{"id":"https://openalex.org/W7225627028","doi":"https://doi.org/10.1186/s12903-026-10413-3","title":"Implementation and evaluation of a health coaching\u2013based patient-centred communication intervention in primary dental care: a mixed-methods study","display_name":"Implementation and evaluation of a health coaching\u2013based patient-centred communication intervention in primary dental care: a mixed-methods study","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225627028","doi":"https://doi.org/10.1186/s12903-026-10413-3"},"language":"en","primary_location":{"id":"doi:10.1186/s12903-026-10413-3","doi":"https://doi.org/10.1186/s12903-026-10413-3","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12903-026-10413-3","pdf_url":null,"source":{"id":"https://openalex.org/S60760007","display_name":"BMC Oral Health","issn_l":"1472-6831","issn":["1472-6831"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-2","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Oral Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12903-026-10413-3","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5024797723","display_name":"Remus Chunda","orcid":"https://orcid.org/0000-0002-0806-2113","observed_orcids":["https://orcid.org/0000-0002-0806-2113"]},"institutions":[{"id":"https://openalex.org/I177639307","display_name":"University of Dundee","ror":"https://ror.org/03h2bxq36","country_code":"GB","type":"education","lineage":["https://openalex.org/I177639307"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Remus Chunda","raw_affiliation_strings":["School of Dentistry, University of Dundee, 2 Park Pl, Dundee, Scotland, DD1 4HR, United Kingdom"],"raw_orcid":"https://orcid.org/0000-0002-0806-2113","affiliations":[{"raw_affiliation_string":"School of Dentistry, University of Dundee, 2 Park Pl, Dundee, Scotland, DD1 4HR, United Kingdom","institution_ids":["https://openalex.org/I177639307"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5139225264","display_name":"Siyang Yuan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I177639307","display_name":"University of Dundee","ror":"https://ror.org/03h2bxq36","country_code":"GB","type":"education","lineage":["https://openalex.org/I177639307"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Siyang Yuan","raw_affiliation_strings":["School of Dentistry, University of Dundee, 2 Park Pl, Dundee, Scotland, DD1 4HR, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Dentistry, University of Dundee, 2 Park Pl, Dundee, Scotland, DD1 4HR, United Kingdom","institution_ids":["https://openalex.org/I177639307"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033223825","display_name":"Peter Anthony Mossey","orcid":"https://orcid.org/0000-0002-9914-6901","observed_orcids":["https://orcid.org/0000-0002-9914-6901"]},"institutions":[{"id":"https://openalex.org/I177639307","display_name":"University of Dundee","ror":"https://ror.org/03h2bxq36","country_code":"GB","type":"education","lineage":["https://openalex.org/I177639307"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Peter Mossey","raw_affiliation_strings":["School of Dentistry, University of Dundee, 2 Park Pl, Dundee, Scotland, DD1 4HR, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Dentistry, University of Dundee, 2 Park Pl, Dundee, Scotland, DD1 4HR, United Kingdom","institution_ids":["https://openalex.org/I177639307"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5024797723"],"corresponding_institution_ids":["https://openalex.org/I177639307"],"apc_list":{"value":3190,"currency":"USD","value_usd":3190},"apc_paid":{"value":3190,"currency":"USD","value_usd":3190},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.788100004196167,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.788100004196167,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10368","display_name":"Dental Health and Care Utilization","score":0.05469999834895134,"subfield":{"id":"https://openalex.org/subfields/3500","display_name":"General Dentistry"},"field":{"id":"https://openalex.org/fields/35","display_name":"Dentistry"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.05040000006556511,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-coaching","display_name":"health coaching","score":0.8240000009536743},{"id":"https://openalex.org/keywords/patient-centered-communication","display_name":"patient-centered communication","score":0.9990000128746033},{"id":"https://openalex.org/keywords/primary-dental-care","display_name":"primary dental care","score":0.8640000224113464},{"id":"https://openalex.org/keywords/behavior-change-communication","display_name":"behavior change communication","score":0.9200000166893005},{"id":"https://openalex.org/keywords/shared-decision-making","display_name":"shared decision-making","score":0.9430000185966492},{"id":"https://openalex.org/keywords/clinician-patient-communication","display_name":"clinician-patient communication","score":0.7620000243186951},{"id":"https://openalex.org/keywords/dental-consultation","display_name":"dental consultation","score":0.531000018119812},{"id":"https://openalex.org/keywords/oral-health-professionals","display_name":"oral health professionals","score":0.7020000219345093},{"id":"https://openalex.org/keywords/coaching-training","display_name":"coaching