Jenny Porritt - Academia.edu (original) (raw)

Papers by Jenny Porritt

Trials

Background Globally, around 13% of children experience dental anxiety (DA). This group of patient... more Background Globally, around 13% of children experience dental anxiety (DA). This group of patients frequently miss dental appointments, have greater reliance on treatment under general anaesthesia (GA) and have poorer oral health-related quality of life (OHRQoL) than their non-dentally anxious peers. Recently, a low-intensity cognitive behavioural therapy (CBT)-based, self-help approach has been recommended for management of childhood anxiety disorders. A feasibility study conducted in secondary care found this guided self-help CBT resource reduced DA and a randomised controlled trial was recommended. The present study aims to establish the clinical and cost-effectiveness of a guided self-help CBT intervention to reduce DA in children attending primary dental care sites compared to usual care. Methods This 4-year randomised controlled trial will involve 600 children (aged 9–16 years) and their parent/carers in 30 UK primary dental care sites. At least two dental professionals will p...

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Dental Fear and Anxiety in Pediatric Patients, 2017

British Dental Journal, 2018

This is a repository copy of Children's experiences following a CBT intervention to reduce dental... more This is a repository copy of Children's experiences following a CBT intervention to reduce dental anxiety: one year on.

JDR Clinical & Translational Research, 2016

Cognitive Behavioral Therapy (CBT) is an evidence-based treatment for dental anxiety; however, ac... more Cognitive Behavioral Therapy (CBT) is an evidence-based treatment for dental anxiety; however, access to therapy is limited. The current study aimed to develop a self-help CBT resource for reducing dental anxiety in children, and to assess the feasibility of conducting a trial to evaluate the treatment efficacy and cost-effectiveness of such an intervention. A mixed methods design was employed. Within phase 1, a qualitative “person-based” approach informed the development of the self-help CBT resource. This also employed guidelines for the development and evaluation of complex interventions. Within phase 2, children, aged between 9 and 16 y, who had elevated self-reported dental anxiety and were attending a community dental service or dental hospital, were invited to use the CBT resource. Children completed questionnaires, which assessed their dental anxiety and health-related quality of life (HRQoL) prior to and following their use of the resource. Recruitment and completion rates ...

British dental journal, Jan 27, 2016

Objective Evaluate patients' and professionals' experiences of a nurse-led dental anxiety... more Objective Evaluate patients' and professionals' experiences of a nurse-led dental anxiety management service (NDAMS).Design Service evaluation.Setting The NDAMS operates as part of the Sheffield Salaried Primary Dental Care Service.Subjects and methods Questionnaire survey of anxious patients and qualitative interviews with patients and professionals.Interventions Dental nurses delivered low-level psychological interventions as part of an integrated care pathway (ICP) for dental anxiety.Main outcome measures Dental anxiety and oral health-related quality of life (OHRQoL) questionnaires were completed by patients before and following NDAM.Results A total of 187 patients were assessed as suitable for NDAM (mean age = 33.7, 77% female) and 33 had completed it at the time of the service evaluation. Of those patients who had completed the intervention, significant improvements in dental anxiety and OHRQoL were reported. Professionals highlighted the importance of integrated worki...

British Dental Journal, 2011

spacing or proclination. Indeed, it has been estimated that 35% of British 12-year-olds require s... more spacing or proclination. Indeed, it has been estimated that 35% of British 12-year-olds require some form of orthodontic intervention on the basis of aesthetic and/or dental health needs. 4 Appearance is central to social experience and interaction throughout life: how others react to facial differences can greatly impact on a child's sense of worth. 5 There is some evidence that children with visible dental differences, such as traumatised incisors and incisor opacities, may be subject to negative social judgements and teasing by their peers about their social appearance. 6-8 Individuals with developmental enamel defects, dento-alveolar trauma and malocclusions also appear less satisfied with their tooth colour/size and report worse oral health-related quality of life (OHRQoL) than individuals without these conditions. 9-15 To date, however, little attempt has been made to investigate the mechanisms through which dental conditions impact on children's OHRQoL. There is some evidence to suggest that the association between clinical variables and child outcomes is complex and that a number of variables

Dentistry Journal, 2021

Background: The Children’s Experiences of Dental Anxiety Measure (CEDAM-14) is a child-centred me... more Background: The Children’s Experiences of Dental Anxiety Measure (CEDAM-14) is a child-centred measure of dental anxiety which assesses a range of behaviours, thoughts and feelings/physical symptoms related to dental anxiety. A short form of the CEDAM-14, which places less time burden on patients and clinicians, could promote the feasibility and applicability of the CEDAM in clinical settings. The aim of the study was to develop a short version of the CEDAM that can be used to assess children’s dental anxiety in clinical practice. Methods: A short version of the CEDAM was developed using a combination of item impact and regression methods. Measurement properties including floor/ceiling effects, variance, criterion validity, construct validity and internal consistency was calculated for the short form. Results: An eight-item CEDAM short form was developed (CEDAM-8) that had good psychometric properties, was significantly correlated with the CEDAM measure (r = 0.90; p < 0.01), had ...

