Taylor Greig D, Exley Catherine, Innes Nicola, Vernazza Christopher Robert
School of Dental Sciences, Newcastle University, Newcastle, UK.
Population Health Sciences Institute, Newcastle University, Newcastle, UK.
Int J Paediatr Dent. 2025 Jan;35(1):165-175. doi: 10.1111/ipd.13217. Epub 2024 May 27.
Little information on young people's and adults' views and experiences on decision-making for managing compromised first permanent molars (cFPM) exists.
To establish young people's and adults' views and experiences of decision-making for managing cFPM.
Face-to-face (online) semi-structured interviews were undertaken using an iteratively designed topic guide. Participants aged 12-65 were purposively sampled with recruitment from different dental clinics (three primary care, an out-of-hours emergency and one dental hospital). Interviews were audio-recorded, transcribed verbatim and analysed using thematic analysis.
Three themes were generated from young people's interviews (n = 9): (i) influencing factors; (ii) long-term considerations; and (iii) shared decision-making. Three themes were generated from adults' interviews (n = 13): (i) influences that affect decisions; (ii) perceptions of the specialist's role; and (iii) importance of shared decision-making for children and young people.
Several factors influenced decision-making; for young people, professional opinions were important, and parental/peer influences less so. For adults, it was based on decisions on their prior experiences. Adults felt young people were abnormal if referred to a specialist. Young people wanted autonomy in decision-making to be respected; in reality, their views were rarely heard. There is potential to increase young people's involvement in shared decision-making for cFPM, which aligns with their aspirations.
关于年轻人和成年人对处理第一恒磨牙龋损（cFPM）决策的观点和经历的信息很少。
了解年轻人和成年人对处理cFPM决策的观点和经历。
采用反复设计的主题指南进行面对面（在线）半结构化访谈。从不同牙科诊所（三家初级保健诊所、一家非工作时间急诊诊所和一家牙科医院）有目的地抽取年龄在12 - 65岁的参与者。访谈进行录音，逐字转录，并使用主题分析法进行分析。
从年轻人的访谈（n = 9）中产生了三个主题：（i）影响因素；（ii）长期考虑因素；（iii）共同决策。从成年人的访谈（n = 13）中产生了三个主题：（i）影响决策的因素；（ii）对专科医生角色的认知；（iii）儿童和年轻人共同决策的重要性。
有几个因素影响决策；对年轻人来说，专业意见很重要，而父母/同伴的影响较小。对成年人来说，这基于他们以前的经验。成年人认为如果将年轻人转诊给专科医生是不正常的。年轻人希望自己在决策中的自主权得到尊重；但实际上，他们的观点很少被听取。有可能增加年轻人参与cFPM的共同决策，这与他们的愿望相符。
