{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:48:58Z","timestamp":1790862538795,"version":"4.1.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100007051","name":"uppsala universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007051","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthod"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To explore experiences affecting patients\u2019 compliance with removable retention appliances, and to investigate strategies for improving adherence to wear recommendations from the profession.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A qualitative study designed alongside a randomised controlled trial regarding post-treatment stability and patients\u2019 perceptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Orthodontic Clinic, Public Dental Health Service, Region G\u00e4vleborg, G\u00e4vle, Sweden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>A total of 15 purposively selected participants (age range = 25\u201332 years) with a recommendation of long-term retainer wear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In-depth interviews were performed, using a pre-tested topic guide, and analysed according to the qualitative method of Grounded Theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Compliance failures were preceded by one or more triggers that emerged after a couple of weeks or after several years of retention. A core category was identified and labelled \u2018Pragmatic actions for improved adherence\u2019, which summarises the decisions to either discontinue or continue to follow current retention protocol as being based on pragmatic patient-centred considerations. Data analysis revealed three interacting categories for improving compliance from both the patient and the clinician perspectives: Individual factors, Support, Self-motivation and Routines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>To be successful, strategies to enhance compliance with removable retainers must originate from the individual patient and their life situation. Long-term support from both family and professionals, as well as good routines, are considered crucial for this process.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14653125261450635","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T06:36:25Z","timestamp":1780036585000},"page":"226-236","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Strategies for improving compliance with removable retention appliances: A qualitative study"],"prefix":"10.1177","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9191-3441","authenticated-orcid":false,"given":"Ingalill","family":"Feldmann","sequence":"first","affiliation":[{"name":"Centre for Research and Development, Uppsala University\/Region G\u00e4vleborg, G\u00e4vle, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anke","family":"Kr\u00e4mer","sequence":"additional","affiliation":[{"name":"Centre for Research and Development, Uppsala University\/Region G\u00e4vleborg, G\u00e4vle, Sweden"},{"name":"Orthodontic Clinic, Public Dental Health, Region G\u00e4vleborg, G\u00e4vle, Sweden"},{"name":"Department of Odontology, Division of Oral and Maxillofacial Surgery, Ume\u00e5 University, Ume\u00e5, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mats","family":"Sj\u00f6str\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Odontology, Division of Oral and Maxillofacial Surgery, Ume\u00e5 University, Ume\u00e5, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina Storm","family":"Mienna","sequence":"additional","affiliation":[{"name":"Department of Odontology, Orofacial pain and Jaw function, Ume\u00e5 University, Sweden"},{"name":"V\u00e1rdduo \u2013 Centre for S\u00e1mi Research, Ume\u00e5 University, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.2319\/031214-184.1"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2018.01.007"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41415-021-2954-7"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1465312519851196"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjad047"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1188\/14.ONF.545-547"},{"key":"e_1_3_3_8_1","volume-title":"Constructing Grounded Theory","author":"Charmaz K","year":"2014","unstructured":"Charmaz K (2014) Constructing Grounded Theory, 15th ed. Sage.","edition":"15"},{"key":"e_1_3_3_9_1","volume-title":"Qualitative methodology for international public health","author":"Dahlgren L","year":"2004","unstructured":"Dahlgren L, Emmelin M, Winkvist A, et al. (2004). Qualitative methodology for international public health. Ume\u00e5 University."},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cju063"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2018.06.011"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjx058"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/14653125221099962"},{"key":"e_1_3_3_14_1","volume-title":"The Discovery of Grounded Theory: Strategies for Qualitative Research","author":"Glaser BG","year":"1967","unstructured":"Glaser BG, Strauss AL (1967) The Discovery of Grounded Theory: Strategies for Qualitative Research. Observations. Aldine."