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dc.contributor.authorYuan, Siyang
dc.contributor.authorFreeman, Ruth
dc.contributor.authorHill, Kirsty
dc.contributor.authorNewton, Tim
dc.contributor.authorHumphris, Gerry
dc.identifier.citationYuan , S , Freeman , R , Hill , K , Newton , T & Humphris , G 2020 , ' Communication, trust and dental anxiety : a person-centred approach for dental attendance behaviours ' , Dentistry Journal , vol. 8 , no. 4 , 118 .
dc.identifier.otherPURE: 270683489
dc.identifier.otherPURE UUID: a37b577d-429a-45d7-ade3-d726a35c1fa3
dc.identifier.otherORCID: /0000-0002-4601-8834/work/82179445
dc.description.abstractEffective 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.
dc.relation.ispartofDentistry Journalen
dc.rightsCopyright © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.en
dc.subjectPerson-centered careen
dc.subjectDental anxietyen
dc.subjectSocio-economic statusen
dc.subjectRK Dentistryen
dc.titleCommunication, trust and dental anxiety : a person-centred approach for dental attendance behavioursen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews.WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews.Health Psychologyen
dc.contributor.institutionUniversity of St Andrews.St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.description.statusPeer revieweden

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