Exploring dental students' attitudes toward patient-centered management of dental fear.
dental education
dental fear
patient-centered care
professional attitudes
Journal
Journal of dental education
ISSN: 1930-7837
Titre abrégé: J Dent Educ
Pays: United States
ID NLM: 8000150
Informations de publication
Date de publication:
02 Nov 2023
02 Nov 2023
Historique:
revised:
10
10
2023
received:
11
01
2023
accepted:
17
10
2023
medline:
3
11
2023
pubmed:
3
11
2023
entrez:
3
11
2023
Statut:
aheadofprint
Résumé
A patient-centered care (PCC) paradigm undergirds modern dental education. PCC is particularly relevant in the management of patient dental fear. The aims of this study were three-fold: (a) to examine the preliminary psychometric properties of an author-designed survey administered to explore dental fear knowledge and perceptions, (b) to assess how 4th-year dental students regard dental fear, (c) and to investigate the relationship between students' knowledge and perceptions of dental fear and their clinical behavior. In 2022, 4th-year dental students (N = 453) participated in a cross-sectional study. Participants completed a 16-item survey that assessed (a) knowledge and perceptions about dental fear, (b) common biases in patient fear assessment, and (c) patient management behaviors when fear is encountered. Exploratory factor analysis, descriptive statistics, and logistic regressions were run to address the study's aims. Exploratory factor analysis revealed three factors, with the two strongest factors pertaining to beliefs about the importance of dental fear (α = 0.87) and self-efficacy in managing fear (α = 0.74). Participants indicated that it is important to assess for dental fear and rated their self-efficacy in ability managing it as high. Ratings on both factors slightly increased the odds of engaging in routine patient screening for dental fear. Students also displayed assessment biases commonly seen among practicing dentists. Results indicate educational gaps within the current behavioral-science training for dental students. Changes to improve advanced dental students' appreciation of their patients' dental fear are warranted.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NIDCR NIH HHS
ID : UG3DE029453
Pays : United States
Informations de copyright
© 2023 American Dental Education Association.
Références
Apelian N, Vergnes JN, Hovey R, Bedos C. How can we provide person-centered dental care? Br Dent J. 2017;223(6):419-424. doi:10.1038/sj.bdj.2017.806
Scambler S, Delgado M, Asimakopoulou K. Defining patient-centered care in dentistry? A systematic review of the dental literature. Br Dent J. 2016;221(8):477-484. doi:10.1038/sj.bdj.2016.777
Centore L. Trends in behavioral sciences education in dental schools, 1926 to 2016. J Dent Educ. 2017;81(8):eS66-eS73. doi:10.21815/JDE.017.009
Commission on Dental Accreditation. Accreditation standards for dental education programs. CODA. July 1, 2022. Accessed October 14, 2022. https://coda.ada.org/~/media/CODA/Files/predoc_standards.pdf?la=en
Karydis A, Komboli-Kodovazeniti M, Hatzigeorgiou D, Panis V. Expectations and perceptions of Greek patients regarding the quality of dental health care. Int J Qual Health Care. 2001;13(5):409-416. doi:10.1093/intqhc/13.5.409
Noushi N, Bedos C. Developing person-centered dental care: the perspectives of people living in poverty. Dent J (Basel). 2020;8(3):82. doi:10.3390/dj8030082
Redford M, Gift HC. Dentist-patient interactions in treatment decision-making: a qualitative study. J Dent Educ. 1997;61(1):16-21.
Muirhead VE, Marcenes W, Wright D. Do health provider-patient relationships matter? Exploring dentist-patient relationships and oral health-related quality of life in older people. Age Ageing. 2014;43(3):399-405. doi:10.1093/ageing/aft183
Armfield JM, Ketting M, Chrisopoulos S, Baker SR. Do people trust dentists? Development of the dentist trust scale. Aust Dent J. 2017;62(3):355-362. doi:10.1111/adj.12514
Bryne E, Hean SCPD, Evensen KB, Bull VH. Seeing the person before the teeth: a realist evaluation of a dental anxiety service in Norway. Eur J Oral Sci. 2022;130(3):e12860. doi:10.1111/eos.12860
Mills I, Frost J, Cooper C, et al. Patient-centered care in general dental practice: a systematic review of the literature. BMC Oral Health. 2014;14:64. doi:10.1186/1472-6831-14-64
Rosenzweig J, Blaizot A, Cougot N, et al. Effect of a person-centered course on the empathic ability of dental students. J Dent Educ. 2016;80(11):1337-1348.
Kulich KR, Berggren U, Hallberg LR. A qualitative analysis of patient-centered dentistry in consultations with dental phobic patients. J Health Commun. 2003;8(2):171-187. doi:10.1080/10810730305694
Moore R. Trusting the dentist-expecting a leap of faith vs. a well-defined strategy for anxious patients. Dent J (Basel). 2022;10(4):66. doi:10.3390/dj10040066
Yuan S, Freeman R, Hill K, Newton T, Humphris G. Communication, trust and dental anxiety: a person-centered approach for dental attendance behaviours. Dent J (Basel). 2020;8(4):118. doi:10.3390/dj8040118
Heyman RE, Slep AM, White-Ajmani M, et al. Dental fear and avoidance in treatment seekers at a large, urban dental clinic. Oral Health Prev Dent. 2016;14(4):315-320. doi:10.3290/j.ohpd.a36468
White AM, Giblin L, Boyd LD. The prevalence of dental anxiety in dental practice settings. J Dent Hyg. 2017;91(1):30-34.