training","score":0.7760000228881836},{"id":"https://openalex.org/keywords/malawi","display_name":"Malawi","score":0.7110000252723694},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.9409999847412109},{"id":"https://openalex.org/keywords/covid-19","display_name":"COVID-19 pandemic","score":0.7200000286102295},{"id":"https://openalex.org/keywords/feasibility","display_name":"feasibility","score":0.5220000147819519},{"id":"https://openalex.org/keywords/implementation-evaluation","display_name":"implementation evaluation","score":0.6840000152587891},{"id":"https://openalex.org/keywords/oral-health-promotion","display_name":"oral health promotion","score":0.5669999718666077},{"id":"https://openalex.org/keywords/patient-engagement","display_name":"patient engagement","score":0.5299999713897705}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8343999981880188},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.6721000075340271},{"id":"https://openalex.org/C2779363792","wikidata":"https://www.wikidata.org/wiki/Q1104185","display_name":"Coaching","level":2,"score":0.6690999865531921},{"id":"https://openalex.org/C2780463512","wikidata":"https://www.wikidata.org/wiki/Q15122700","display_name":"Trainer","level":2,"score":0.6614999771118164},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.48539999127388},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.46869999170303345},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.46149998903274536},{"id":"https://openalex.org/C46304622","wikidata":"https://www.wikidata.org/wiki/Q374814","display_name":"Certification","level":2,"score":0.444599986076355},{"id":"https://openalex.org/C2779902066","wikidata":"https://www.wikidata.org/wiki/Q5690906","display_name":"Health coaching","level":3,"score":0.4287000000476837},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.4185999929904938},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.414000004529953},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.37459999322891235},{"id":"https://openalex.org/C2777016617","wikidata":"https://www.wikidata.org/wiki/Q1759158","display_name":"Motivational interviewing","level":3,"score":0.36980000138282776},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.36570000648498535},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.36090001463890076},{"id":"https://openalex.org/C3020759390","wikidata":"https://www.wikidata.org/wiki/Q4880694","display_name":"Behaviour change","level":3,"score":0.35760000348091125},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.35269999504089355},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.32260000705718994},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.30559998750686646},{"id":"https://openalex.org/C5395021","wikidata":"https://www.wikidata.org/wiki/Q1061410","display_name":"Program evaluation","level":2,"score":0.30410000681877136},{"id":"https://openalex.org/C2992672162","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Oral health","level":2,"score":0.30079999566078186},{"id":"https://openalex.org/C179518139","wikidata":"https://www.wikidata.org/wiki/Q5140297","display_name":"Coding (social sciences)","level":2,"score":0.2973000109195709},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.29100000858306885},{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.28780001401901245},{"id":"https://openalex.org/C2778080475","wikidata":"https://www.wikidata.org/wiki/Q4353774","display_name":"Health communication","level":2,"score":0.28619998693466187},{"id":"https://openalex.org/C65067816","wikidata":"https://www.wikidata.org/wiki/Q2295139","display_name":"Computer-assisted web interviewing","level":2,"score":0.2773999869823456},{"id":"https://openalex.org/C3018637965","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dental clinic","level":2,"score":0.2687999904155731},{"id":"https://openalex.org/C14262774","wikidata":"https://www.wikidata.org/wiki/Q4880695","display_name":"Behavior change","level":2,"score":0.25769999623298645},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.25690001249313354},{"id":"https://openalex.org/C2778636310","wikidata":"https://www.wikidata.org/wiki/Q504033","display_name":"Oral and maxillofacial surgery","level":2,"score":0.2542000114917755}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12903-026-10413-3","doi":"https://doi.org/10.1186/s12903-026-10413-3","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12903-026-10413-3","pdf_url":null,"source":{"id":"https://openalex.org/S60760007","display_name":"BMC Oral Health","issn_l":"1472-6831","issn":["1472-6831"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-2","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Oral Health","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12903-026-10413-3","doi":"https://doi.org/10.1186/s12903-026-10413-3","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12903-026-10413-3","pdf_url":null,"source":{"id":"https://openalex.org/S60760007","display_name":"BMC Oral Health","issn_l":"1472-6831","issn":["1472-6831"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","medline","norway-2","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Oral Health","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320316481","display_name":"Global Challenges Research