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Young people's and adults' views and experiences of decision-making to manage compromised first permanent molars: a qualitative study

Lookup NU author(s): Greig Taylor, Professor Catherine ExleyORCiD, Professor Chris VernazzaORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

Abstract

© 2024 The Author(s). International Journal of Paediatric Dentistry published by BSPD, IAPD and John Wiley & Sons Ltd.Background: Little information on young people's and adults' views and experiences on decision-making for managing compromised first permanent molars (cFPM) exists. Aim: To establish young people's and adults' views and experiences of decision-making for managing cFPM. Design: 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. Results: 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. Conclusion: 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.

Publication metadata

Author(s): Taylor GD, Exley C, Innes N, Vernazza CR

Publication type: Article

Publication status: Published

Journal: International Journal of Paediatric Dentistry

Year: 2025

Volume: 35

Issue: 1

Pages: 165-175

Print publication date: 01/01/2025

Online publication date: 27/05/2024

Acceptance date: 02/04/2018

Date deposited: 11/06/2024

ISSN (print): 0960-7439

ISSN (electronic): 1365-263X

Publisher: John Wiley and Sons Inc

URL: https://doi.org/10.1111/ipd.13217

DOI: 10.1111/ipd.13217

Data Access Statement: The data that support the findings of this study are avail- able from the corresponding author upon reasonable request.

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