Armfield JM, Stewart JF, Spencer AJ. The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear. BMC Oral Health. 2007;7:1. doi:10.1186/1472-6831-7-1
Jones LM, Huggins TJ. Empathy in the dentist-patient relationship: review and application. N Z Dent J. 2014;110(3):98-104.
Botto RW. Chairside techniques for reducing dental fear. In: Mostofsky DI, Forgione AG, Giddon DB, eds. Behavioral Dentistry. Oxford: Blackwell; 2006:115-125.
Hally J, Freeman R, Yuan S, Humphris G. The importance of acknowledgement of emotions in routine patient psychological assessment: the example of the dental setting. Patient Educ Couns. 2017;100(11):2102-2105. doi:10.1016/j.pec.2017.05.005
Asad L, Jumaa H. The Significance of Person-Centered Information on Dental Anxiety: A Mixed Method Study [Dissertation]. Umeå University; 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-97866
Armfield JM. The extent and nature of dental fear and phobia in Australia. Aust Dent J. 2010;55(4):368-377. doi:10.1111/j.1834-7819.2010.01256.x
Plasschaert AJ, Holbrook WP, Delap E, Martinez C, Walmsley AD, Association for Dental Education in Europe. Profile and competences for the European dentist. Eur J Dent Educ. 2005;9(3):98-107. doi:10.1111/j.1600-0579.2005.00369
Kankaala T, Rajavaara P, Kestilä M, et al. Methods helping dentists to detect dental fear. Int Dent J. 2022;S0020-6539(22):228-234. doi:10.1016/j.identj.2022.06.018
Heaton LJ, Carlson CR, Smith TA, Baer RA, de Leeuw R. Predicting anxiety during dental treatment using patients’ self-reports: less is more. J Am Dent Assoc. 2007;138(2):188-195. doi:10.14219/jada.archive.2007.0135
Höglund M, Bågesund M, Shahnavaz S, Wårdh I. Evaluation of the ability of dental clinicians to rate dental anxiety. Eur J Oral Sci. 2019;127(5):455-461. doi:10.1111/eos.12648
Korpela I, Vaununmaa K, Tolvanen M, Suominen A, Freeman R, Lahti S. Dental students' and patients' perceived importance and knowledge of dental anxiety. Eur J Dent Educ. 2019;23(4):515-521. doi:10.1111/eje.12460
Gatchel RJ. The prevalence of dental fear and avoidance: expanded adult and recent adolescent surveys. J Am Dent Assoc. 1989;118(5):591-593.
Heaton LJ, Carlson CR, Smith TA, Baer RA, de Leeuw R. Predicting anxiety during dental treatment using patients’ self-reports: less is more. J Am Den Assoc. 2007;138:188-195.
Forcino RC, Yen RW, Aboumrad M, et al. US-based cross-sectional survey of clinicians' knowledge and attitudes about shared decision-making across healthcare professions and specialties. BMJ Open. 2018;8(10):e022730. doi:10.1136/bmjopen-2018-0227
Hughes RA, Heron J, Sterne JAC, Tilling K. Accounting for missing data in statistical analyses: multiple imputation is not always the answer. Int J Epidemiol. 2019;48(4):1294-1304. doi:10.1093/ije/dyz032
Iacobucci D, Posavac SS, Kardes FR, et al. Toward a more nuanced understanding of the statistical properties of a median split. J Consum Psychol. 2015;25(4):652-665. doi:10.1016/j.jcps.2014.12.002
Field A. Discovering Statistics Using IBM SPSS Statistics. 3rd ed. SAGE Publications; 2013.
Streiner DL. Starting at the beginning: an introduction to coefficient alpha and internal consistency. J Pers Assess. 2003;80(1):99-103. doi:10.1207/S15327752JPA8001_18
Noro A, de Carvalho FA, Dos Santos BF, et al. Basic cycle in dentistry students’ training: the gap in the integration of knowledge and social reality. J Med Dent Sci. 2018;20(3):1780. doi:10.24320/redie.2018.20.3.1780
Hill KB, Hainsworth JM, Burke FJ, Fairbrother KJ. Evaluation of dentists' perceived needs regarding treatment of the anxious patient. Br Dent J. 2008;204(8):E13-443. doi:10.1038/sj.bdj.2008.318
Raadal M. Cognitive Behaviour Therapy for Dental Phobia and Anxiety. John Wiley & Sons; 2013:153-162. doi:10.1002/9781118499825
Sherman JJ, Cramer A. Measurement of changes in empathy during dental school. J Dent Educ. 2005;69(3):338-345.
Mauss IB, Robinson MD. Measures of emotion: a review. Cogn Emot. 2009;23(2):209-237.
Formicola AJ, Andrieu SC, Buchanan JA, et al. Interprofessional education in U.S. and Canadian dental schools: an ADEA Team Study Group report. J Dent Educ. 2012;76(9):1250-1268.
Bedos C, Apelian N, Vergnes JN. Towards a biopsychosocial approach in dentistry: the Montreal-Toulouse Model. Br Dent J. 2020;228(6):465-468. doi:10.1038/s41415-020-1368-2