Characterizing the Orthodontic Patient's Purchase Decision Public Deposited

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  • March 20, 2019
  • Pittman, Joseph
    • Affiliation: School of Dentistry, Department of Orthodontics
  • Introduction: A deeper and more holistic understanding of why patients do or do not seek orthodontic treatment is needed for effective shared decision-making about receiving treatment. Previous orthodontic qualitative research has identified important factors, but our understanding of a patient’s decision and how they interpret benefits and barriers of treatment are lacking. The objective of this study is to expand our current list of factors and create a conceptual framework to describe the decision-making process. Methods: Blogs and discussion boards, rich in orthodontic decision-making data, were identified and analyzed with qualitative methods, specifically grounded theory and netnography methodology. An iterative process of data collection and factor identification and refinement was performed to saturation. A conceptual framework was created to describe the decision-making process. Results: Fifty-five factors captured the ideas, influences and motivations discussed in regards to a patient’s decision to receive or not receive orthodontic treatment. Ten domains capturing the complexity of orthodontic decision making were identified: function, esthetics, psychosocial benefits, diagnosis, finances, inconveniences, risks of treatment, individual aspects, societal attitudes and child-specific influences, each containing specific descriptive factors and conceptual themes. An individual’s desires, self-perception and viewpoints, as well as the public’s views on esthetics and orthodontics, impacted perceptions of benefits and barriers associated with orthodontic treatment. Conclusion: This study has identified an expanded list of factors and created a conceptual framework describing the orthodontic patient’s decision-making process, providing doctors with a better understanding of patient attitudes and expectations.
Date of publication
Resource type
Rights statement
  • In Copyright
  • Bennett, Betsy
  • Phillips, Ceib
  • Koroluk, Lorne
  • Master of Science
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2016

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