergoorthodontictreatmentaqualitativestudy
AT dinmohammadim decisionmakingprocesstoundergoorthodontictreatmentaqualitativestudy
_version_ 1725822952569569280