Professor Ruth E Freeman

Professor of Dental Public Health Research, Hon Consultant in DPH

Address:

Division of Oral Health Sciences
Dental Hospital & School
Park Place
Dundee DD1 4HR

Phone Number:

+44 (0)1382381 717

Email Address:

r.e.freeman@dundee.ac.uk

Ruth Freeman qualified in dentistry in 1979 at The Queen’s University of Belfast. Under the tutelage of Professor Neil Swallow, she completed her PhD in 1983.  She studied at the University of London where she completed her training in Dental Public Health.  She is a Member of the British Psychoanalytic Council and a Fellow of the Faculty of Public Health, Royal College of Physicians (UK).  Ruth worked as a lecturer in Dental Public Health and Dental Practice at University College London with Professor Aubrey Sheiham before returning to Queen’s University of Belfast where she was Professor of Dental Public Health.  She is currently Professor of Dental Public Health Research and Honorary Consultant in Dental Public Health. She is Director of the Oral Health and Health Research Programme and with Professor Jan Clarkson is Co-Director of the Dental Health Services Research Unit at the University of Dundee.

The Oral Health and Health Research Programme forms one of the major research themes within DHSRU. This Programme of research uses the MRC framework for complex interventions as a structure from which the research evidence is systematically reviewed, modelling of change theory conducted and feasibility trials piloted. The research programme is underpinned by psychodynamic principles and uses a mixed methods approach. The purpose of this research programme is to reduce health inequality by addressing oral health as an indication and predictor of health and psycho-social functioning. Researching the evidence-base and using a mixed methods approach ensures that by understanding people’s main concerns will permit tailoring and achieve engagement with health interventions for those from socially excluded groups. It achieves this aim by providing high quality research and being successful in securing CSO funding, Research Council funding and grant income from the Scottish Government Health Department.

Current research within the Oral Health and Health Research Programme includes:

  • Developing an inventory to Assess Parental concerns and Enable child dental Registration (DAPER): Funded by Childsmile Programme: SGHD. [Post-Doc Research Fellow: Dr S Nanjappa]
  • Smile4Life - Developing, implementing and evaluating an oral health preventive programme for homeless populations across Scotland: funded by SGHD. [Research Fellow: E. Coles]
  • Scottish Oral Health Improvement Prison Programme (SOHIPP): Developing, implementing and evaluating an oral health preventive programme for prison populations across Scotland: funded by SGHD. [Senior Research Fellow: TBA: Research Assistant T. Akbar]
  • Developing an intervention to evaluate a context-based, teacher-led dietary programme to promote healthier snacking behaviour in school children: funded by CSO. [CSO Post-Doctoral Fellow and PI: Dr S Chambers]
  • Childhood obesity and childhood dental caries: an investigation into mediating and moderating factors: funded by NES. [Clinical Lecturer and StR in Dental Public Health: S Carson]
  • Cope-a-lot-Scot: Exploring the feasibility of conducting a randomised controlled trial to test the impact of a computer assisted on-line cognitive behaviour therapy intervention for child dental anxiety: funded by CSO. [Research Fellow: TBA]
  • Stories at the Dentist: Research in the Wild 2012: funded by EPSRC [with Professor A Waller: PI: Research Assistant TBA]

Director of the Undergraduate Programme on Dental Public Health, Behavioural Sciences and Communication.

Professor Freeman leads the development and delivery of the Masters in Dental Public Health.

Duane, BG, Freeman, R, Richards, D, Crosbie, S, Patel, D, White, S & Humphris, G 2017, 'Using the simplified case mix tool (sCMT) to identify cost in special care dental services to support commissioning' Community Dental Health, vol 34, no. 1, pp. 56-59 . DOI: 10.1922/CDH_4012Duane04

Bernabe, E, Humphris, G & Freeman, R 2017, 'The social gradient in oral health: Is there a role for dental anxiety?' Community Dentistry and Oral Epidemiology. DOI: 10.1111/cdoe.12297

Rutter, J, Cunningham, K, Holmes, R, Maguire, A, Innes, N, Douglas, G, Clarkson, J, Freeman, R, McColl, E, Robertson, M & Marshman, Z 2017, 'FiCTION Filling Children’s Teeth: Indicated or Not? Integrating Qualitative Research' Paper presented at International Association for Dental Research General Session, San Francisco, United States, 22/03/17 - 25/03/17, .

