#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Modeling the Theory of Planned Behaviour to predict adherence to preventive dental visits in preschool children


Autoři: Maryam Elyasi aff001;  Hollis Lai aff002;  Paul W. Major aff001;  Sarah R. Baker aff003;  Maryam Amin aff004
Působiště autorů: Orthodontic Graduate Program, School of Dentistry, University of Alberta, Edmonton, Alberta, Canada aff001;  School of Dentistry, University of Alberta, Edmonton, Alberta, Canada aff002;  Academic Unit of Oral Health, Dentistry and Society, University of Sheffield, Sheffield, United Kingdom aff003;  Division of Pediatric Dentistry, University of Alberta, Edmonton, Alberta, Canada aff004
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0227233

Souhrn

Objectives

Dental caries is the most common chronic childhood disease that occurs in a continuum and can be prevented by children and their parents’ adherence to recommended oral health behaviors. Theory-driven tools help practitioners to identify the causes for poor adherence and develop effective interventions. This study examined the Expanded Theory of Planned Behaviour (TPB) Model by adding the concept of Sense of Coherence (SOC) to predict parental adherence to preschooler’s preventive dental visits.

Methods

Data regarding socio-economic demographics were collected from parents of children aged 2–6 years. Constructs of TPB including parental attitudes, subjective norms (SN), Perceived Behavioural Control (PBC), and intention to attend preventive dental visits for their preschoolers were collected by questionnaire, alongside parents’ sense of coherence (SOC). Dental attendance was measured by asking if the child had a regular dental visit during the last year. Structural Equation Modeling Analysis (SEMA) was carried out to identify significant direct and indirect (mediated) pathways in the extended TPB model.

Results

Three hundred and seventy-eight mothers (mean age = 34.41 years, range 22–48) participated in the study. The mean age of children was 3.92 years, range: 2–6), and 75.9% had dental insurance. Results of the final model showed that predisposing factors (child’s birthplace and mother’s birthplace) significantly predicted enabling resources (family monthly income and child’s dental insurance status); both predicted the TPB components (PBC, SN, and attitude). TPB components, in turn, predicted behavioural intention. However, contrary to expectation, intention did not significantly predict dental attendance in the past 12 months. Parent’s SOC significantly predicted TPB components and dental attendance. Overall, 56% of the variance in dental attendance was explained by the expanded TPB model.

Conclusions

The expanded TPB model explained a great deal of variance in preschooler’s dental attendance. These findings suggest that the expanded model could be used as the framework for designing interventions or strategies to enhance dental attendance among preschoolers; in particular, such strategies should focus specifically on enhancing parental SOC including empowerment.

Klíčová slova:

Behavior – Behavioral and social aspects of health – Insurance – Mothers – Oral health – Oral medicine – Parenting behavior – Teeth


Zdroje

1. Kirschstein RL, Slavkin HC. Oral Health in America: A Report of the Surgeon General [Internet]. 2000. http://www.nidcr.nih.gov/DataStatistics/SurgeonGeneral/Documents/hck1ocv.@www.surgeon.fullrpt.pdf

2. Ashkenazi M, Bidoosi M, Levin L. Factors associated with reduced compliance of children to dental preventive measures. Odontology. 2012;100(2):241–8. doi: 10.1007/s10266-011-0034-1 21698350

3. Pierce KM, Rozier RG, Vann WF. Accuracy of Pediatric Primary Care Providers’ Screening and Referral for Early Childhood Caries. Pediatrics [Internet]. 2002;109(5):e82–e82. Available from: http://pediatrics.aappublications.org/cgi/doi/10.1542/peds.109.5.e82 11986488

4. "Canadian Institute for Health Information. Treatment of Preventable Dental Cavities in Preschoolers: A Focus on Day Surgery Under General Anesthesia. Ottawa, ON. 2013"

5. American Academy of Pediatric Dentists. Policy on the dental home. Pediatr Dent. 2015;30(7 Suppl):22–3.

6. Harris R, Nicoll AD, Adair PM, Pine CM, Harris R V. Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health. 2004;21:71–85. 15072476

