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Wong YT, Morrison SC. Health Promotion Models for Improving Footcare in Older Adults: A Scoping Review. Gerontology 2024:1-16. [PMID: 38636462 DOI: 10.1159/000538868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 04/05/2024] [Indexed: 04/20/2024] Open
Abstract
INTRODUCTION Footcare is an important component of wellbeing in older adults and the promotion of appropriate footcare interventions is imperative for health professionals working with this population. In this scoping review, we describe the health promotion models informing footcare interventions for older adults. The objectives were to (i) understand the context(s) where health promotion models have informed footcare interventions; (ii) identify the health promotion models informing interventions; and (iii) document the effectiveness of theoretically informed health promotion interventions for improving footcare in older adults. METHODS Footcare interventions developed using health promotion models worldwide and published in English before July 2023 were searched using MEDLINE, Embase, CINAHL, Cochrane Library, and Google Scholar. RESULTS A total of 2,078 articles were identified, of which 31 were retrieved and assessed for eligibility. Eight articles met the eligibility criteria, with most interventions delivered in Asia (n = 5) and using self-efficacy theory as their theoretical framework (n = 6). Most of the studies included people with diabetes (n = 6) and outcomes were measured using foot health outcomes, knowledge of foot health, and footcare behaviors and self-efficacy. CONCLUSION This scoping review has identified a range of footcare interventions, with evidence of promising outcomes on improving footcare in older adults. Approaches toward methods and dosage of intervention varied across the studies and more broadly, we identified that few studies report the health promotion model informing the design of intervention(s). Further research is required to ascertain which health promotion model, modality of promotion, and implementation approach are the most effective for improving footcare in older adults.
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Affiliation(s)
- Yuen-Ting Wong
- Department of Population Health Sciences, School of Life Course and Population Sciences, King's College London, London, UK
| | - Stewart C Morrison
- Department of Population Health Sciences, School of Life Course and Population Sciences, King's College London, London, UK
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Liang L, Sheng Y, Wang M, Li X, Cheng Z. Effectiveness of internet-based nursing interventions for the treatment of patients with periodontitis. BMC Oral Health 2024; 24:386. [PMID: 38532397 PMCID: PMC10964612 DOI: 10.1186/s12903-024-04147-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2024] [Accepted: 03/14/2024] [Indexed: 03/28/2024] Open
Abstract
BACKGROUND Periodontitis, one of the most common oral diseases, is a chronic inflammatory condition occur in response to bacterial plaque biofilms. Plaque control and oral hygiene instructions are the most widely used and effective nonsurgical treatment for periodontitis, which is based on a partnership between patient and clinician and requires a life-long commitment. The objective of this study was to analyze the effectiveness of internet-based nursing interventions for the treatment of patients with periodontitis. The findings from this study may help to enhance the therapeutic outcomes for patients with periodontitis. METHODS A total of 80 patients with periodontitis treated in Zhejiang Province Stomatology hospital from December 2021 to January 2023 were randomly selected and divided into control group and intervention group with 40 cases each. The control group was given routine oral health guidance and the intervention group received internet based nursing intervention. The periodontal pocket depth, percentage of periodontal pocket depth (PD) ≥ 4 mm, bleeding on probing (BOP)%, and self-efficacy scale for oral health care (SESS) were assessed and compared at four time points: initial visit, 6-8-weeks follow-up, 3-months follow-up, and 6-months follow-up. RESULTS There was no significant difference between the two groups in terms of age, gender, initial visit PD, initial visit PD ≥ 4 mm (%), initial visit BOP (%), and initial visit SESS (P > 0.05). The intervention group showed a significantly decreased percentage of PD ≥ 4 mm at 6-8 weeks and 6-months follow-up compared to the control group (P < 0.05). The PD, BOP%, and SESS scores of the intervention group were significantly better than those of the control group at 6-months follow-up (P < 0.05). There was no statistically significant difference in patient satisfaction between the two groups. CONCLUSIONS This study confirmed that the internet-based nursing intervention in conjunction with periodontal treatment was able to improve the periodontal pocket depth, gingival bleeding and the level of self-efficacy of patients, suggesting that it is necessary to carry out the extended oral hygiene instructions via internet-based platforms for the patients in clinical practice.
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Affiliation(s)
- Lihua Liang
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Hangzhou, Zhejiang, China
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, Zhejiang, China
| | - Yiwen Sheng
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Hangzhou, Zhejiang, China
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, Zhejiang, China
| | - Mengli Wang
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Hangzhou, Zhejiang, China
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, Zhejiang, China
| | - Xiaojun Li
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Hangzhou, Zhejiang, China.
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, Zhejiang, China.
| | - Zijian Cheng
- Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Hangzhou, Zhejiang, China.
- Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, Zhejiang, China.
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Muñoz-Sepúlveda F, Acevedo C, Mariño R, Sanzana-Luengo C, Navarro P, Beltrán V. Translation and validation into Spanish of the oral health self-efficacy scale in Chilean older adults. BMC Oral Health 2024; 24:118. [PMID: 38245718 PMCID: PMC10799359 DOI: 10.1186/s12903-024-03889-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Accepted: 01/12/2024] [Indexed: 01/22/2024] Open
Abstract
BACKGROUND Population ageing poses a challenge to improving the well-being of older adults, particularly in terms of oral health. Promoting self-efficacy in oral health behaviours is crucial for maintaining this population's health and quality of life. The Oral Health Self-Efficacy Scale (OHSES) has been widely used to assess dental self-efficacy and is considered comprehensive and reliable. However, there is a need to validate OHSES for Spanish-speaking older adults. This study aimed to assess the reliability and validity of the translated questionnaire for use in the older Chilean population. METHODS A sample of 188 older adults, aged 60 years and above residing independently in the community, were recruited by accessing databases from the National Senior Citizen Service and various community organisations within the region of La Araucanía. The participants underwent comprehensive oral examinations and oral health interviews, focusing on variables such as OHSES, Oral health-related quality of life (OHIP-14Sp), assessment of remaining teeth, knowledge and attitudes toward oral health, and sociodemographic characteristics. The validity of the translated questionnaire was assessed through translation and cross-cultural adaptation, cognitive debriefing, and face and content validation. The psychometric properties of the questionnaire were evaluated through measures of internal consistency (Cronbach's alpha), content validity (Content validity index), construct validity (factor analysis and Pearson correlation analysis), and test-retest reliability (intraclass correlation). RESULTS The Spanish version of OHSES demonstrated adequate face and content validity. The confirmatory factor analysis confirmed a two-factor scale with 7 items for a better fit. The scale demonstrated high internal consistency (Cronbach's alpha = 0.821) and acceptable test-retest reliability (ICC = 0.411). Correlations were found between the OHSES score, the number of remaining teeth, knowledge and attitudes towards oral health, and the OHIP-14Sp (p < 0.01). CONCLUSIONS This study confirms the validity of the Spanish version of the Oral Health Self-Efficacy Scale for older adults in Chile. The scale is expected to be helpful in assessing self-efficacy in dental interventions and collecting data for international comparisons. This research opens new dimensions in patient-reported assessment of oral health.
