@article{discovery10102868,
           title = {How do you identify the patient with 'high expectations' of orthodontic treatment - An empirical approach},
            year = {2020},
            note = {This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.},
       publisher = {Maney Publishing},
         journal = {Journal of Orthodontics},
        keywords = {Patients' expectations, orthodontic treatment, empirical method},
        abstract = {Objectives:
To identify an empirical method for identifying patients with 'high expectations' of orthodontic treatment with fixed appliances using a questionnaire-based approach.

Design:
Secondary analysis of data from four studies which collected data on patients' expectations of orthodontic treatment using the same questionnaire.

Setting:
Secondary care orthodontic services.

Participants:
All four datasets comprised new patients aged 12-15 years, with no history of orthodontic treatment, who fulfilled the criteria for NHS treatment using the Index of Orthodontic Treatment Need (IOTN). Unpublished dataset 1 comprised 100 participants, while dataset 2 had 70 participants, dataset 3 had 67 participants and dataset 4 comprised 40 participants.

Methods:
The questionnaire utilised in all studies had a question which asked respondents to rate seven different expectations of outcome relating to straight teeth, better smile, ease of eating, speaking, cleaning teeth, improved career prospects and social confidence. Dataset 1 was analysed to determine the proportion of patients who had rated all seven outcome expectation items at a maximum score. Similar analyses were performed for the other three datasets to explore the trend in the proportion of patients with high expectations over time.

Results:
For dataset 1, 2.0\% of participants had high expectations, as defined by their scores on the questionnaire. The proportions for the datasets 2, 3 and 4 were 4.0\%, 4.5\% and 2.5\%, respectively.

Conclusion:
The method outlined provides an empirical basis for identifying patients with statistically infrequent high expectations. This can potentially help clinicians in the management of such patients.},
             url = {https://doi.org/10.1177/1465312520939970},
          author = {Sayers, MS and Cunningham, SJ and Newton, JT}
}