7. Badri DDS P, Saltaji DDS H, Flores-Mir DDS C, Amin DMD M. Factors affecting children’s adherence to regular dental attendance. J Am Dent Assoc [Internet]. 2014 [cited 2016 Jul 19];145(8):817–28. Available from: http://jada.ada.org

8. Yu SM, Bellamy HA, Kogan MD, Dunbar JL, Schwalberg RH, Schuster MA. Factors that influence receipt of recommended preventive pediatric health and dental care. Pediatrics [Internet]. 2002;110(6):e73. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12456940\nhttp://pediatrics.aappublications.org/content/110/6/e73.full.pdf 12456940

9. Sabaté E. Adherence to long-term therapies: evidence for action. World Heal Organ [Internet]. 2003; http://apps.who.int/iris/bitstream/10665/42682/1/9241545992.pdf

10. Weatherwax J, Bray K, Williams K, Gadbury-Amyot C. Exploration of the relationship between parent/guardian sociodemographics, intention, and knowledge and the oral health status of their children/wards enrolled in a Central Florida Head Start Program. Int J Dent Hyg. 2015;13(1):49–55. doi: 10.1111/idh.12097 25040842

11. Van den Branden S.; Van den Broucke S.; Leroy R.; Declerck D.; Hoppenbrouwers K. Measuring determinants of oral health behaviour in parents of preschool children. Community Dent Health. 2013;30(1):19–25. 23550502

12. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.

13. Scheerman JFM, van Loveren C, van Meijel B, Dusseldorp E, Wartewig E, Verrips GHW, et al. Psychosocial correlates of oral hygiene behaviour in people aged 9 to 19—a systematic review with meta-analysis. Community Dent Oral Epidemiol. 2016;331–41. doi: 10.1111/cdoe.12224 26952723

14. Dumitrescu AL, Wagle M, Dogaru BC, Manolescu B. Modeling the theory of planned behavior for intention to improve oral health behaviors: the impact of attitudes, knowledge, and current behavior. J Oral Sci. 2011;53(3):369–77. doi: 10.2334/josnusd.53.369 21959666

15. Luzzi L, Spencer AJ. Factors influencing the use of public dental services: an application of the Theory of Planned Behaviour. BMC Health Serv Res. 2008;8:93. doi: 10.1186/1472-6963-8-93 18445298

16. Anderson CN, Noar SM, Rogers BD. The Persuasive Power of Oral Health Promotion Messages: A Theory of Planned Behavior Approach to Dental Checkups Among Young Adults. Health Commun. 2012;(January 2013):1–10.

17. Buunk-Werkhoven YAB, Dijkstra A, Van Der Schans CP. Determinants of oral hygiene behavior: A study based on the theory of planned behavior. Community Dent Oral Epidemiol. 2011;39(3):250–9. doi: 10.1111/j.1600-0528.2010.00589.x 21070323

18. Rich A, Brandes K, Mullan B, Hagger MS. Theory of planned behavior and adherence in chronic illness: a meta-analysis. J Behav Med [Internet]. 2015;38(4):673–88. Available from: http://dx.doi.org/10.1007/s10865-015-9644-3 25994095

19. Da Silva AN, Mendonça MH, Vettore MV. The association between low-socioeconomic status mother’s Sense of Coherence and their child’s utilization of dental care. Community Dent Oral Epidemiol. 2011;39(2):115–26. doi: 10.1111/j.1600-0528.2010.00576.x 21029146

20. Antonovsky A. Unraveling the mystery of health: how people manage stress and stay well. San Francisco: Jossey-Bass; 1987. 218 p.

21. Freire M, Hardy R SA. Mothers’ sense of coherence and their adolescent children’s oral health status and behaviours. Community Dent Health. 2002;19(1):24–31. 11922408

22. Elyasi M, Abreu LG, Badri P, Saltaji H, Flores-Mir C, Amin M. Impact of Sense of Coherence on Oral Health Behaviors: A Systematic Review. PLoS One. 2015;10(8).

