Evidence map›Paper›PMID 39791199›Full record

ArticleCommunity dentistry and oral epidemiology2025

Your Teeth, You Are in Control: A Process Evaluation of the Implementation of a Cognitive Behavioural Therapy Intervention for Reducing Child Dental Anxiety.

Jennifer Kettle, Jenny Porritt, Sarah R Baker, Helen Rodd, Elizabeth Cross, Zoe Marshman

Abstract read
In one paragraph

Article in Community dentistry and oral epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Jennifer KettleSchool of Clinical Dentistry, University of Sheffield, Sheffield, UK.
Jenny PorrittSheffield Institute of Social Sciences, Sheffield Hallam University, Sheffield, UK.
Sarah R BakerSchool of Clinical Dentistry, University of Sheffield, Sheffield, UK.ORCID 0000-0002-2861-451X
Helen RoddSchool of Clinical Dentistry, University of Sheffield, Sheffield, UK.
Elizabeth CrossSchool of Clinical Dentistry, University of Sheffield, Sheffield, UK.ORCID 0000-0002-7976-8463
Zoe MarshmanSchool of Clinical Dentistry, University of Sheffield, Sheffield, UK.ORCID 0000-0003-0943-9637

Funding

National Institute for Health and Care Research
6 · The paper itself

Abstract

aimTo explore the views of patients, caregivers, and dental professionals on the factors that influence implementation, processes, and effectiveness of a guided self-help cognitive behavioural therapy (CBT) intervention, 'Your teeth, you are in control' (YTYAIC), in the CALM trial.

methodsSemi-structured interviews were conducted as part of this qualitative component of the process evaluation, and data were analysed using a framework approach based on the Consolidated Framework for Implementation Research (CFIR) and the Five Areas Model of CBT.

resultsThirty-seven participants were recruited. Potential mechanisms of action were identified using the Five Areas Model of CBT. Participants felt the intervention may exert change through targeting unhelpful thoughts and feelings (e.g., building trust and perceptions of control) and behaviours (e.g., encouraging effective communication and coping strategies) and facilitating a more positive situational context (e.g., developing more supportive relationships). Enablers (e.g., adaptability, design and delivery) and barriers (e.g., time/resource constraints, cost) to implementation were identified using the CFIR.

conclusionsThis study revealed multiple potential mechanisms of action which could reduce dental anxiety and examined how implementation and contextual factors may influence this change process. The results of the research revealed that the intervention could be implemented in primary dental care and identified the potential barriers which should be addressed to aid successful implementation of the intervention in real world contexts.

trial registrationThis clinical trial has been registered with an international registry and has been allocated an International Standard Randomised Controlled Trial Number (ISRCTN27579420).

Indexed as

Cognitive Behavioral TherapyDental AnxietyAdultChildFemaleHumansInterviews as TopicMaleQualitative ResearchCFIRcognitive behavioural therapy interventiondental anxietydental carepaediatricprimary health careprocess evaluationqualitativerandomised controlled trial

Identifiers

PMID39791199
PMCPMC11892546

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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.