Cinar, AB, Jones, C, Richards, D, Fernandes, F, White, P & Freeman, R 2017, 'PeP-SCOT a health coaching intervention for people in prisons: the development of the intervention protocol' Community Dental Health, vol 34, no. 2, pp. 97-101. DOI: 10.1922/CDH_4019Cinar05

Hally, J, Freeman, R, Yuan, S & Humphris, G 2017, 'The importance of acknowledgement of emotions in routine patient psychological assessment: The example of the dental setting' Patient Education and Counseling. DOI: 10.1016/j.pec.2017.05.005

Carson, SJ & Freeman, R 2017, 'Just a Tale of Two Cities? - using data linkage to look at inequalities in the dental caries experience of 5-year old children in Tayside' British Association for the Study of Community Dentistry Spring 2017 Scientific Meeting, Oxford, United Kingdom, 6/04/17 - 7/04/17, .

Almondes, N, Downie, D, Cinar, AB, Richards, D & Freeman, R 2017, 'Is health coaching effective in changing the health status and behaviour of prisoners?-a systematic review protocol' Systematic Reviews, vol 6, 127. DOI: 10.1186/s13643-017-0524-5

Stefani, G, Kronberga, I, Sile, S, Bisi, R, Sette, R, Gregori, E, Distaso, M & Freeman, R 2016, Alternatives to imprisonment in Europe: increasing understanding and promoting implementation: Guidance. Reducing Prison Population: advanced tools of justice in Europe, no. JUST/2013/JPEN/AG/4489, Associazione Comunità Papa Giovanni XXIII, Rimini.

Quinn, S, Herron, D, Menzies, R, Scott, L, Black, R, Zhou, Y, Waller, A, Humphris, G & Freeman, R 2016, 'The Video Interaction Guidance approach applied to teaching communication skills in dentistry' European Journal of Dental Education, vol 20, no. 2, pp. 94-101. DOI: 10.1111/eje.12146

Beaton, L & Freeman, R 2016, 'Oral health promotion and homelessness: a theory-based approach to understanding processes of implementation and adoption' Health Education Journal, vol 75, no. 2, pp. 184-197., 10.1177/0017896915571144

Freeman, R & Lloyd, G 2016, 'Alternatives to imprisonment in Scotland: policy, strategy and practice' Criminology, Victimology and Security Review, vol 10, no. 3, pp. 60-72. DOI: 10.14664/rcvs/635

Beaton, L, Coles, E, Rodriguez, A & Freeman, R 2016, 'Exploring the benefits of Smile4life training: findings from a pilot study' Community Practitioner, vol 89, no. 10, pp. 40-45, 47.

Coles, E & Freeman, R 2016, 'Exploring the oral health experiences of homeless people: a deconstruction-reconstruction formulation' Community Dentistry and Oral Epidemiology, vol 44, no. 1, pp. 53-63., 10.1111/cdoe.12190

Freeman, R, Gibson, B, Humphris, G, Leonard, H, Yuan, S & Whelton, H 2016, 'School-based health education programmes, health-learning capacity and child oral health-related quality of life' Health Education Journal, vol 75, no. 6, pp. 698-711. DOI: 10.1177/0017896915612856

Beaton, L & Freeman, R 2016, 'Oral health promotion and homelessness: A theory-based approach to understanding processes of implementation and adoption' Health Education Journal, vol 75, no. 2, pp. 184-197., 10.1177/0017896915571144

Yuan, S, Carson, SJ, Rooksby, M, McKerrow, J, Lush, C, Humphris, G & Freeman, R 2016, 'Does dental undergraduate education and postgraduate training enable intention to provide inhalation sedation in primary dental care?: A path analytical exploration' European Journal of Dental Education., 10.1111/eje.12200

Stefani, G, Freeman, R & Lloyd, G 2016, Alternatives to imprisonment in Europe: promising practices and tools: a training package. Reducing Prison Population: advanced tools of justice in Europe, no. JUST/2013/JPEN/AG/4489, Associazione Comunità Papa Giovanni XXIII, Rimini.