23. Elyasi M, Lucas DDS, Abreu G, Olsen C, Baker DDSSR, Lai AH. Parent ‘ s Sense of Coherence and Children ‘ s Oral Health-Related Behaviors: Is There an Association? (1):23–9.

24. Perazzo MF, Gomes MC, Neves ÉT, Martins CC, Paiva SM, Granville-Garcia AF. Oral health-related quality of life and sense of coherence regarding the use of dental services by preschool children. Int J Paediatr Dent. 2017;27(5):334–43. doi: 10.1111/ipd.12266 27598691

25. Gomes MC, Dutra LC, Costa EMMB, Paiva SM, Granville-Garcia AF MC. Influence of sense of coherence on oral health-related quality of life: a systematic review. 2018;1973–83.

26. Locker D, Clarke M, Murray H. Oral health status of Canadian-born and immigrant adolescents in North York, Ontario. Community Dent Oral Epidemiol. 1998;26:177–81. doi: 10.1111/j.1600-0528.1998.tb01947.x 9669596

27. Ajzen I. Constructing a theory of planned behavior questionnaire. Biofeedback and selfregulation [Internet]. 2010;17:1–7. Available from: http://www.people.umass.edu/aizen/tpb.html

28. Kline RB. Principles and practice of structural equation modeling (2nd ed.). Methodology in the social sciences. 2005. xviii, 366.

29. Brown TA. Confirmatory factor analysis for applied research. New York, NY, US Guilford Press. 2014;

30. Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model. 1999;6(1):1–55.

31. Amin M, Perez A, Nyachhyon P. Barriers to utilization of dental services among low income families in Alberta. J Can Dent Assoc [Internet]. 2014; Available from: http://www.jcda.ca/article/e51

32. Hallberg U, Camling E, Zickert I, Robertson A, Berggren U. Dental appointment no-shows: Why do some parents fail to take their children to the dentist? Int J Paediatr Dent. 2008;18(1):27–34. doi: 10.1111/j.1365-263X.2007.00867.x 18086023

33. Holde GE, Baker SR, Jönsson B. Periodontitis and quality of life: What is the role of socioeconomic status, sense of coherence, dental service use and oral health practices? An exploratory theory-guided analysis on a Norwegian population. J Clin Periodontol. 2018;45(7):768–79. doi: 10.1111/jcpe.12906 29681132

34. Armitage CJ, Conner M. E Y cacy of the Theory of Planned Behaviour: A meta-analytic review. Br J Soc Psychol. 2001;40:471–99. doi: 10.1348/014466601164939 11795063

35. Conner Mark and Norman P. Predicting health behaviour: research and practice with social cognition models. McGraw-Hill Education; 2005.

36. Van de Mortel TF. Faking it: social desirability response bias in self- report research report research. Aust J Adv Nurs. 2008;25(4):40–8.

37. Sheeran P. Intention—Behavior Relations: A Conceptual and Empirical Review. Eur Rev Soc Psychol. 2002;12(1):1–36.

38. Pakpour AH, Hidarnia A, Hajizadeh E, Plotnikoff RC. Action and coping planning with regard to dental brushing among Iranian adolescents. Psychol Heal Med. 2012;17(2):176–87.


Článek vyšel v časopise

PLOS One


2020 Číslo 1
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

KOST
Koncepce osteologické péče pro gynekology a praktické lékaře
nový kurz
Autoři: MUDr. František Šenk

Sekvenční léčba schizofrenie
Autoři: MUDr. Jana Hořínková

Hypertenze a hypercholesterolémie – synergický efekt léčby
Autoři: prof. MUDr. Hana Rosolová, DrSc.

Svět praktické medicíny 5/2023 (znalostní test z časopisu)

Imunopatologie? … a co my s tím???
Autoři: doc. MUDr. Helena Lahoda Brodská, Ph.D.

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#