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

Share:

ABSTRACT

Aim

To 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.

Methods

Semi-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.

Results

Thirty-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.

Conclusions

This 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.

References: Kettle, Jennifer, Porritt, Jenny, Baker, Sarah R., Rodd, Helen, Cross, Elizabeth, Marshman, Zoe, CDOE-24-388.R1, Your Teeth, You Are in Control: A Process Evaluation of the Implementation of a Cognitive Behavioural Therapy Intervention for Reducing Child Dental Anxiety, Community Dentistry and Oral Epidemiology, Community Dent Oral Epidemiol

Details:

Author(s):

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

Professor in Dental Public Health

Related Publications

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

Childhood exposure to non-persistent endocrine disruptors, glucocorticosteroids, and attentional function: A cross-sectional study based on the parametric g-formula

Overcoming doubt: developing CDoH Essentials, a practical tool to introduce the commercial determinants of health