Patient-Centred Communication and Behavioural Guidance: An Exploratory Evaluation of the Trainer–Doctor Model in Dental Practice

Background/Objectives: The trainer–doctor model (TDM) is a participatory paradigm in which the physician acts as a mentor and educator. Effective health communication and patient engagement are key determinants of treatment adherence and health outcomes. Based on this conceptual framework, the present study aimed to assess preferences for the Trainer–Doctor Model among dental practitioners and patients, examine the influence of demographic variables, and provide a preliminary psychometric evaluation of the TDM questionnaire in accordance with the COSMIN (COnsensus-based Standards for the selection of health Measurement Instruments) criteria. Methods: A cross-sectional survey was conducted in Romania between May 2023 and April 2024. The study included dental practitioners recruited during scientific dental conferences and patients recruited from a private dental practice in Alba Iulia, Romania. Eligible participants were adults aged 18 years or older who provided written informed consent and completed the data protection requirements. Individuals younger than 18 years of age or those who did not provide complete informed consent were excluded. Participants completed a 12-item Likert-type questionnaire assessing preferences toward the Trainer–Doctor Model. Results: Both groups showed high TDM preference (practitioners: 43.93 ± 5.56; patients: 44.77 ± 4.84; p = 0.195); 71–76% of responses were high-preference (≥4). Cronbach’s α with reverse-scored items was 0.752/0.651. EFA (KMO = 0.740; Bartlett’s p < 0.001) identified a 3-factor structure, explaining 51.3% of the variance. Patients scored significantly higher on items A (p = 0.002), B (p = 0.022), and F (p = 0.005). Conclusions: Both groups demonstrate a strong, consistent preference for TDM across demographics. The preliminary psychometric evaluation indicates acceptable internal consistency and structural validity; however, further validation, including Delphi-based content validation and confirmatory factor analysis, is required.

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Journal
Healthcare
Published
2026-06-18
DOI
https://doi.org/10.3390/healthcare14121759
Primary Topic
Patient-Provider Communication in Healthcare
Type
article
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article

Patient-Centred Communication and Behavioural Guidance: An Exploratory Evaluation of the Trainer–Doctor Model in Dental Practice

Ioana Cristina Talpos-Niculescu, Lucian Josan, Diana Marian, Ana Gabriela Seni et al.
Healthcare
Patient-Provider Communication in Healthcare
article

Patient-Centred Communication and Behavioural Guidance: An Exploratory Evaluation of the Trainer–Doctor Model in Dental Practice

Ioana Cristina Talpos-Niculescu, Lucian Josan, Diana Marian, Ana Gabriela Seni, Elena Gabriela Strete, Iustin Olariu, Alina Ormenișan, Andreea Salcudean
article en

Abstract

Background/Objectives: The trainer–doctor model (TDM) is a participatory paradigm in which the physician acts as a mentor and educator. Effective health communication and patient engagement are key determinants of treatment adherence and health outcomes. Based on this conceptual framework, the present study aimed to assess preferences for the Trainer–Doctor Model among dental practitioners and patients, examine the influence of demographic variables, and provide a preliminary psychometric evaluation of the TDM questionnaire in accordance with the COSMIN (COnsensus-based Standards for the selection of health Measurement Instruments) criteria. Methods: A cross-sectional survey was conducted in Romania between May 2023 and April 2024. The study included dental practitioners recruited during scientific dental conferences and patients recruited from a private dental practice in Alba Iulia, Romania. Eligible participants were adults aged 18 years or older who provided written informed consent and completed the data protection requirements. Individuals younger than 18 years of age or those who did not provide complete informed consent were excluded. Participants completed a 12-item Likert-type questionnaire assessing preferences toward the Trainer–Doctor Model. Results: Both groups showed high TDM preference (practitioners: 43.93 ± 5.56; patients: 44.77 ± 4.84; p = 0.195); 71–76% of responses were high-preference (≥4). Cronbach’s α with reverse-scored items was 0.752/0.651. EFA (KMO = 0.740; Bartlett’s p < 0.001) identified a 3-factor structure, explaining 51.3% of the variance. Patients scored significantly higher on items A (p = 0.002), B (p = 0.022), and F (p = 0.005). Conclusions: Both groups demonstrate a strong, consistent preference for TDM across demographics. The preliminary psychometric evaluation indicates acceptable internal consistency and structural validity; however, further validation, including Delphi-based content validation and confirmatory factor analysis, is required.

HealthcareVol. 14(12)
Universitatea de Medicină, Farmacie, Științe și Tehnologie „George Emil Palade” din Târgu Mureș (RO), Victor Babeș University of Medicine and Pharmacy Timișoara (RO), Vasile Goldis Western University of Arad (RO), 1 Decembrie 1918 University (RO)
Quality Education
Openalex Percentile: Top 5%
Patient-Provider Communication in Healthcare
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