Evidence map›Paper›PMID 41076522›Full record

ArticleBMC oral health2025

Development and validation of the participation in treatment decision-making scale for adults with malocclusion (PTDMS-AM).

Xiangying Hu, Bixia Wang, Ting Pan, Weijun Yuan, Lili Hou

Abstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Xiangying Hu *Department of Nursing, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Bixia Wang *Department of Oral & Cranioï¿¿maxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, National Center for Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Jiao Tong University, National Clinical Research Center for Oral Diseases, Shanghai, China.
Ting PanDepartment of Oral & Cranioï¿¿maxillofacial Surgery, Shanghai Ninth People's Hospital, College of Stomatology, National Center for Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai Jiao Tong University, National Clinical Research Center for Oral Diseases, Shanghai, China.
Weijun YuanDepartment of Nursing, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. ywj680711@sina.com.
Lili HouDepartment of Nursing, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China. 15216618763@163.com.

Funding

Shanghai Shenkang Hospital Development Center Project 2024SKMR-30the Excellent Nursing Talent Program of the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University, School of Medicine No. JYHRC22-P02the Priority Research Program in Nursing Science at Shanghai Jiao Tong University School of Medicine. No. Jyhz2507
6 · The paper itself

Abstract

backgroundParticipation in decision-making is crucial for patients with malocclusion. It is important to assess the extent to which patients are actively involved in such decision-making. Therefore, this study developed an instrument that evaluates patient participation in treatment decision-making among adults with malocclusion and tested its reliability and validity.

methodsA cross-sectional instrument-development methodological approach was adopted. Guided by the concept of participation and shared decision-making theory, an initial scale was developed through literature analysis, qualitative interviews, expert evaluation, and a pre-survey. From September to December 2023, 257 patients from three tertiary general hospitals in Shanghai were selected for a questionnaire survey, item analysis, and exploratory factor analysis. From January to May 2024, 269 patients from these hospitals were selected to conduct a questionnaire survey for confirmatory factor analysis and criterion-related validity.

resultsThe final scale included 21 items across three dimensions. The Cronbach's α coefficient was 0.953; split-half reliability, test-retest reliability, and the scale level content validity index were 0.957, 0.885, and 0.926 respectively. The correlation coefficients between each dimension and the total score of the scale and SDM-9 scores were 0.590-0.650 (P < 0.05). Exploratory factor analysis extracted three common factors; the Kaiser-Meyer-Olkin value was 0.974 and the Bartlett's sphericity test χ

conclusionsThis instrument is a reliable and valid measurement tool for assessing adult patients' level of participation in decision-making regarding treatment for malocclusion.

Indexed as

Decision MakingMalocclusionPatient ParticipationAdolescentAdultChinaCross-Sectional StudiesFactor Analysis, StatisticalFemaleHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and QuestionnairesYoung AdultDecision-makingDevelopmentMalocclusionPatient participationScale

Identifiers

PMID41076522
PMCPMC12515386

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