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Affiliation(s)
- Fernanda Muñoz-Sepúlveda
- Master Program in Dental Science, Dental School, Universidad de La Frontera, Temuco, 4811230, Chile
- Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, 4811230, Chile
- Interuniversity Center for Healthy Aging (CIES), Santiago, Chile
| | - Claudia Acevedo
- Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, 4811230, Chile
| | - Rodrigo Mariño
- Melbourne Dental School, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, VIC, 3010, Australia
- Center for Research in Epidemiology, Economics and Oral Public Health (CIEESPO), Dental School, Universidad de La Frontera, Temuco, 4811230, Chile
| | - Cristina Sanzana-Luengo
- Postgraduate Program in Oral Rehabilitation, Dental School, Universidad de La Frontera, Temuco, 4811230, Chile
| | - Pablo Navarro
- Research Center for Dental Sciences (CICO), Dental School, Universidad de La Frontera, Temuco, 4811230, Chile
- Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Temuco, 4811230, Chile
| | - Víctor Beltrán
- Clinical Investigation and Dental Innovation Center (CIDIC), Dental School and Center for Translational Medicine (CEMT-BIOREN), Universidad de La Frontera, Temuco, 4811230, Chile.
- Interuniversity Center for Healthy Aging (CIES), Santiago, Chile.
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Mueller M, Schorle S, Vach K, Hartmann A, Zeeck A, Schlueter N. Relationship between dental experiences, oral hygiene education and self-reported oral hygiene behaviour. PLoS One 2022; 17:e0264306. [PMID: 35202439 PMCID: PMC8870456 DOI: 10.1371/journal.pone.0264306] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Accepted: 02/07/2022] [Indexed: 12/17/2022] Open
Abstract
Many preventive approaches in dentistry aim to improve oral health through behavioural instruction or intervention concerning oral health behaviour. However, it is still unknown which factors have the highest impact on oral health behaviours, such as toothbrushing or regular dental check-ups. Various external and internal individual factors such as education, experience with dentists or influence by parents could be relevant. Therefore, the present observational study investigated the influence of these factors on self-reported oral heath behaviour. One hundred and seventy participants completed standardized questionnaires about dental anxiety (Dental Anxiety Scale (DAS), and dental self-efficacy perceptions (dSEP)). They also answered newly composed questionnaires on oral hygiene behaviours and attitudes, current and childhood dental experiences as well as parental oral hygiene education and care. Four independent factors, namely attitude towards oral hygiene, attitude towards one's teeth, sense of care and self-inspection of one's teeth were extracted from these questionnaires by rotating factor analysis. The results of the questionnaires were correlated by means of linear regressions. Dental anxiety was related to current negative emotions when visiting a dentist and negative dental-related experiences during childhood. High DAS scores, infantile and current negative experiences showed significant negative correlations with the attitude towards oral hygiene and one's teeth. Dental anxiety and current negative dental experiences reduced participants' dental self-efficacy perceptions as well as the self-inspection of one's teeth. While parental care positively influenced the attitude towards one's teeth, dental self-efficacy perceptions significantly correlated with attitude towards oral hygiene, self-inspection of one's teeth and parental care. Dental anxiety, dental experiences, parents' care for their children's oral hygiene and dental self-efficacy perceptions influence the attitude towards oral hygiene and one's own oral cavity as well as the autonomous control of one's own dental health. Therefore, oral hygiene instruction and the development of patient-centred preventive approaches should consider these factors.
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Affiliation(s)
- Maxi Mueller
- Faculty of Medicine, Division for Cariology, Department of Operative Dentistry and Periodontology, Medical Center—University of Freiburg, Freiburg, Germany
| | - Sarah Schorle
- Faculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, University of Freiburg, Freiburg, Germany
| | - Kirstin Vach
- Faculty of Medicine, Institute of Medical Biometry and Statistics, Medical Center—University of Freiburg, Freiburg, Germany
| | - Armin Hartmann
- Faculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, University of Freiburg, Freiburg, Germany
| | - Almut Zeeck
- Faculty of Medicine, Department of Psychosomatic Medicine and Psychotherapy, University of Freiburg, Freiburg, Germany
| | - Nadine Schlueter
- Faculty of Medicine, Division for Cariology, Department of Operative Dentistry and Periodontology, Medical Center—University of Freiburg, Freiburg, Germany
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González-Olmo MJ, Lacomba-Trejo L, Delgado-Ramos B, Romero-Maroto M, Carrillo-Diaz M. Scale of self-efficacy in oral hygiene (OHSE): analysis of psychometric properties in Spain. Acta Odontol Scand 2022; 80:427-432. [PMID: 35044882 DOI: 10.1080/00016357.2022.2027515] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
AIM Oral self-efficacy has been shown to be an important variable in predicting successful treatment, preventing health risks and encouraging health-promoting behaviour. In the context of oral health, it is of paramount importance to facilitate the use of the Oral Hygiene Self-Efficacy Scale (OHSE) in clinical practice. The aim of this study was to analyze the psychometric properties of the OHSE scale in a sample of Spanish adults and offer standards for interpreting the scale. METHOD A sample of 360 people aged from 18 to 75 years was assessed using the OHSE scale. The scale was culturally adapted and translated, reliability tests, construct validity, comparison of means by sex and age group were carried out, and scales for evaluating the responses were prepared. RESULTS After eliminating six items, the reliability and validity analyses showed adequate psychometric properties. There were no differences between sex or age group. CONCLUSION The OHSE scale for a Spanish adult population has sufficient empirical support to be considered a valid and useful instrument with solid psychometric properties and it offers an opportunity for oral health education intervention programs aimed at the adult population.
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Affiliation(s)
| | - Laura Lacomba-Trejo
- Faculty of Psychology Faculty and Speech Therapy, Department of Personality, Assessment and Psychological Treatments, Universitat de València, Valencia, Spain
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Hussain A, Jaimes SB, Crizzle AM. Predictors of self-rated oral health in Canadian Indigenous adults. BMC Oral Health 2021; 21:430. [PMID: 34488726 PMCID: PMC8419983 DOI: 10.1186/s12903-021-01796-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Accepted: 08/31/2021] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES The purpose of this study was to: (1) compare oral health indicators between Indigenous adults and the general population and (2) examine the predictors of poor self-rated oral health in the Indigenous population. METHODS Data from the 2017-2018 cycle of the Canadian Community Health Survey was used and included 943 Indigenous and 20,011 non-Indigenous adults. Independent variables included demographic information, lifestyle behaviours, dental concerns and care utilization, and transportation access. The dependent variable was self-rated oral health. A logistic regression was performed to determine predictors of poor self-rated oral health. RESULTS More than half of the Indigenous sample were aged between 35 and 64 years (57.3%); 57.8% were female. Compared to the general population, the Indigenous group were significantly more likely to have no partner, have less post-secondary education, and have an income of less than $40,000. Almost a fifth of the Indigenous sample self-rated their oral health as poor (18.5%) compared to 11.5% in the general population. Indigenous participants reported significantly poorer general health, had poorer oral care practices, and lifestyle behaviours than the general population (all p < .001). Indigenous adults having poor self-rated oral health was predicted by poorer general health, being a smoker, male, bleeding gums, persistent pain, feeling uncomfortable eating food, avoiding foods, and not seeking regular dental care. CONCLUSIONS There are many predictors of poor self-rated oral health, many of which are preventable. Providing culturally adapted oral health care may improve the likelihood of Indigeneous adults visiting the dentist for preventative care.