Healthcare

Treatment adherence in adults with cystic fibrosis (CF) is poor. One of the reasons identified fo... more Treatment adherence in adults with cystic fibrosis (CF) is poor. One of the reasons identified for lack of adherence to nebulised treatments is that patients may not experience any immediate relief in their symptoms or notice changes as a result of taking their treatment, thus many report that they do not perceive there to be consequences of non adherence. The aim of the study was to investigate the temporal relationships between symptoms and adherence to nebulised treatments in adults with CF using an N-of-1 observational design. Six participants were recruited for a six-week period during which time they completed a daily online respiratory symptom questionnaire. Adherence to treatment was measured throughout the duration of the study using an eTrack® nebuliser that logged date and time of treatments taken. Data generated from each participant was analysed separately. There were significant relationships between pain and adherence for three participants, tiredness and adherence fo...

Dentistry Journal

Dental anxiety affects children worldwide and can have negative consequences on oral health. This... more Dental anxiety affects children worldwide and can have negative consequences on oral health. This study aimed to evaluate a novel communication aid ‘message to dentist’ (MTD), as part of a wider cognitive behavioural therapy approach to reduce dental anxiety in young patients. Dentally anxious children, aged 9–16 years, were invited to complete the MTD proforma, before and following their course of treatment. They scored how worried they were and their anticipated pain levels on a scale of 1–10 (10 being the worst outcome). They also wrote down their coping plans and post-treatment reflections. One hundred and five children, from a UK general dental practice and a hospital clinic, were included. They had a mean age of 11.6 years, and 65% were female. There was a significant reduction in self-report worry (from 4.9 to 2.1) and anticipated pain (from 5.1 to 2.0) scores (p < 0.05, paired t-test). Many children (30%) used listening to music/audiobook as a coping strategy. Thematic an...

BMC oral health, Jan 15, 2016

The current investigation examined the determinants of oral health experiences associated with de... more The current investigation examined the determinants of oral health experiences associated with dentine hypersensitivity using prospective diary methodology. Staff and students from a large UK university who had self-diagnosed dentine hypersensitivity completed an online daily diary and text survey for 2 weeks recording their mood, oral health-related coping behaviours, coping and pain appraisals, pain experiences and functional limitations. Cross sectional and lagged path analyses were employed to examine relationships. One hundred one participants took part in the diary study. Participants had a mean age of 26.3 years (range = 18-63) and most were female (N = 69). Individuals who used more oral health-related coping behaviours predicted and experienced greater levels of pain on subsequent days. Negative mood also predicted worse pain outcomes. The daily diary method provided a useful avenue for investigating variations in oral health experiences and relationships between variables ...

International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children, Jan 4, 2016

Dental anxiety is common among children. Although there is a wealth of research investigating chi... more Dental anxiety is common among children. Although there is a wealth of research investigating childhood dental anxiety, little consideration has been given to the child's perspective. This qualitative study sought to explore with children their own experiences of dental anxiety using a cognitive behavioural therapy assessment model. Face-to-face, semi-structured interviews were conducted with dentally anxious children aged 11-16 years. The Five Areas model was used to inform the topic guide and analysis. Data were analysed using a framework approach. In total, 13 children were interviewed. Participants described their experiences of dental anxiety across multiple dimensions (situational factors and altered thoughts, feelings, physical symptoms, and behaviours). Participants placed considerable value on communication by dental professionals, with poor communication having a negative influence on dental anxiety and the dentist-patient relationship. This study confirms the Five Are...

