Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours
Effective communication forges the dentist-patient treatment alliance and is thus essential for providing person-centred care. Social rank theory suggests that shame, trust, communication and anxiety are linked together, they are moderated by socio-economic position. The study is aimed to propose an...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2020-10-01
|
| Series: | Dentistry Journal |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2304-6767/8/4/118 |
| _version_ | 1797551185307107328 |
|---|---|
| author | Siyang Yuan Ruth Freeman Kirsty Hill Tim Newton Gerry Humphris |
| author_facet | Siyang Yuan Ruth Freeman Kirsty Hill Tim Newton Gerry Humphris |
| author_sort | Siyang Yuan |
| collection | DOAJ |
| description | Effective communication forges the dentist-patient treatment alliance and is thus essential for providing person-centred care. Social rank theory suggests that shame, trust, communication and anxiety are linked together, they are moderated by socio-economic position. The study is aimed to propose and test an explanatory model to predict dental attendance behaviours using person-centred and socio-economic position factors. A secondary data analysis was conducted on a cross-sectional representative survey of a two-stage cluster sample of adults including England, Wales and Northern Ireland. Data were drawn from structured interview. Path analysis of proposed model was calculated following measurement development and confirmation of reliable constructs. The findings show model fit was good. Dental anxiety was predicted negatively by patient’s trust and positively by reported dentist communication. Patient’s shame was positively associated with dental anxiety, whereas self-reported dental attendance was negatively associated with dental anxiety. Both patient’s trust and dentist’s communication effects were moderated by social class. Manual classes were most sensitive to the reported dentist’s communications. Some evidence for the proposed model was found. The relationships reflected in the model were illuminated further when social class was introduced as moderator and indicated dentists should attend to communication processes carefully across different categories of patients. |
| first_indexed | 2024-03-10T15:40:58Z |
| format | Article |
| id | doaj.art-f2c0a522f8b349e1ae3b95e21fd796d1 |
| institution | Directory Open Access Journal |
| issn | 2304-6767 |
| language | English |
| last_indexed | 2024-03-10T15:40:58Z |
| publishDate | 2020-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj.art-f2c0a522f8b349e1ae3b95e21fd796d12023-11-20T16:54:00ZengMDPI AGDentistry Journal2304-67672020-10-018411810.3390/dj8040118Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance BehavioursSiyang Yuan0Ruth Freeman1Kirsty Hill2Tim Newton3Gerry Humphris4School of Dentistry, University of Dundee, Dundee DD1 4HN, UKSchool of Dentistry, University of Dundee, Dundee DD1 4HN, UKSchool of Dentistry, University of Birmingham, Birmingham B5 7EG, UKDental Institute, King’s College, London SE1 1UL, UKSchool of Medicine, University of St Andrews, St Andrews KY16 9TF, UKEffective communication forges the dentist-patient treatment alliance and is thus essential for providing person-centred care. Social rank theory suggests that shame, trust, communication and anxiety are linked together, they are moderated by socio-economic position. The study is aimed to propose and test an explanatory model to predict dental attendance behaviours using person-centred and socio-economic position factors. A secondary data analysis was conducted on a cross-sectional representative survey of a two-stage cluster sample of adults including England, Wales and Northern Ireland. Data were drawn from structured interview. Path analysis of proposed model was calculated following measurement development and confirmation of reliable constructs. The findings show model fit was good. Dental anxiety was predicted negatively by patient’s trust and positively by reported dentist communication. Patient’s shame was positively associated with dental anxiety, whereas self-reported dental attendance was negatively associated with dental anxiety. Both patient’s trust and dentist’s communication effects were moderated by social class. Manual classes were most sensitive to the reported dentist’s communications. Some evidence for the proposed model was found. The relationships reflected in the model were illuminated further when social class was introduced as moderator and indicated dentists should attend to communication processes carefully across different categories of patients.https://www.mdpi.com/2304-6767/8/4/118person-centred caredental anxietycommunicationtrustsocio-economic statusshame |
| spellingShingle | Siyang Yuan Ruth Freeman Kirsty Hill Tim Newton Gerry Humphris Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours Dentistry Journal person-centred care dental anxiety communication trust socio-economic status shame |
| title | Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours |
| title_full | Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours |
| title_fullStr | Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours |
| title_full_unstemmed | Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours |
| title_short | Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours |
| title_sort | communication trust and dental anxiety a person centred approach for dental attendance behaviours |
| topic | person-centred care dental anxiety communication trust socio-economic status shame |
| url | https://www.mdpi.com/2304-6767/8/4/118 |
| work_keys_str_mv | AT siyangyuan communicationtrustanddentalanxietyapersoncentredapproachfordentalattendancebehaviours AT ruthfreeman communicationtrustanddentalanxietyapersoncentredapproachfordentalattendancebehaviours AT kirstyhill communicationtrustanddentalanxietyapersoncentredapproachfordentalattendancebehaviours AT timnewton communicationtrustanddentalanxietyapersoncentredapproachfordentalattendancebehaviours AT gerryhumphris communicationtrustanddentalanxietyapersoncentredapproachfordentalattendancebehaviours |