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Affiliation(s)
- Ahmed Hussain
- College of Dentistry, University of Saskatchewan, Saskatoon, SK, S7N 5E4, Canada
| | - Sheyla Bravo Jaimes
- School of Public Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada
| | - Alexander M Crizzle
- School of Public Health, University of Saskatchewan, 104 Clinic Place, Saskatoon, SK, S7N 2Z4, Canada.
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Murthy V, Sethuraman KR, Rajaram S, Choudhury S. Predicting denture satisfaction and quality of life in completely edentulous: A mixed-mode study. J Indian Prosthodont Soc 2021; 21:88-98. [PMID: 33835073 PMCID: PMC8061439 DOI: 10.4103/jips.jips_373_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023] Open
Abstract
Aim: The aim of the study was to evaluate the effect of dentist's communication skills and patient's psychological factors in predicting denture satisfaction and quality of life. Settings and Design: Cohort study. Materials and Methods: Patient-related variables were obtained using questionnaires in both pre- and post-intervention phases. In addition to this, in preintervention phase, lacunae in doctor–patient communication were obtained. Based on this, the postgraduates were trained in relevant communication skills required during complete denture treatment. In postintervention phase, the postgraduates were again followed up for continuation or decay of skills. Statistical Analysis: Mixed-mode approach - quantitative and qualitative analysis. Results: Both groups were similar in psychological parameters, personality domains, denture quality and quality of life at baseline. However, there was significant difference in denture satisfaction (P < 0.001) in both the groups. In the experimental group, denture satisfaction was more (80.4%) and quality of life had improved from baseline to 3 months (P = 0.000). Denture satisfaction was associated with self-efficacy (P = 0.002) and the communication skills of the dentist (P = 0.000). Quality of life was associated with the conscientiousness domain of personality (P = 0.049) and the communication skills of the dentist (P < 0.05). Conclusion: Satisfaction and quality of life with dentures were associated with self-efficacy, conscientiousness domain and the communication skills of the dentist. Denture satisfaction can be predicted by dentist communication skills. Therefore, training in communication skills for complete denture patient management and assessment of the psychological profile of the patient could contribute to the effective patient-centered practice to avoid patient dissatisfaction.
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Affiliation(s)
- Varsha Murthy
- Department of Prosthodontics and Crown & Bridge, Sri Venkateshwaraa Dental College, Ariyur, India
| | - K R Sethuraman
- Faculty of Medicine, AIMST University, Bedong, Kedah DarulAman, Malaysia
| | - Shakila Rajaram
- Department of Prosthodontics and Crown and Bridge, Mahatma Gandhi Postgraduate Institute of Dental Sciences, Gorimedu, Pilliyarkuppam, Puducherry, India
| | - Sunayana Choudhury
- Department of Psychiatry, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pilliyarkuppam, Puducherry, India
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Dixit UB, Sehgal PR, Moorthy L, Iyer H. Does maternal tooth brushing-related sef-efficacy predict child's brushing adherence? J Indian Soc Pedod Prev Dent 2021; 39:164-170. [PMID: 34341236 DOI: 10.4103/jisppd.jisppd_370_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Dental plaque is a root cause of dental caries. Effective plaque control in young children can be achieved with twice-daily assisted tooth brushing. Self-efficacy relates to one's confidence in performing a task. Self-efficacy is shown to facilitate the behavior change in treatments for lifestyle diseases. The influence of maternal self-efficacy in children's oral health behaviors is less studied. AIM The aim of this study is to evaluate an association between maternal tooth brushing-related self-efficacy (MTBSE) and child's brushing adherence. SETTINGS AND DESIGN This cross-sectional study was conducted in schools and included 781 mother-child dyads with children between the age group of 2 and 6 years. METHODS Selected mothers were asked to complete the questionnaires on sociodemographic data, mother's oral health knowledge (MOHK), tooth-brushing practices, and MTBSE. Brushing adherence was evaluated as complete adherence if the child followed twice daily assisted brushing using the toothbrush and toothpaste. STATISTICAL ANALYSIS Nonparametric tests were used to compare the variables. Binary logistic regression was used to evaluate the predictors of brushing adherence. RESULTS Complete brushing adherence (assisted brushing with toothbrush and toothpaste at least twice per day) was seen only in 26.9% children. More children with complete brushing adherence were single children (P < 0.001). Children with complete brushing adherence had mothers with significantly higher MTBSE (P < 0.001). The presence/absence of siblings, MOHK, and MTBSE were found to be strong and significant predictors of brushing adherence in children. CONCLUSIONS MTBSE plays a significant role in complete adherence to toothbrushing in children aged 2-6 years.
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Affiliation(s)
- Uma B Dixit
- Department of Pedodontics and Preventive Dentistry, DY Patil University-School of Dentistry, Navi Mumbai, Maharashtra, India
| | - Priyanka R Sehgal
- Department of Pedodontics and Preventive Dentistry, DY Patil University-School of Dentistry, Navi Mumbai, Maharashtra, India
| | - Lakshmi Moorthy
- Department of Pedodontics and Preventive Dentistry, DY Patil University-School of Dentistry, Navi Mumbai, Maharashtra, India
| | - Harikesavan Iyer
- Department of Pedodontics and Preventive Dentistry, DY Patil University-School of Dentistry, Navi Mumbai, Maharashtra, India
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Singh KA, Brennan DS. Use of dental services among middle-aged adults: predisposing, enabling and need variables. Aust Dent J 2021; 66:270-277. [PMID: 33521979 DOI: 10.1111/adj.12828] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 01/20/2021] [Accepted: 01/24/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To examine if making a visit, number of visits and services varied by predisposing (gender, perceived health competence, education, previous relief of pain visit), enabling (dental anxiety, income, social support) and need (perceived need, number of teeth and oral pain) characteristics. METHODS Dental visiting and services data from a sample of middle-aged South Australian adults were collected from 61% of participants at 12-months (n = 603) and 59% after 24-months (n = 583). Visiting over 2-years, mean visits and mean services were analysed by log binomial and Poison regression using the Andersen and Newman model. RESULTS The percentage having a dental visit over 2-years was lower for males than females, prevalence ratio (PR, 95% CI) 0.91 (0.84, 0.99), and for higher than lower dental anxiety, PR = 0.78 (0.62, 0.98). Number of visits was associated with higher than lower income, rate ratio (RR, 95%CI) 1.20 (1.02, 1.41) but lower for those with higher social support, RR = 0.86 (0.74, 0.99). Services were lower for those with higher perceived health competence, RR = 0.72 (0.56, 0.92) but higher for those with perceived needs, RR = 1.22 (1.01, 1.46). CONCLUSIONS While need and cost factors predict dental service use, psychosocial variables such as health competence and social support also need to be considered.