Dentine hypersensitivity is a common oral health problem, however, there has been little research... more Dentine hypersensitivity is a common oral health problem, however, there has been little research on how people cope with this condition. This study aimed to quantify the effects of illness beliefs and coping strategies on the health outcomes of individuals with dentine hypersensitivity. Participants were purposively sampled from students and staff in one large UK University and 101 self-diagnosed dentine hypersensitivity sufferers participated in the longitudinal study. Participants were required to complete questionnaires which assessed health anxiety, specific illness beliefs (control, consequences, illness coherence, timeline perspectives and emotional representations), coping strategies (passive and active coping) and oral health-related and health-related quality of life (OHRQoL and HRQoL) at baseline and 1 month follow-up. Over half of the participants (N = 56) experienced sensations in their teeth on a daily basis and the majority had experienced dentine hypersensitivity for at least 1 year (N = 87). Structural equation modelling indicated that predictors of OHRQoL and HRQoL impacts at follow-up were frequency of sensations, low levels of illness coherence, negative emotional representations, greater health anxiety and use of passive coping strategies at baseline. Illness beliefs and coping strategies predict oral and health-related quality of life outcomes in people with dentine hypersensitivity.

Pilot and Feasibility Studies, 2016

(2016). Protocol for a feasibility study of a self-help Cognitive Behavioural Therapy resource fo... more (2016). Protocol for a feasibility study of a self-help Cognitive Behavioural Therapy resource for the reduction of dental anxiety in young people. Pilot and Feasibility Studies, 2, p. 13.

Objectives: The Self-Regulatory Model (SRM) of health and illness highlights the importance of il... more Objectives: The Self-Regulatory Model (SRM) of health and illness highlights the importance of illness beliefs and coping in people’s adjustment to a variety of health problems. This study aimed to assess whether this theoretical framework could be used to categorise subgroups of dentine hypersensitivity sufferers based on their illness beliefs, pain-related coping strategies and health outcomes. Methods: A total of 280 dentine hypersensitivity sufferers were purposively sampled from one large University in the UK and, of this group, 101 individuals met the inclusion criteria for the study. Participants completed online questionnaires which assessed their health anxiety, illness beliefs (identity, perceived personal/treatment control, consequences, illness coherence, acute/chronic timeline, cyclical timeline and emotional representations), pain-related coping strategies (passive and active) and oral health-related of life (OHRQoL). Participants also submitted an online diary every d...

Objectives: Illness beliefs are lay representations that people hold about their specific health ... more Objectives: Illness beliefs are lay representations that people hold about their specific health condition and have been found to be strongly associated with an individual’s coping strategies and, in turn, a range of health outcomes. To date, there has been little research on illness beliefs in relation to oral health. The present study aimed to examine the prospective impact of illness beliefs and coping strategies on oral and general health related quality of life of individuals with dentine hypersensitivity. Methods: Participants were purposively sampled from students and staff in one large University in the UK. A total of 280 self-diagnosed dentine hypersensitivity sufferers were invited to complete a screening questionnaire. Of these, 101 met the inclusion criteria and completed questionnaires assessing illness beliefs (perceived personal/treatment control, consequences, illness coherence, acute/chronic timeline, cyclical timeline, emotional representations and health anxiety),...

International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children, Jan 21, 2014

There is a paucity of research examining how children and their families adapt to traumatic denta... more There is a paucity of research examining how children and their families adapt to traumatic dental injuries. This study examined how clinical and psychosocial factors influence adaptation to this oral stressor using a theoretical framework of resiliency and adaptation. Children with traumatised permanent teeth, who were attending a UK dental hospital, completed questionnaires at baseline and at a 6 month follow-up. Child questionnaires assessed coping styles, social support, and quality of life outcomes. Parents were also asked to complete questionnaires, which assessed previous stressors/strains on the family, social support, healthcare satisfaction, and family impacts. Data related to the child's dental injury were collected from clinical notes. Structural equation modelling and regression analyses were employed to analyse data. One hundred and eight children and 113 parents participated at baseline. Children's gender, coping style, social support, and family functioning s...

Community dental health, 2012

To investigate the current patient pathways used by dentally anxious adults in Sheffield and iden... more To investigate the current patient pathways used by dentally anxious adults in Sheffield and identify how the patient experience could be improved. Questionnaires gathered stakeholder perceptions of referral pathways and services for dentally anxious adult patients. Completed questionnaires were returned by 113 dentally anxious patients who had engaged with specialised dental services and 111 general dental practitioners (GDPs) (28% and 52% response rates). The recommendations for improving dental care experience of the anxious were: increased guidance and information to GDPs regarding available care pathways; improved availability of psychological services; and more opportunities and choice for patients in the long-term management of dental anxiety. The findings from the service evaluation suggest ways in which dental services could be developed to improve the care experiences of dentally anxious adult patients.