Ekins, R & Freeman, R (eds) 2015, Selected Writings: Anna Freud. London.

Carson, SJ & Freeman, R 2015, ' Training and fairer payments would increase caries prevention in practice ' Evidence-Based Dentistry , vol 16, no. 1, pp. 6-7., 10.1038/sj.ebd.6401072

Freeman, R 2015, ' Storytelling, sugar snacking, and toothbrushing rules: a proposed theoretical and developmental perspective on children's health and oral health literacy ' International Journal of Paediatric Dentistry , vol 25, no. 5, pp. 339-348., 10.1111/ipd.12188

Beaton, L & Freeman, R 2015, ' Oral health promotion and homelessness: a theory-based approach to understanding processes of implementation and adoption ' University of Dundee. College of Medicine, Dentistry and Nursing Research Symposium 2015, Crieff, United Kingdom, 26/02/15 - 27/02/15 , .

Yuan, S , Carson, SJ , Rooksby, M, McKerrow, J, Lush, C & Freeman, R 2015, ' Assessing sedation need and managing referred dentally anxious patients: is there a role for the Index of Sedation Need? ' British Dental Journal , vol 219, no. 12, pp. 571-576., 10.1038/sj.bdj.2015.955

Rooksby, M, Elouafkaoui, P, Humphris, G , Clarkson, J & Freeman, R 2015, ' Internet-assisted delivery of cognitive behavioural therapy (CBT) for childhood anxiety: systematic review and meta-analysis ' Journal of Anxiety Disorders , vol 29, pp. 83-92., 10.1016/j.janxdis.2014.11.006

Freeman, R 2015, ' Commentary on "Characteristics of patients attending for cognitive behavioural therapy at one UK specialist unit for dental phobia and outcomes of treatment" by E. Kani et al., British Dental Journal (2015), Vol. 219 (10), pp.501-506. ' British Dental Journal , vol 219, no. 10, pp. 506., 10.1038/sj.bdj.2015.890

Fernandes, F, McConnachie, T , Carson, S , Kennedy, J , Freeman, R , Laidlaw, A & Humphris, G 2015, ' An exploration of inter-professional learning with nursing, medical and dental students engaging with marginalised groups in experiential communication skills teaching ' 5th National Scottish Medical Education Conference - Delivering Professionalism and Excellence in Scottish Medicine, Edinburgh, United Kingdom, 27/04/15 - 28/04/15 , .

Pages

Conference Presentations

Freeman., R., Chambers, S., Nanjappa, S., Fulke, S., and Lindsay, R. (2012) The Chatterbox intervention to enable children dental registration and attendance: Collaboration between dentistry and design.  Faculty of Public Health Conference, 8-9 November, Crieff.

Freeman., R., Nanjappa, S., Chambers, S., Fulke, S., and Lindsay, R. (2012) Chatterbox: Customising services around dental health care.  Childsmile Symposium, 19 September, Glasgow.

Conference Extract

 Herron, D., Menzies, R., Waller, A.,  Black, R., Quinn, S., Freeman, R., Zhou, Y., Humphris, G., Scott, L., Elliott, G. Involving Clinical Staff in the design of a support tool to improve dental communication for patients with intellectual disabilities. 16th Biennial Conference of ISAAC, July 19-24, 2014, Lisbon, Portugal. https://www.isaac-online.org/english/conference-2014/ 