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Affiliation(s)
- K A Singh
- ARCPOH, Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - D S Brennan
- ARCPOH, Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
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Bado FMR, Rebustini F, Azzi RG, Ferreira LCM, Souza GAD, Jamieson L, Mialhe FL. Cross-cultural adaptation and validation of the Self-efficacy Scale to Brush Teeth at Night. CIENCIA & SAUDE COLETIVA 2020; 25:4401-4410. [PMID: 33175049 DOI: 10.1590/1413-812320202511.34162018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 02/17/2019] [Indexed: 11/22/2022] Open
Abstract
This study aims to perform cross-cultural adaptation and validation of the "Self-efficacy scale to brush teeth at night" with a Brazilian adult population. Translation and cross-cultural adaptation to the Brazilian-Portuguese language were done according to the stages recommended in the literature. Construct validity was carried out by mean of exploratory and confirmatory factorial analysis in a sample of 198 adult subjects. The reliability of the instrument was measured by Alpha and Omega indices. The model was observed to have been established as one-dimensional for all indicators, with explained variance of 85.7%; factorial loads between 0.85 and 0.91; and with communalities between 0.72 and 0.83. The goodness of fit of the model shown by the confirmatory model were between 0.98 and 0.99; with factorial loads between 0.85 and 0.93, and regression values between 0.69 and 0.84, all above the minimum indices established for instrument quality. For reliability, the Alpha and Omega values had identical indices of 0.95 showing high levels of reliability of the model. The G-H index replicability was 0.96, indicating the stability of solution in other contexts and samples. We concluded that all indicators represented excellent evidence of scale validity to measure self-efficacy to brush teeth at night.
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Affiliation(s)
- Fernanda Maria Rovai Bado
- Departamento de Ciências da Saúde e Odontologia Infantil, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas (Unicamp). Avenida Limeira 901, Areão. 13414-903 Piracicaba SP Brasil.
| | - Flávio Rebustini
- Escola de Artes, Ciências e Humanidades, Universidade de São Paulo. São Paulo SP Brasil
| | | | | | | | - Lisa Jamieson
- Director Indigenous Oral Health Unit, The University of Adelaide. Adelaide South Australia Australia
| | - Fábio Luiz Mialhe
- Departamento de Ciências da Saúde e Odontologia Infantil, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas (Unicamp). Avenida Limeira 901, Areão. 13414-903 Piracicaba SP Brasil.
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Rachmawati YL, Maharani DA, Oho T. Cross-cultural adaptation and psychometric properties of the Indonesia version of the self-efficacy oral health questionnaire for adolescents. Int J Paediatr Dent 2019; 29:345-351. [PMID: 30710462 DOI: 10.1111/ipd.12472] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2018] [Revised: 01/02/2019] [Accepted: 01/24/2019] [Indexed: 11/29/2022]
Abstract
BACKGROUND Self-efficacy can be interpreted as a self-belief that one has successfully committed to a specific situation or maintained a specific behaviour. AIM We aimed to test the reliability and validity of a cross-cultural adaptation of the self-efficacy oral health (SEOH) questionnaire in the Indonesian language among adolescents and to understand the diverse perspectives of oral health self-efficacy related to gender. DESIGN A cross-cultural adaptation of the SEOH self-administered questionnaire was completed followed by a dental caries examination. Sample size estimation suggested 341 adolescents aged 12-13 years. Eleven junior high schools were clustered and randomly selected from six districts across Jakarta, Indonesia. RESULTS The SEOH was reliable with interclass correlation and Cronbach's alpha values of 0.86 and 0.86, respectively. Significant results for the construct and discriminant validity analyses were observed. There was no significant difference in terms of the total score between males and females, but there was a significant difference in terms of the psychology control domain. CONCLUSIONS Our study results provide evidence supporting the reliability and validity of the Indonesian version of the SEOH questionnaire for adolescents across Indonesia.
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Affiliation(s)
- Yuanita Lely Rachmawati
- Faculty of Dentistry, Graduate School, Universitas Indonesia, Jakarta, Indonesia.,Faculty of Dentistry, Department of Community and Preventive Dentistry, Universitas Brawijaya, Malang, Indonesia
| | - Diah Ayu Maharani
- Department of Preventive and Public Health Dentistry, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Takahiko Oho
- Department of Preventive Dentistry, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan
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Brennan DS, Mittinty MM, Jamieson L. Psychosocial factors and self‐reported transitions in oral and general health. Eur J Oral Sci 2019; 127:241-247. [DOI: 10.1111/eos.12608] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/30/2018] [Indexed: 11/26/2022]
Affiliation(s)
- David S. Brennan
- Australian Research Centre for Population Oral Health Adelaide Dental School Adelaide SA Australia
| | - Manasi M. Mittinty
- Australian Research Centre for Population Oral Health Adelaide Dental School Adelaide SA Australia
| | - Lisa Jamieson
- Australian Research Centre for Population Oral Health Adelaide Dental School Adelaide SA Australia
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Finlayson TL, Beltran NY, Becerra K. Psychosocial factors and oral health practices of preschool-aged children: a qualitative study with Hispanic mothers. ETHNICITY & HEALTH 2019; 24:94-112. [PMID: 28398070 DOI: 10.1080/13557858.2017.1315366] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
OBJECTIVE This qualitative study sought to gain an in-depth understanding of Hispanic mother's parenting experiences and perceptions about select psychosocial factors. How psychosocial factors influence mothers' engagement in recommended oral health-related behaviors for their preschool-aged children (3-5 years) was explored. Psychosocial resources and barriers explored included maternal knowledge about children's oral health, beliefs such as perceived self-efficacy and health locus of control, and parenting experience and stress. DESIGN Six focus groups and one individual interview with lower-income, Hispanic mothers of preschoolers (n = 36 total participants) were conducted in Spanish at a community health clinic on the California-Mexico border during summer 2010. A bilingual dentist led all sessions using a set of open-ended guiding questions. All sessions were audio-taped, translated and transcribed in English. Transcripts were coded and analyzed for common themes. RESULT(S) Six themes were identified around dental knowledge, the mothers' primary role in performing the child's oral hygiene among multiple caregiving priorities, parenting challenges, perceived self-efficacy, perceived future outlook for their child's oral health, and family influences. Mothers recognized the importance of caring for primary teeth. However, few were knowledgeable about preventive practices to promote young children's oral health, such as the recommended ages for brushing or first dental visit. Mothers that were more knowledgeable expressed feeling more efficacious about maintaining their child's oral hygiene. All mothers believed they were primarily responsible for their child's oral health, and most held positive future expectations for their child's oral health. CONCLUSION These findings provide insight into how Hispanic mothers of young children perceive their role as caregiver. Maternal knowledge and perceptions affect their ability to care for their child's oral health and should be accounted for in future interventions.