Fund","ror":null}],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7106321291","https://openalex.org/W2987764062","https://openalex.org/W2024203423","https://openalex.org/W2114573514","https://openalex.org/W7113357951","https://openalex.org/W2264188201","https://openalex.org/W4323312879","https://openalex.org/W1967416801","https://openalex.org/W2987907717","https://openalex.org/W3095148816"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Patient-centred":[2],"communication":[3,41,78,264,322,384,405],"(PCC)":[4],"is":[5],"fundamental":[6],"to":[7,36,158,189,229,250,273,359,366,381,396,401,417],"improving":[8],"oral":[9,408],"health":[10,102,409],"outcomes;":[11],"however,":[12],"its":[13],"implementation":[14],"in":[15,21,56,64,75,79,84,114,256,277,320,349,385,389],"primary":[16,60,80,115,386],"dental":[17,61,81,116,257,387],"care":[18,62,82,388],"remains":[19],"limited":[20,330],"many":[22],"low-":[23],"and":[24,43,52,69,112,133,145,172,178,192,203,226,235,241,265,302,323,335,346,369,378,406,419],"middle-income":[25],"countries.":[26],"Health":[27],"coaching":[28],"(HC)":[29],"has":[30],"emerged":[31],"as":[32,98],"a":[33,141,254,398],"promising":[34,399],"strategy":[35],"facilitate":[37],"patient-centred":[38,77,383],"behaviour":[39,262,403],"change":[40,404],"(PCBCC)":[42],"strengthen":[44,407],"clinician\u2013patient":[45],"interactions.":[46],"This":[47],"study":[48,91],"explored":[49],"the":[50,71,99,107,159,187,211,281,287,291],"feasibility":[51],"application":[53,72],"of":[54,73,110,286,295],"HC":[55,74,96,137,247,374,394],"enhancing":[57,76],"PCC":[58],"during":[59,243],"consultations":[63,198,258,350],"Malawi.":[65,85,390],"Objective":[66],"To":[67],"explore":[68,230],"evaluate":[70],"settings":[83],"Methods":[86],"A":[87],"convergent":[88],"mixed-methods":[89],"pre\u2013post":[90],"design":[92],"was":[93,155,248,271,376],"conducted":[94],"with":[95,106,119,253],"implemented":[97],"intervention.":[100],"Oral":[101],"professionals":[103],"(OHPs)":[104],"registered":[105],"Medical":[108],"Council":[109,147],"Malawi":[111],"practising":[113],"care,":[117],"together":[118],"their":[120],"patients,":[121],"were":[122,168,183,199,207,220,238,329],"recruited":[123],"from":[124],"Queen":[125],"Elizabeth":[126],"Central":[127],"Hospital,":[128],"Blantyre,":[129],"Malawi,":[130],"between":[131,170],"2020":[132],"2022.":[134],"OHPs":[135],"received":[136],"training":[138,154,193,367,375],"delivered":[139,169],"by":[140,186,331],"certified":[142],"European":[143],"Mentoring":[144],"Coaching":[146],"coach.":[148],"Originally":[149],"planned":[150],"for":[151,195,308],"three":[152],"months,":[153],"extended":[156],"due":[157,358],"COVID-19":[160],"pandemic.":[161],"Two":[162],"three-hour":[163],"online":[164],"sessions":[165],"per":[166],"week":[167],"January":[171],"May":[173],"2021":[174],"via":[175],"Zoom.":[176],"Facebook":[177],"WhatsApp":[179],"group":[180,224],"interaction":[181],"pages":[182],"also":[184,312],"used":[185,272],"trainer":[188],"post":[190],"questions":[191],"exercises":[194],"OHPs.":[196],"OHP\u2013patient":[197],"video-recorded":[200],"at":[201],"baseline":[202],"post-intervention.":[204],"Communication":[205],"behaviours":[206,297],"quantitatively":[208],"assessed":[209],"using":[210,305],"Four":[212],"Habits":[213,299],"Coding":[214],"Scheme":[215],"(4":[216],"H).":[217],"Qualitative":[218,338],"data":[219,237,339],"collected":[221],"through":[222],"focus":[223],"discussions":[225],"in-depth":[227],"interviews":[228],"OHPs\u2019":[231],"post-intervention":[232],"experiences.":[233],"Quantitative":[234],"qualitative":[236],"analysed":[239,304],"independently":[240],"integrated":[242],"interpretation.":[244],"Results":[245],"Post-training,":[246],"found":[249],"be":[251,355,397],"associated":[252],"shift":[255],"toward":[259],"more":[260],"person-centred,":[261],"change\u2013focused":[263],"increased":[266],"shared":[267],"decision-making.":[268],"Paired-samples":[269],"t-test":[270],"assess":[274],"such":[275,314],"changes":[276],"PCBCC":[278],"scores":[279],"within":[280,298],"4":[282,288],"H.":[283],"Categorical":[284],"outcomes":[285],"H,":[289],"including":[290],"presence":[292],"or":[293],"absence":[294],"specific":[296],"1,":[300],"2,":[301],"4,":[303],"McNemar\u2019s":[306],"test":[307],"paired":[309],"binary":[310],"comparisons":[311],"revealed":[313],"changes.":[315],"Mixed-methods":[316],"triangulation":[317],"indicated":[318],"improvements":[319],"patient-based":[321],"consultation":[324],"structure,":[325],"although":[326],"quantitative":[327],"findings":[328],"small":[332,370],"sample":[333,371],"size":[334],"high":[336],"attrition.":[337],"supported":[340],"these":[341,421],"trends,":[342],"suggesting":[343],"greater":[344],"engagement":[345],"relational":[347],"depth":[348],"post-training.":[351],"However,":[352],"results":[353],"should":[354],"interpreted":[356],"cautiously":[357],"contextual":[360],"constraints,":[361],"potential":[362,380],"measurement":[363],"limitations,":[364,393],"adaptations":[365],"delivery":[368],"size.":[372],"Conclusion":[373],"feasible":[377],"showed":[379],"enhance":[382],"Despite":[391],"methodological":[392],"appears":[395],"approach":[400],"support":[402],"service":[410],"delivery.":[411],"Larger,":[412],"controlled":[413],"studies":[414],"are":[415],"recommended":[416],"confirm":[418],"extend":[420],"findings.":[422]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}