Evidence map›Paper›PMID 33066178›Full record

ArticleDentistry journal2020

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

Siyang Yuan, Ruth Freeman, Kirsty Hill, Tim Newton, Gerry Humphris

Abstract read
In one paragraph

Article in Dentistry journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Trial
  2. Exploring Perception in Dental Students' Communication Skills: An Online Survey.European journal of dental education : official journal of the Association for Dental Education in Europe · 2026
    Article
  3. Article
  4. Seeing Anxiety: Ecological Video Ethnography and Simulation to Understand Anxiety and Decision-Making in Dental Care.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Siyang YuanSchool of Dentistry, University of Dundee, Dundee DD1 4HN, UK.ORCID 0000-0001-6661-5444
Ruth FreemanSchool of Dentistry, University of Dundee, Dundee DD1 4HN, UK.ORCID 0000-0002-8733-1253
Kirsty HillSchool of Dentistry, University of Birmingham, Birmingham B5 7EG, UK.
Tim NewtonDental Institute, King's College, London SE1 1UL, UK.ORCID 0000-0003-4082-6942
Gerry HumphrisSchool of Medicine, University of St Andrews, St Andrews KY16 9TF, UK.ORCID 0000-0002-4601-8834

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

communicationdental anxietyperson-centred careshamesocio-economic statustrust

Identifiers

PMID33066178
PMCPMC7712465

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.