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Affiliation(s)
- T L Finlayson
- a Graduate School of Public Health , San Diego State University , San Diego , USA
| | - N Y Beltran
- a Graduate School of Public Health , San Diego State University , San Diego , USA
| | - K Becerra
- b San Ysidro Health Center, Inc., San Ysidro , USA
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Almståhl A, Skoogh Andersson J, Alstad T, Fagerberg-Mohlin B, Finizia C. Explorative study on quality of life in relation to salivary secretion rate in head and neck cancer patients treated with radiotherapy up to 2 years post treatment. Int J Dent Hyg 2018; 17:46-54. [PMID: 30113762 DOI: 10.1111/idh.12363] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2018] [Revised: 07/16/2018] [Accepted: 08/08/2018] [Indexed: 12/26/2022]
Abstract
OBJECTIVE The aim of this study was to analyse quality of life (QoL) pretreatment and up to 24 months post radiation therapy (RT) in patients with head and neck (H&N) cancer. METHODS Twenty-nine patients (19 men and 10 women) with a mean age of 59 ± 8 years were included. The stimulated salivary secretion was measured and the patients completed the European Organisation for Research and Treatment of Cancer Quality of Life questionnaires (EORTC QLQ-C30 and H&N35) and the Hospital Anxiety and Depression scale (HADS) pretreatment and at 6, 12 and 24 months post RT. RESULTS At all time-points after RT (6, 12, and 24 months), patients with hyposalivation (stimulated secretion rate ≤0.7 mL/min) reported clinically significant differences (> 10 points) regarding insomnia, swallowing, social eating, dry mouth, and sticky saliva. Statistically significant differences were found for emotional functioning and insomnia at 12 months (P < 0.05 for both) and for sticky saliva at both 12 and 24 months (P < 0.05 and P < 0.01). The number of clinically significant differences increased from 10 at both 6 and 12 months post-RT to 14 functioning/symptom scales and single items at the 24 months follow-up. At 24 months post RT, 21% of patients with hyposalivation had HADS scores suggesting anxiety problems compared to 7% for those with stimulated salivary secretion rates >0.7 mL/min. CONCLUSION Patients with hyposalivation showed deterioration in health related quality of life (QoL) at 24 months compared with 12 months post RT. Most pronounced were problems with insomnia, swallowing, social eating, dry mouth, and sticky saliva.
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Affiliation(s)
- Annica Almståhl
- Department of Oral Microbiology and Immunology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Jessica Skoogh Andersson
- Department of Periodontology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Torgny Alstad
- Department of Oral Prosthetics, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Bodil Fagerberg-Mohlin
- Department of Oral and Maxillofacial Surgery, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Caterina Finizia
- Department of Otolaryngology, Head and Neck Surgery, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden
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Brennan DS, Spencer AJ, Roberts-Thomson KF. Socioeconomic and psychosocial associations with oral health impact and general health. Community Dent Oral Epidemiol 2018; 47:32-39. [DOI: 10.1111/cdoe.12419] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2017] [Revised: 05/23/2018] [Accepted: 08/08/2018] [Indexed: 01/07/2023]
Affiliation(s)
- David S. Brennan
- Australian Research Centre for Population Oral Health; The University of Adelaide; Adelaide South Australia Australia
| | - A. John Spencer
- Australian Research Centre for Population Oral Health; The University of Adelaide; Adelaide South Australia Australia
| | - Kaye F. Roberts-Thomson
- Australian Research Centre for Population Oral Health; The University of Adelaide; Adelaide South Australia Australia
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Chapman HR, Kirby-Turner N. Psychological Intrusion - An Overlooked Aspect of Dental Fear. Front Psychol 2018; 9:501. [PMID: 29719519 PMCID: PMC5913370 DOI: 10.3389/fpsyg.2018.00501] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2017] [Accepted: 03/26/2018] [Indexed: 12/12/2022] Open
Abstract
Dental fear/anxiety is a widely recognised problem affecting a large proportion of the population. It can result in avoidance and/or difficulty accepting dental care. We believe that psychological intrusion may play a role in the aetiology and maintenance of dental fear for at least some individuals. In this narrative review we will take a developmental perspective in order to understand its impact across the lifespan. We will consider the nature of 'self,' parenting styles, the details of intrusive parenting or parental psychological control, and briefly touch upon child temperament and parental anxiety. Finally, we draw together the supporting (largely unrecognised) evidence available in the dental literature. We illustrate the paper with clinical examples and discuss possibly effective ways of addressing the problem. We conclude that psychological intrusion appears to play an important role in dental fear, for at least some individuals, and we call for detailed research into the extent and exact nature of the problem. A simple means of identifying individuals who are vulnerable to psychological intrusion would be useful for dentists.
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Affiliation(s)
- Helen R. Chapman
- School of Psychology, University of Lincoln, Lincoln, United Kingdom
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Wu D, Yang HJ, Zhang Y, Li XE, Jia YR, Wang CM. Prediction of loss to follow-up in long-term supportive periodontal therapy in patients with chronic periodontitis. PLoS One 2018; 13:e0192221. [PMID: 29420586 PMCID: PMC5805285 DOI: 10.1371/journal.pone.0192221] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Accepted: 01/19/2018] [Indexed: 11/19/2022] Open
Abstract
AIM This study examined the predictors of loss to follow-up in long-term supportive periodontal therapy in patients with chronic periodontitis. METHODS A total of 280 patients with moderate to severe chronic periodontitis in a tertiary care hospital in China were investigated and followed over the course of study. Questionnaires on clinical and demographic characteristics, self-efficacy for oral self-care and dental fear at baseline were completed. Participants were followed to determine whether they could adhere to long-term supportive periodontal therapy. Binary logistic regression analysis was used to examine the association between clinical and demographic characteristics, self-efficacy for oral self-care, dental fear and loss to follow-up in long-term supportive periodontal therapy. RESULTS The loss to follow-up in long-term supportive periodontal therapy was significantly associated with age [adjusted OR = 1.042, 95% confidence interval (CI): 1.012-1.074, p = 0.006], severe periodontitis [adjusted OR = 4.892, 95%CI: 2.280-10.499, p<0.001], periodontal surgery [adjusted OR = 11.334, 95% CI: 2.235-57.472, p = 0.003], and middle and low-scoring of self-efficacy scale for self-care groups. The adjusted ORs of loss to follow-up for the middle- (54-59) and low-scoring groups (15-53) were 71.899 (95%CI: 23.926-216.062, p<0.001) and 4.800 (95% CI: 2.263-10.182, p<0.001), respectively, compared with the high-scoring SESS group (60-75). CONCLUSION Age, severity of periodontitis, periodontal surgery and the level of self-efficacy for self-care may be effective predictors of loss to follow-up in long-term supportive periodontal therapy in patients with chronic periodontitis.