},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejwf.2022.05.002"},{"key":"e_1_3_3_16_1","first-page":"17","article-title":"What causes failure of fixed orthodontic retention? - Systematic review and meta-analysis of clinical studies","volume":"24","author":"Jedli\u0144ski M","year":"2021","unstructured":"Jedli\u0144ski M, Grocholewicz K, Mazur M, et al. (2021) What causes failure of fixed orthodontic retention? - Systematic review and meta-analysis of clinical studies. Head & Face Medicine 24: 17\u201332.","journal-title":"Head & Face Medicine"},{"key":"e_1_3_3_17_1","first-page":"981","volume-title":"Orthodontics: Current Principles and Techniques","author":"Joondeph DR","year":"2017","unstructured":"Joondeph DR, Huang G, Little R (2017) Stability, retention and relapse. In: Graber L, Vanarsdall R, Vig K, et al (eds) Orthodontics: Current Principles and Techniques. 6th ed. Elsevier, pp.981\u2013997.","edition":"6"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.2319\/100222-677.1"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1465312519899671"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjac043"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjz072"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjaa039"},{"key":"e_1_3_3_23_1","first-page":"95","article-title":"Comparison of Essix and Hawley retainers","volume":"32","author":"Lindauer SJ","year":"1998","unstructured":"Lindauer SJ, Shoff RC (1998) Comparison of Essix and Hawley retainers. Journal of Clinical Orthodontics 32: 95\u201397.","journal-title":"Journal of Clinical Orthodontics"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/0889-5406(88)90102-3"},{"key":"e_1_3_3_25_1","first-page":"5","article-title":"Retention procedures for stabilising tooth position after treatment with orthodontic braces","volume":"22","author":"Martin C","year":"2023","unstructured":"Martin C, Littlewood SJ, Millett DT, et al. (2023) Retention procedures for stabilising tooth position after treatment with orthodontic braces. Cochrane Database of Systematic Reviews 22: 5.","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.3390\/app15095075"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2016.03.020"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejo\/cjm042"},{"key":"e_1_3_3_30_1","first-page":"1189","article-title":"Enhancing the quality and credibility of qualitative analysis","volume":"34","author":"Patton MQ","year":"1999","unstructured":"Patton MQ (1999) Enhancing the quality and credibility of qualitative analysis. Health Servicis Research 34: 1189\u20131208.","journal-title":"Health Servicis Research"},{"key":"e_1_3_3_31_1","first-page":"606","volume-title":"Contemporary Orthodontics","author":"Proffit WRF","year":"2013","unstructured":"Proffit WRF (2013) Retention. In: Proffit WR, Fields HW, Sarver DM, et al. (eds) Contemporary Orthodontics, 5th edn. Elsevier, pp.606\u2013620.","edition":"5"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1179\/14653120723040"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/14653125241304442"},{"key":"e_1_3_3_34_1","volume-title":"Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory","author":"Strauss A","year":"1998","unstructured":"Strauss A, Corbin JM (1998) Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory, 2nd edn. Sage.","edition":"2"},{"key":"e_1_3_3_35_1","first-page":"219","article-title":"Adherence versus compliance","volume":"4","author":"Tasaduq H","year":"2023","unstructured":"Tasaduq H (2023) Adherence versus compliance. HCA Healthcare Journal of Medicine 4: 219\u2013220.","journal-title":"HCA Healthcare Journal of Medicine"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.33546\/bnj.2807"},{"key":"e_1_3_3_37_1","first-page":"101","article-title":"Age dependence of compliance with orthodontic treatment in children with large overjet. An interview study","volume":"28","author":"Trulsson U","year":"2004","unstructured":"Trulsson U, Lin\u00e4lv L, Mohlin B, et al. (2004) Age dependence of compliance with orthodontic treatment in children with large overjet. An interview study. Swedish Dental Journal 28: 101\u2013109.","journal-title":"Swedish Dental Journal"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2008.03.023"},{"key":"e_1_3_3_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/14653125221134300"},{"key":"e_1_3_3_40_1","doi-asserted-by":"publisher","DOI":"10.2478\/aoj-2005-0007"}],"container-title":["Journal of Orthodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14653125261450635","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14653125261450635","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14653125261450635","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T03:28:59Z","timestamp":1788665339000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14653125261450635"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,28]]},"references-count":39,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/14653125261450635"],"URL":"https:\/\/doi.org\/10.1177\/14653125261450635","relation":{},"ISSN":["1465-3125","1465-3133"],"issn-type":[{"value":"1465-3125","type":"print"},{"value":"1465-3133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,28]]}}}