Invited talks: 2006-2012

  1. Freeman R. Fruit juice, diet drinks and alcopops: strategies for erosion prevention. European Academy of Paediatric Dentistry. Amsterdam. The Netherlands. 2006
  2. Freeman R. Profile of a dentist in the oral health care team in countries with emerging economies. DentEd III. Krakow, Poland, 2006.
  3. Freeman R. Dental anxiety and dental phobia: identification and management. Annual Meeting of the Finnish Dental Association. Helsinki. Finland, 2006.
  4. Freeman R. Oral health care team in countries with emerging economies. DentEd III. Dublin, Ireland, 2007
  5. Freeman R. Dentistry and Psychoanalysis: strange bedfellows? University of Oulu, Oulu, Finland, 2008
  6. Freeman R. Improving compliance: understanding and encouraging patient motivation. GSK-sponsored Symposium: International Association for Dental Research Miami, Florida 2009
  7. Freeman R. Development of the millennium oral health goals 2020: a theoretical and historical perspective National Symposium: ‘Millennium Oral Health Goals 2020: Revisiting the Road Map. University of Malaya, Kuala Lumpar 2009
  8. Freeman R. The progress of the millennium global oral health goals in Scotland: how are the marginalized groups affected? National Symposium: ‘Millennium Oral Health Goals 2020: Revisiting the Road Map. University of Malaya, Kuala Lumpar 2009
  9. Freeman R. Differentiating dental phobia from dental anxiety: strategies for dental practice. ‘Health and Society’ External Seminar Series, University of Bristol. Bristol. 2009
  10. Freeman R. Doing Best for Children: An emerging grounded theory of parents’ policing strategies to regulate between-meal snacking. Food, Oral Health and Social Interaction Workshop, Warwick Medical School, University of Warwick. 2010.
  11. Freeman, R. Adhering with Childsmile: effects of maternal identity and social networks. University of Newcastle, Ourimbah NSW, Australia. 2012
  12. Freeman, R. Access to dental healthcare for socially excluded groups. BASCD Spring Presidential Meeting, London. 2012
  13. Freeman R. Managing dental anxiety: effective communication in dental practice. Oral Health and Communication Symposium. European Association for Communication and Health. University of St Andrews, St Andrews, 2012.
  14. Freeman R. From maternal concerns to the Chatterbox intervention: exploring adherence and increasing access to Childsmile Practice. Childsmile Symposium. University of Glasgow, Glasgow, 2012
  15. Freeman R. Differentiating dental anxiety from dental phobia: referral criteria for dentally anxious children and their parents? British Society of Paediatric Dentistry. Glasgow. 2012
  16. Freeman R. Behavioural aspects of health in the 21st century. British Association for the Study of Community Dentistry. Spring Presidential Meeting, Buxton. 2013
  17. Freeman R. The changing paradigm: a patient-centred approach for older people. NHS Education for Scotland: Dental Team Discovery Day Series. Dundee. 2013
  18. Freeman R. Occupational stress and depression. Northern Ireland Medical & Dental Training Agency: Let’s Talk Series. Belfast 2014
  19. Freeman R. Frightened of the Dentist: Dental observations and psychoanalytic explanations. Fife Psychiatric Teachin: Summer 2014. Cupar 2014
  20. Freeman R. Oral Health & Homelessness: an agenda for engagement? Homeless Action Scotland. NASUWT Edinburgh 2014
  21. Freeman R. Phobic services: who needs them? National Association for Dentistry in Health Authorities and Trusts, BDA London. 2014

Published Reports 2006-2012

  1. Chambers S, Turner S, Freeman R. Special Smiles Dental Project. Evaluation Report and Executive Summary. Dundee. DHSRU. 2009
  2. Chambers S, Freeman R. Developing an inventory to Access Parental concerns and Enable child dental Registration (DAPER 1): a qualitative exploration. Dundee. DHSRU. 2010
  3. Chambers S, Freeman R. Developing an inventory to Access Parental concerns and Enable child dental Registration (DAPER 2): A validity and reliability study of the Parental Dental Concerns Scale. Dundee. DHSRU. 2011
  4. Freeman, R., Wanyonyi, L.K., Humphris, G., Wright, A. The preliminary development of a Communication, cues and framing MIXed methods research programme to promote motivation and compliance for fluoride toothpaste use. ComMIX Interim Report. Dundee. DHSRU. 2010
  5. Chan, K.P.S., Bonner, B.C., and Freeman, R.E. NHS Highland: Modelling orthodontic treatment needs. Dundee. DHSRU. 2011
  6. Freeman R, Lush C. Richards D. Effectiveness, efficiency, sustainability, acceptability and cost of dental therapist-hygienists working in remote-rural primary dental care. Dundee. DHSRU. 2012