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Affiliation(s)
- Di Wu
- Department of Nursing, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing, China
| | - Hai Jing Yang
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Yan Zhang
- School of Nursing, Tianjin Medical University, Tianjin, China
| | - Xiu E. Li
- Department of Nursing, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing, China
| | - Yu Rong Jia
- Department of Periodontology, School of Stomatology, Tianjin Medical University, Tianjin, China
| | - Chun Mei Wang
- School of Nursing, Tianjin Medical University, Tianjin, China
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Ohno S, Takahashi K, Inoue A, Takada K, Ishihara Y, Tanigawa M, Hirao K. Smallest detectable change and test-retest reliability of a self-reported outcome measure: Results of the Center for Epidemiologic Studies Depression Scale, General Self-Efficacy Scale, and 12-item General Health Questionnaire. J Eval Clin Pract 2017; 23:1348-1354. [PMID: 28758322 DOI: 10.1111/jep.12795] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2017] [Revised: 06/09/2017] [Accepted: 06/09/2017] [Indexed: 12/25/2022]
Abstract
RATIONALE, AIMS, AND OBJECTIVES This study aims to examine the smallest detectable change (SDC) and test-retest reliability of the Center for Epidemiologic Studies Depression Scale (CES-D), General Self-Efficacy Scale (GSES), and 12-item General Health Questionnaire (GHQ-12). METHOD We tested 154 young adults at baseline and 2 weeks later. We calculated the intra-class correlation coefficients (ICCs) for test-retest reliability with a two-way random effects model for agreement. We then calculated the standard error of measurement (SEM) for agreement using the ICC formula. The SEM for agreement was used to calculate SDC values at the individual level (SDCind ) and group level (SDCgroup ). RESULTS The study participants included 137 young adults. The ICCs for all self-reported outcome measurement scales exceeded 0.70. The SEM of CES-D was 3.64, leading to an SDCind of 10.10 points and SDCgroup of 0.86 points. The SEM of GSES was 1.56, leading to an SDCind of 4.33 points and SDCgroup of 0.37 points. The SEM of GHQ-12 with bimodal scoring was 1.47, leading to an SDCind of 4.06 points and SDCgroup of 0.35 points. The SEM of GHQ-12 with Likert scoring was 2.44, leading to an SDCind of 6.76 points and SDCgroup of 0.58 points. CONCLUSION To confirm that the change was not a result of measurement error, a score of self-reported outcome measurement scales would need to change by an amount greater than these SDC values. This has important implications for clinicians and epidemiologists when assessing outcomes.
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Affiliation(s)
- Shotaro Ohno
- Department of Occupational Therapy, Kibi International University, Takahashi, Okayama, Japan
| | - Kana Takahashi
- Department of Occupational Therapy, Kibi International University, Takahashi, Okayama, Japan
| | - Aimi Inoue
- Department of Occupational Therapy, Kibi International University, Takahashi, Okayama, Japan
| | - Koki Takada
- Department of Occupational Therapy, Kibi International University, Takahashi, Okayama, Japan
| | - Yoshiaki Ishihara
- Department of Occupational Therapy, Kibi International University, Takahashi, Okayama, Japan
| | - Masaru Tanigawa
- Department of Occupational Therapy, Kibi International University, Takahashi, Okayama, Japan
| | - Kazuki Hirao
- Department of Occupational Therapy, Kibi International University, Takahashi, Okayama, Japan
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Džiaugytė L, Aleksejūnienė J, Brukienė V, Pečiulienė V. Self-efficacy theory-based intervention in adolescents: a cluster randomized trial-focus on oral self-care practice and oral self-care skills. Int J Paediatr Dent 2017; 27:37-46. [PMID: 26764132 DOI: 10.1111/ipd.12223] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
AIM The cluster randomized trial tested the efficacy of professional dental education for improving oral self-care skills (OSC-S) and oral self-care practice (OSC-P) in adolescents. DESIGN All 15- to 16-year-old adolescents from four public schools were invited and 206 agreed to participate. Schools were randomly allocated to the intervention group and to the control group. Five sessions were given for the intervention group and one for the control group. The OSC-S and OSC-P outcomes were measured as % Oral Cleanliness Scores at the baseline, 6-month, and 12-month observations. RESULTS OSC-S and OSC-P correlated significantly (Pearson's) at the baseline (r = 0.777, P < 0.001), at the 6-month (r = 0.745, P < 0.001), and at the 12-month (r = 0.780, P < 0.001) examinations. After the guided oral healthcare interventions, a significant time × group effect was observed (repeated-measures anova, P < 0.001 for the OSC-S (multivariate η2 = 0.355) and for the OSC-P (multivariate η2 = 0.325). CONCLUSION (i) Oral self-care skills and oral self-care practice scores were significantly correlated, (ii) self-efficacy theory-guided intervention was superior to the conventional dental instruction to improve oral self-care in adolescents, and (iii) varying levels of oral self-care improvement were observed among the intervention group adolescents.
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Affiliation(s)
- Lina Džiaugytė
- Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Jolanta Aleksejūnienė
- Department of Oral Health Sciences, Faculty of Dentistry, The University of British Columbia, Vancouver, BC, Canada
| | - Vilma Brukienė
- Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | - Vytaute Pečiulienė
- Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
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Aalboe JA, Schumacher MM. An Instrument to Measure Dental Students’ Communication Skills With Patients in Six Specific Circumstances: An Exploratory Factor Analysis. J Dent Educ 2016. [DOI: 10.1002/j.0022-0337.2016.80.1.tb06058.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- Joanna A. Aalboe
- Division of Dental Public Health; Center for Oral Health Research; College of Dentistry; University of Kentucky
| | - Mitzi M. Schumacher
- Department of Behavioral Science; College of Medicine; University of Kentucky
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Ericsson JS, Wennström JL, Lindgren B, Petzold M, Östberg AL, Abrahamsson KH. Health investment behaviours and oral/gingival health condition, a cross-sectional study among Swedish 19-year olds. Acta Odontol Scand 2015; 74:265-71. [PMID: 26599291 DOI: 10.3109/00016357.2015.1112424] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVES To test the hypothesis that certain individual, environmental and lifestyle factors are positively associated with beneficial health investment behaviours and oral/periodontal health among adolescents. METHODS Five hundred and six randomly selected 19-year old subjects living in two different areas (Fyrbodal and Skaraborg) in the county council of Västra Götaland, Sweden participated in a clinical examination and answered questionnaires covering psycho-social and health behavioural issues. Two oral-health models were estimated with gingivitis score as an objective and self-perceived oral health as a subjective indicator. Three health- investment behaviour models were designed with indicators directly related to oral health and two with indicators related to general health as well. The explanatory variables included gender, upper secondary education programme, native country, living area, general self-efficacy and parents' education level. RESULTS In the objective oral-health model, theoretical studies and living in the Skaraborg area were both positively associated with a lower gingivitis score. For the subjective oral-health indicator, none of the explanatory variables showed statistical significance. In the investment-behaviour model with 'tooth-brushing ≥ 2 times daily' as a health indicator, female gender and theoretical studies showed statistically significant associations. With the indicators 'no/few missed dental appointments', 'no tobacco use' and 'weekly exercise', theoretical studies were statistically significant and positively associated. In the investment model with 'perceived oral health care attention' as an indicator, a high score of general self-efficacy was significantly associated with the feeling of taking good care of the teeth. CONCLUSIONS Individual, environmental and lifestyle factors are associated with young individuals' oral health investment behaviours and gingival health conditions.
