TY - JOUR
T1 - The implementation of PROMs/PREMs in the assessment of orthodontic treatment outcomes
T2 - A questionnaire survey
AU - Santiwong, Peerapong
AU - Sommaluan, Kanakorn
AU - Mokkasak, Sivakorn
AU - Rachuratchata, Chutiphon
AU - Rattanaopas, Thara
AU - Sipiyaruk, Kawin
N1 - Publisher Copyright:
© 2022 Journal of International Society of Preventive and Community Dentistry | Published by Wolters Kluwer-Medknow.
PY - 2022/3/1
Y1 - 2022/3/1
N2 - Objectives: The aim of this study was to explore the impact of self-perceived treatment outcomes and experiences on psychological aspects, reflecting the importance of patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) in orthodontic practice. Materials and Methods: A questionnaire was constructed using the PROMs/PREMs concepts. It contained five parts: 'Demographic data', 'Self-perceived esthetics', 'Self-perceived functional concern', 'Satisfaction of treatment procedures', and 'Psychological aspect'. The questionnaire was piloted in five experts and 50 orthodontic patients to ensure its quality, using content validity, test-retest reliability, and Cronbach's alpha. The validated version was provided to patients who had a complete fixed appliance orthodontic treatment. These data were analyzed using descriptive statistics, Mann-Whitney U test, and Spearman correlation. In addition, a multiple linear regression was used to analyze whether there were any influential factors on a psychological aspect. Statistical significance was taken at P 0.05. Results: A total of 271 respondents completed the questionnaire. They tended to have positive perceptions toward the outcomes of orthodontic treatment. There was a significant difference in self-perceived esthetics between the male and female groups. Self-perceived esthetic and functional concerns as well as satisfaction of treatment procedures were found to have significant correlations with the psychological aspect. Sex and self-perceived esthetics were also found to be significant predictors of the psychological aspect. Conclusion: PROMs/PREMs should be considered as an important tool to assess treatment outcomes in orthodontic practice. There appeared to be significant impact of self-perceived esthetics on psychological aspects. Consequently, PROMs and PREMs should be introduced in orthodontic postgraduate programs to enhance the concept of patient-centered care in orthodontic practice.
AB - Objectives: The aim of this study was to explore the impact of self-perceived treatment outcomes and experiences on psychological aspects, reflecting the importance of patient-reported outcome measures (PROMs) and patient-reported experience measures (PREMs) in orthodontic practice. Materials and Methods: A questionnaire was constructed using the PROMs/PREMs concepts. It contained five parts: 'Demographic data', 'Self-perceived esthetics', 'Self-perceived functional concern', 'Satisfaction of treatment procedures', and 'Psychological aspect'. The questionnaire was piloted in five experts and 50 orthodontic patients to ensure its quality, using content validity, test-retest reliability, and Cronbach's alpha. The validated version was provided to patients who had a complete fixed appliance orthodontic treatment. These data were analyzed using descriptive statistics, Mann-Whitney U test, and Spearman correlation. In addition, a multiple linear regression was used to analyze whether there were any influential factors on a psychological aspect. Statistical significance was taken at P 0.05. Results: A total of 271 respondents completed the questionnaire. They tended to have positive perceptions toward the outcomes of orthodontic treatment. There was a significant difference in self-perceived esthetics between the male and female groups. Self-perceived esthetic and functional concerns as well as satisfaction of treatment procedures were found to have significant correlations with the psychological aspect. Sex and self-perceived esthetics were also found to be significant predictors of the psychological aspect. Conclusion: PROMs/PREMs should be considered as an important tool to assess treatment outcomes in orthodontic practice. There appeared to be significant impact of self-perceived esthetics on psychological aspects. Consequently, PROMs and PREMs should be introduced in orthodontic postgraduate programs to enhance the concept of patient-centered care in orthodontic practice.
KW - Esthetics
KW - Orthodontics
KW - Patient-centered care
KW - Treatment outcome
UR - http://www.scopus.com/inward/record.url?scp=85129077660&partnerID=8YFLogxK
U2 - 10.4103/jispcd.JISPCD_275_21
DO - 10.4103/jispcd.JISPCD_275_21
M3 - Article
AN - SCOPUS:85129077660
SN - 2231-0762
VL - 12
SP - 210
EP - 215
JO - Journal of International Society of Preventive and Community Dentistry
JF - Journal of International Society of Preventive and Community Dentistry
IS - 2
ER -