Dr. Cruz is a postdoctoral scholar, in the Department of Oral Health Sciences, University of Washington School of Dentistry, Seattle, Wash., USA.
Ms. Kerr is a research coordinator, in the Department of Oral Health Sciences, University of Washington School of Dentistry, Seattle, Wash., USA.
Pediatr Dent. 2023 Mar 15;45(2):133-141.
The purpose of this study was to use fluoride-hesitant parents as a model to identify the factors that erode versus build trust in their child's dentists.
A qualitative study was conducted using a semi-structured interview guide with fluoride-hesitant parents recruited from two dental clinics and through snowball sampling. A content analysis was performed to identify factors that erode versus build parents' trust in their child's dentist.
Of the 56 parents interviewed, most were female (91.1 percent) and white (57.1 percent) and had a mean age of 41±9.7 (standard deviation) years. Factors identified included five that erode trust (having trust violated previously, sensing discrepancies, getting pushed to accept fluoride, feeling dismissed, and sensing bias) and four that build trust (being treated as an individual, having a dentist who communicates, feeling supported and respected, and having a choice).
Dentists' understanding of the factors that erode and build trust with parents could help providers develop patient-centered communication strategies.
本研究旨在利用对氟化物持怀疑态度的父母作为模型，确定影响其对子女牙医信任度的因素。
采用半结构式访谈指南，从两家牙科诊所和滚雪球抽样法中招募对氟化物持怀疑态度的父母，进行定性研究。采用内容分析法来确定影响父母对子女牙医信任度的因素。
在接受访谈的 56 位家长中，大多数为女性（91.1%）和白人（57.1%），平均年龄为 41±9.7（标准差）岁。确定的因素包括五个破坏信任的因素（以前曾被信任所破坏、感觉到差异、被强迫接受氟化物、被忽视和感觉到偏见）和四个建立信任的因素（被视为个体、有一位善于沟通的牙医、感到被支持和尊重、有选择的权利）。
牙医对与父母建立和破坏信任的因素的理解可以帮助提供者制定以患者为中心的沟通策略。