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Affiliation(s)
- Jessica S Ericsson
- a Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy , University of Gothenburg , Sweden
| | - Jan L Wennström
- a Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy , University of Gothenburg , Sweden
| | - Björn Lindgren
- b Centre for Health Economics , University of Gothenburg (CHEGU) , Sweden
- c Department of Health Sciences , Lund University , Lund , Sweden
- d National Bureau of Economic Research (NBER) , Cambridge , MA , USA
| | - Max Petzold
- e Health Metrics, The Sahlgrenska Academy , University of Gothenburg , Sweden
| | - Anna-Lena Östberg
- f Department of Behavioral and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy , University of Gothenburg , Sweden
| | - Kajsa H Abrahamsson
- a Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy , University of Gothenburg , Sweden
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A qualitative study of the views of adolescents on their caries risk and prevention behaviours. BMC Oral Health 2015; 15:141. [PMID: 26597279 PMCID: PMC4655499 DOI: 10.1186/s12903-015-0128-1] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2015] [Accepted: 10/26/2015] [Indexed: 11/10/2022] Open
Abstract
Background The purpose of this study was to explore the attitudes and beliefs of adolescents towards dental caries and their use or non-use of caries prevention regimens. Methods Adolescents aged 16 years from four state-funded secondary schools in North West of England (n = 19). Purposive sampling strategically selected participants with characteristics to inform the study aims (gender, ethnicity, and caries status). Semi-structured interviews were transcribed verbatim and analysed using a framework approach. Results 14 codes within five overarching themes were identified: “Personal definition and understanding of oral health”; “Knowledge of oral health determinants”; “Influences on oral health care”; Reason for oral health behaviours”; and “Oral health in the future”. Adolescents conceptualise oral health as the absence of oral pathology and the ability to function, which included an aesthetic component. Appearing to have healthy teeth was socially desirable and equated with positive self-image. The dominant influence over oral health behaviours was habitual practice encouraged by parents from a young age, with limited reinforcement at school or by dental practices. At this transitional age, participants recognised the increasing influence of peers over health behaviours. Self-efficacy pertained to diet modification (reduction in sugar-ingestion) and oral hygiene behaviour (tooth-brushing). A lack of understanding of caries aetiology was evident. Behaviours were mitigated by a lack of environmental support; and a desire for immediate gratification often overcame attempts at risk-reducing behaviour. Conclusions Parents primarily influence the habitual behaviours of adolescents. With age, the external environment (availability of sugar and peers) has an increasing influence on behaviour. This suggests that to improve adolescent health, oral health promoters should engage with parents from early childhood and create supportive environments including public policy on sugar availability to encourage uptake of risk-minimising behaviours.
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Niesten D, van Mourik K, van der Sanden W. The impact of frailty on oral care behavior of older people: a qualitative study. BMC Oral Health 2013; 13:61. [PMID: 24175989 PMCID: PMC3819177 DOI: 10.1186/1472-6831-13-61] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2013] [Accepted: 10/30/2013] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Frailty has been demonstrated to negatively influence dental service-use and oral self-care behavior of older people. The aim of this study was to explore how the type and level of frailty affect the dental service-use and oral self-care behavior of frail older people. METHODS We conducted a qualitative study through 51 open interviews with elders of varying frailty in the East-Netherlands, and used a thematic analysis to code transcripts, discussions and reviews of the attributes and meaning of the themes to the point of consensus among the researchers. RESULTS Three major themes and five sub-themes emerged from our analyses. The major themes indicate that frail elders: A) favor long-established oral hygiene routines to sustain a sense of self-worth; B) discontinue oral hygiene routines when burdened by severe health complaints, in particular chronic pain, low morale and low energy; and C) experience psychological and social barriers to oral health care when institutionalized. The subthemes associated with the discontinuation of oral care suggest that the elders accept more oral pain or discomfort because they: B1) lack belief in the results of dental visits and tooth cleaning; B2) trivialize oral health and oral care in the general context of their impaired health and old age; and B3) consciously use their sparse energy for priorities other than oral healthcare. Institutionalized elderly often discontinue oral care because of C1) disorientation and C2) inconveniencing social supports. CONCLUSION The level and type of frailty influences people's perspectives on oral health and related behaviors. Frail elders associate oral hygiene with self-worth, but readily abandon visits to a dentist unless they feel that a dentist can relieve specific problems. When interpreted according to the Motivational Theory of Life Span Development, discontinuation of oral care by frail elderly could be viewed as a manifestation of adaptive development. Simple measures aimed at recognizing indicators for poor oral care behavior, and providing appropriate information and support, are discussed.
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Affiliation(s)
- Dominique Niesten
- Department of Global Oral Health, College of Dental Sciences, Radboud University Nijmegen Medical Centre, PO Box 9101HB, Nijmegen, The Netherlands.
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Abstract
OBJECTIVE The aim was to test and evaluate the psychometric properties of the Oral Health Locus of Control (OHLoC) instrument and its relation to dental anxiety, self-efficacy and self-perceived oral health among Swedish adolescents. MATERIALS AND METHODS A random sample of 758 (63% of 1208 invited) 19-year-old individuals in three residential areas in western Sweden (two rural, one urban) answered a set of questionnaires prior to a dental examination. RESULTS The face and content validity of the OHLoC was deemed good in pilot interviews with individuals of the target age. Explorative factor analysis verified the dimensions of the OHLoC sub-scales (internal, external, chance locus of control) with loadings from 0.503 - 0.812, explaining 54.6% of the variance. Construct validity was confirmed in relation to two other psychometric scales, on dental anxiety (DAS) and on general self-efficacy (GSE), with correlations in the expected directions. In multivariate logistic regression analyses, the internal sub-scale displayed the most consistent statistically significant associations with self-perceived oral health, also when accounting for gender, demography and health behavior. There were no significant differences between genders on the OHLoC, but females scored statistically significantly higher on the DAS (p = 0.005) and lower on the GSE (p = 0.021) than males. CONCLUSIONS The Swedish version of the OHLoC appears to have acceptable psychometric properties for use in an adolescent population.
