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Article

Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours

1
School of Dentistry, University of Dundee, Dundee DD1 4HN, UK
2
School of Dentistry, University of Birmingham, Birmingham B5 7EG, UK
3
Dental Institute, King’s College, London SE1 1UL, UK
4
School of Medicine, University of St Andrews, St Andrews KY16 9TF, UK
*
Author to whom correspondence should be addressed.
Dent. J. 2020, 8(4), 118; https://doi.org/10.3390/dj8040118
Received: 30 June 2020 / Revised: 30 September 2020 / Accepted: 10 October 2020 / Published: 13 October 2020
(This article belongs to the Special Issue Person-Centred Dentistry)
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. View Full-Text
Keywords: person-centred care; dental anxiety; communication; trust; socio-economic status; shame person-centred care; dental anxiety; communication; trust; socio-economic status; shame
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MDPI and ACS Style

Yuan, S.; Freeman, R.; Hill, K.; Newton, T.; Humphris, G. Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours. Dent. J. 2020, 8, 118. https://doi.org/10.3390/dj8040118

AMA Style

Yuan S, Freeman R, Hill K, Newton T, Humphris G. Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours. Dentistry Journal. 2020; 8(4):118. https://doi.org/10.3390/dj8040118

Chicago/Turabian Style

Yuan, Siyang, Ruth Freeman, Kirsty Hill, Tim Newton, and Gerry Humphris. 2020. "Communication, Trust and Dental Anxiety: A Person-Centred Approach for Dental Attendance Behaviours" Dentistry Journal 8, no. 4: 118. https://doi.org/10.3390/dj8040118

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