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

Taylor, Greig D., Exley, Catherine, Innes, Nicola ORCID: https://orcid.org/0000-0002-9984-0012 and Vernazza, Christopher Robert 2025. Young people's and adults' views and experiences of decision‐making to manage compromised first permanent molars: a qualitative study. International Journal of Paediatric Dentistry 35 (1) , pp. 165-175. 10.1111/ipd.13217

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Abstract

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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Additional Information:	License information from Publisher: LICENSE 1: URL: http://creativecommons.org/licenses/by/4.0/
Publisher:	Wiley
ISSN:	0960-7439
Date of First Compliant Deposit:	29 May 2024
Date of Acceptance:	10 May 2024
Last Modified:	21 Jan 2025 12:13
URI:	https://orca.cardiff.ac.uk/id/eprint/169251

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