Barts and London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom; Department of Orthodontics, Faculty of Dentistry, University of Benghazi, Benghazi, Libya.
Barts and London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom; Division of Population and Patient Health, King's College London, Dental institute, London, United Kingdom.
Am J Orthod Dentofacial Orthop. 2019 Feb;155(2):173-181. doi: 10.1016/j.ajodo.2018.06.011.
Lack of compliance during functional appliance therapy may lead to extended treatment or even induce treatment failure. The aims of this study were to explore factors influencing compliance in adolescents treated with a Twin-block appliance.
A qualitative study using one-to-one semistructured interviews involving a sample of adolescents undergoing Twin-block therapy with objectively recorded wear durations was undertaken. A topic guide was used to standardize data collection. Participants' views were tape recorded and field notes taken. Data were transcribed verbatim and analyzed with the use of framework methodology.
A total of 22 participants were interviewed. Factors influencing compliance with removable functional appliance included: self-motivation, peer and authority influence, quality of life impairment and adaptability, perceived treatment progress, and pragmatic and recall issues. These factors were found to exert important roles as enablers, barriers, or both. Patient recommendations to improve compliance included effective communication, tailoring of prescribed wear duration, physical alteration of the appliance, and use of reminding tools.
The study highlights the multifaceted perceptions of removable functional appliance wear, with compliance fluctuating over time and a range of factors influencing this. The potential for professional and parental influence as well as customized reminders to enhance compliance were also reported.
在功能性矫治器治疗过程中不配合可能会导致治疗时间延长甚至治疗失败。本研究旨在探讨双板矫治器治疗的青少年患者配合度的影响因素。
本研究采用定性研究方法，对接受双板矫治器治疗且佩戴时间有客观记录的青少年患者进行一对一的半结构式访谈。使用主题指南对数据收集进行标准化。记录参与者的观点并做现场笔记。逐字转录数据，并使用框架方法进行分析。
共对 22 名参与者进行了访谈。影响可摘功能性矫治器配合度的因素包括：自我激励、同伴和权威的影响、生活质量受损和适应性、感知治疗进展以及实际问题和记忆问题。这些因素被发现起着促进、阻碍或两者兼有的重要作用。患者对提高配合度的建议包括有效沟通、调整规定的佩戴时间、矫治器的物理改造以及使用提醒工具。
本研究强调了可摘功能性矫治器佩戴的多方面看法，配合度随时间而波动，有一系列因素影响着配合度。还报告了专业人员和家长的影响以及定制提醒以提高配合度的潜力。
