Blake B Davis1, Burcu Bayirli2, Douglas S Ramsay3, David L Turpin4, Andrew Paige5, Christine A Riedy6. 1. Private practice, Seattle, Wash. 2. Clinical associate professor, Department of Orthodontics, University of Washington, Seattle, Wash. 3. Professor and chair, Department of Oral Health Sciences; professor, Department of Orthodontics; professor, Department of Pediatric Dentistry, University of Washington, Seattle, Wash. 4. Affiliate professor, Department of Orthodontics, University of Washington, Seattle, Wash. 5. Student, Pomona College, Claremont, Calif. 6. Lecturer, Harvard School of Dental Medicine, Boston, Mass. Electronic address: Christine_Riedy@hsdm.harvard.edu.
Abstract
INTRODUCTION: Many psychological, social, and cultural factors influence parents' motivation to seek orthodontic care for their children. In this study, we used Q methodology to identify and categorize shared motives and determine whether cultural differences exist between Hispanic/Latino (H/L) and non-Hispanic/Latino, white (W) parents. METHODS: The fundamental question posed to the parents was "Why do you want your child to have braces?" Q methodology involves 3 stages. (1) Interviews of H/L (n = 5) and W (n = 5) parents generated 35 statements that represented different motives to seek orthodontic care. (2) In the Q sort, 70 new parents (22 H/L, 48 W) ranked statements in order of relative importance using a forced distribution grid. (3) Factor analysis was performed separately for the H/L and W groups to uncover cultural differences. RESULTS: Four motivational profiles were described for both the H/L and W parents based on the significant factors identified in each group. More H/L parents (18 of 22 parents) than W parents (22 of 48 parents) were characterized by 1 of their group's 4 profiles. Comparisons of the motivational profiles across the groups showed 4 global themes: well-timed treatment that prevents future dental problems, parental responsibility, perceived benefits, and perceived need instilled by the dentist. CONCLUSIONS: Four global themes captured the motives of most parents seeking orthodontic treatment for their children. Understanding these global themes can help clinicians frame their treatment discussions with parents.
INTRODUCTION: Many psychological, social, and cultural factors influence parents' motivation to seek orthodontic care for their children. In this study, we used Q methodology to identify and categorize shared motives and determine whether cultural differences exist between Hispanic/Latino (H/L) and non-Hispanic/Latino, white (W) parents. METHODS: The fundamental question posed to the parents was "Why do you want your child to have braces?" Q methodology involves 3 stages. (1) Interviews of H/L (n = 5) and W (n = 5) parents generated 35 statements that represented different motives to seek orthodontic care. (2) In the Q sort, 70 new parents (22 H/L, 48 W) ranked statements in order of relative importance using a forced distribution grid. (3) Factor analysis was performed separately for the H/L and W groups to uncover cultural differences. RESULTS: Four motivational profiles were described for both the H/L and W parents based on the significant factors identified in each group. More H/L parents (18 of 22 parents) than W parents (22 of 48 parents) were characterized by 1 of their group's 4 profiles. Comparisons of the motivational profiles across the groups showed 4 global themes: well-timed treatment that prevents future dental problems, parental responsibility, perceived benefits, and perceived need instilled by the dentist. CONCLUSIONS: Four global themes captured the motives of most parents seeking orthodontic treatment for their children. Understanding these global themes can help clinicians frame their treatment discussions with parents.
Authors: Fatiha Baâdoudi; Job N A van Exel; Fatima M Ali; Neal Maskrey; Geert J M G van der Heijden; Denise Duijster Journal: PLoS One Date: 2019-08-20 Impact factor: 3.240