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Affiliation(s)
- Anna-Lena Östberg
- Department of Behavioral and Community Dentistry, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
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de Silva-Sanigorski A, Ashbolt R, Green J, Calache H, Keith B, Riggs E, Waters E. Parental self-efficacy and oral health-related knowledge are associated with parent and child oral health behaviors and self-reported oral health status. Community Dent Oral Epidemiol 2012; 41:345-52. [DOI: 10.1111/cdoe.12019] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2011] [Accepted: 10/14/2012] [Indexed: 11/29/2022]
Affiliation(s)
| | - Rosie Ashbolt
- Jack Brockhoff Child Health and Wellbeing Program; The McCaughey Centre; Melbourne School of Population Health; The University of Melbourne; Melbourne; Victoria; Australia
| | - Julie Green
- Parenting Research Centre; Murdoch Childrens Research Institute; Department of Paediatrics; The University of Melbourne; Melbourne; Victoria; Australia
| | - Hanny Calache
- Dental Health Services Victoria; Carlton; Victoria; Australia
| | | | | | - Elizabeth Waters
- Jack Brockhoff Child Health and Wellbeing Program; The McCaughey Centre; Melbourne School of Population Health; The University of Melbourne; Melbourne; Victoria; Australia
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Askelson NM, Chi DL, Momany E, Kuthy R, Ortiz C, Hanson JD, Damiano P. Encouraging early preventive dental visits for preschool-aged children enrolled in Medicaid: using the extended parallel process model to conduct formative research. J Public Health Dent 2012; 74:64-70. [PMID: 22994600 DOI: 10.1111/j.1752-7325.2012.00369.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE Preventive dental visits for preschool-aged children can result in better oral health outcomes, especially for children from lower income families. Many children, however, still do not see a dentist for preventive visits. This qualitative study examined the potential for the Extended Parallel Process Model (EPPM) to be used to uncover potential antecedents to parents' decisions about seeking preventive dental care. METHODS Seventeen focus groups including 41 parents were conducted. The focus group protocol centered on constructs (perceived severity, perceived susceptibility, perceived self-efficacy, and perceived response efficacy) of the EPPM. Transcripts were analyzed by three coders who employed closed coding strategies. RESULTS Parents' perceptions of severity of dental issues were high, particularly regarding negative health and appearance outcomes. Parents perceived susceptibility of their children to dental problems as low, primarily because most children in this study received preventive care, which parents viewed as highly efficacious. Parents' self-efficacy to obtain preventive care for their children was high. However, they were concerned about barriers including lack of dentists, especially dentists who are good with young children. CONCLUSIONS Findings were consistent with EPPM, which suggests this model is a potential tool for understanding parents' decisions about seeking preventive dental care for their young children. Future research should utilize quantitative methods to test this model.
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Affiliation(s)
- Natoshia M Askelson
- Public Policy Center, University of Iowa, Iowa City, IA, USA Oral Health Sciences, University of Washington, Seattle, WA, USA Preventive and Community Dentistry, University of Iowa, College of Dentistry, Iowa City, IA, USA Anthropology, University of Iowa, Iowa City, IA, USA Center for Health Outcomes and Prevention Research, Sanford Research, University of South Dakota, Sioux Falls, SD, USA
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Breaux-Shropshire TL, Brown KC, Pryor ER, Maples EH. Prevalence of Blood Pressure Self-Monitoring, Medication Adherence, Self-Efficacy, Stage of Change, and Blood Pressure Control Among Municipal Workers With Hypertension. Workplace Health Saf 2012. [DOI: 10.3928/21650799-20120523-18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
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Breaux-Shropshire TL, Brown KC, Pryor ER, Maples EH. Prevalence of Blood Pressure Self-Monitoring, Medication Adherence, Self-Efficacy, Stage of Change, and Blood Pressure Control among Municipal Workers with Hypertension. Workplace Health Saf 2012; 60:265-71. [DOI: 10.1177/216507991206000606] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2011] [Accepted: 03/05/2012] [Indexed: 01/13/2023]
Abstract
Despite the availability of effective medications, hypertension remains inadequately managed in the United States. It has been established that medication adherence is a major strategy for controlling blood pressure. Combined interventions to promote adherence are promising, but further research is needed to understand which behaviors to target. The frequency of self-monitoring of blood pressure among municipal workers is unknown, and the literature is limited regarding assessing individuals' readiness and confidence to engage in medication adherence. The purpose of this study was to determine the prevalence of medication adherence, readiness, self-efficacy, self-monitoring of blood pressure, and blood pressure control among hypertensive municipal workers. The study population was enrolled in a wellness program established more than 20 years ago to promote health and safety for a work force in a large southeastern U.S. city. The majority of the study participants (75.7%) demonstrated controlled blood pressure, reported adherence to antihypertensive medication (70%), and self-monitored blood pressure (70%).
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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 2012; 53:369-77. [PMID: 21959666 DOI: 10.2334/josnusd.53.369] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
The aim of this study was to test the efficiency of an extended model of the theory of planned behavior (TPB) in predicting intention to improve oral health behaviors. The participants in this cross-sectional study were 153 first-year medical students (mean age 20.16, 50 males and 103 females) who completed a questionnaire assessing intentions, attitudes, subjective norms, perceived behavioral control, oral health knowledge, and current oral hygiene behaviors. Attitudes toward oral health behaviors and perceived behavioral control contributed to the model for predicting intention, whereas subjective norms did not. Attitudes toward oral health behaviors were slightly more important than perceived behavioral control in predicting intention. Oral health knowledge significantly affected affective and cognitive attitudes, while current behavior was not a significant predictor of intention to improve oral health behavior. The model had a slightly better fit among females than among males, but was similar for home and professional dental health care. Our findings revealed that attitude, perceived behavioral control, and oral health knowledge are predictors of intention to improve oral health behaviors. These findings may help both dentists and dental hygienists in educating patients in oral health and changing patients' oral hygiene habits.
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Anagnostopoulos F, Buchanan H, Frousiounioti S, Niakas D, Potamianos G. Self-efficacy and oral hygiene beliefs about toothbrushing in dental patients: a model-guided study. Behav Med 2011; 37:132-9. [PMID: 22168330 DOI: 10.1080/08964289.2011.636770] [Citation(s) in RCA: 42] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
Building on previous research on psychosocial variables associated with oral hygiene behavior, this study examined the ability of Health Belief Model variables (perceived benefits, barriers, susceptibility, severity) and self-efficacy beliefs about toothbrushing to inform prevalence of dental caries and toothbrushing frequency. To accomplish this goal, a sample of 125 dental patients completed self-report questionnaires and provided data on demographic and behavioral factors. A path analysis model with manifest variables was tested. Oral hygiene beliefs emerged as a multidimensional construct. Results suggested that stronger self-efficacy beliefs (β = .81) and greater perceived severity of oral diseases (β = .18) were related to increased toothbrushing frequency, which in turn was associated with better oral health status, as indicated by the total number of decayed, missing, and filled teeth due to dental caries (β = -.39). Possible strategies for improving oral health are discussed.
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Current world literature. Curr Opin Cardiol 2011; 26:356-61. [PMID: 21654380 DOI: 10.1097/hco.0b013e328348da50] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Application of self-efficacy theory in dental clinical practice. Br Dent J 2011. [DOI: 10.1038/sj.bdj.2011.70] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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