Modeling the Theory of Planned Behaviour to predict adherence to preventive dental visits in preschool children
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 interv...
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| description | 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.
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.
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.
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. |
| doi_str_mv | 10.1371/journal.pone.0227233 |
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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.
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.
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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0227233</identifier><identifier>PMID: 31945098</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Analysis ; Attitude to Health ; Attitudes ; Biology and Life Sciences ; Child ; Child, Preschool ; Childhood ; Children ; Chronic illnesses ; Coherence ; Demographics ; Demography ; Dental caries ; Dentistry ; Early childhood education ; Empowerment ; Engineering and Technology ; Family ; Female ; Health behavior ; Health Education, Dental ; Health facilities ; Health services ; Humans ; Immunization ; Insurance ; Insurance, Dental ; Likert scale ; Male ; Medicine and Health Sciences ; Middle Aged ; Modelling ; Mothers ; Motivation ; Multivariate statistical analysis ; Norms ; Oral health ; Oral hygiene ; Orthodontics ; Parenting ; Parents ; Pediatric diseases ; Pediatrics ; People and Places ; Preschool children ; Prevention ; Preventive Dentistry ; Quality of life ; Questionnaires ; Social Sciences ; Studies ; Surveys and Questionnaires ; Theory ; Tooth Diseases - prevention & control ; Toothbrushing ; Young Adult</subject><ispartof>PloS one, 2020-01, Vol.15 (1), p.e0227233-e0227233</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Elyasi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Elyasi et al 2020 Elyasi et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-45fd7f3473d41a5f277cd7351553d5387e44754df7f35a8c9fb24e65cf8185b83</citedby><cites>FETCH-LOGICAL-c692t-45fd7f3473d41a5f277cd7351553d5387e44754df7f35a8c9fb24e65cf8185b83</cites><orcidid>0000-0003-4926-2290 ; 0000-0003-2249-5465</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964827/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6964827/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23865,27923,27924,53790,53792,79371,79372</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31945098$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Denis, Frédéric</contributor><creatorcontrib>Elyasi, Maryam</creatorcontrib><creatorcontrib>Lai, Hollis</creatorcontrib><creatorcontrib>Major, Paul W</creatorcontrib><creatorcontrib>Baker, Sarah R</creatorcontrib><creatorcontrib>Amin, Maryam</creatorcontrib><title>Modeling the Theory of Planned Behaviour to predict adherence to preventive dental visits in preschool children</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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.
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.
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.
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.</description><subject>Adult</subject><subject>Analysis</subject><subject>Attitude to Health</subject><subject>Attitudes</subject><subject>Biology and Life Sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Childhood</subject><subject>Children</subject><subject>Chronic illnesses</subject><subject>Coherence</subject><subject>Demographics</subject><subject>Demography</subject><subject>Dental caries</subject><subject>Dentistry</subject><subject>Early childhood education</subject><subject>Empowerment</subject><subject>Engineering and Technology</subject><subject>Family</subject><subject>Female</subject><subject>Health behavior</subject><subject>Health Education, Dental</subject><subject>Health facilities</subject><subject>Health services</subject><subject>Humans</subject><subject>Immunization</subject><subject>Insurance</subject><subject>Insurance, Dental</subject><subject>Likert scale</subject><subject>Male</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Modelling</subject><subject>Mothers</subject><subject>Motivation</subject><subject>Multivariate statistical analysis</subject><subject>Norms</subject><subject>Oral health</subject><subject>Oral hygiene</subject><subject>Orthodontics</subject><subject>Parenting</subject><subject>Parents</subject><subject>Pediatric diseases</subject><subject>Pediatrics</subject><subject>People and Places</subject><subject>Preschool children</subject><subject>Prevention</subject><subject>Preventive Dentistry</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Social Sciences</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Theory</subject><subject>Tooth Diseases - prevention & control</subject><subject>Toothbrushing</subject><subject>Young 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Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Elyasi, Maryam</au><au>Lai, Hollis</au><au>Major, Paul W</au><au>Baker, Sarah R</au><au>Amin, Maryam</au><au>Denis, Frédéric</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modeling the Theory of Planned Behaviour to predict adherence to preventive dental visits in preschool children</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-01-16</date><risdate>2020</risdate><volume>15</volume><issue>1</issue><spage>e0227233</spage><epage>e0227233</epage><pages>e0227233-e0227233</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.
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.
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.
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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31945098</pmid><doi>10.1371/journal.pone.0227233</doi><tpages>e0227233</tpages><orcidid>https://orcid.org/0000-0003-4926-2290</orcidid><orcidid>https://orcid.org/0000-0003-2249-5465</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_2339785937 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Analysis Attitude to Health Attitudes Biology and Life Sciences Child Child, Preschool Childhood Children Chronic illnesses Coherence Demographics Demography Dental caries Dentistry Early childhood education Empowerment Engineering and Technology Family Female Health behavior Health Education, Dental Health facilities Health services Humans Immunization Insurance Insurance, Dental Likert scale Male Medicine and Health Sciences Middle Aged Modelling Mothers Motivation Multivariate statistical analysis Norms Oral health Oral hygiene Orthodontics Parenting Parents Pediatric diseases Pediatrics People and Places Preschool children Prevention Preventive Dentistry Quality of life Questionnaires Social Sciences Studies Surveys and Questionnaires Theory Tooth Diseases - prevention & control Toothbrushing Young Adult |
| title | Modeling the Theory of Planned Behaviour to predict adherence to preventive dental visits in preschool children |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-12T07%3A33%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Modeling%20the%20Theory%20of%20Planned%20Behaviour%20to%20predict%20adherence%20to%20preventive%20dental%20visits%20in%20preschool%20children&rft.jtitle=PloS%20one&rft.au=Elyasi,%20Maryam&rft.date=2020-01-16&rft.volume=15&rft.issue=1&rft.spage=e0227233&rft.epage=e0227233&rft.pages=e0227233-e0227233&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0227233&rft_dat=%3Cgale_plos_%3EA611503717%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2339785937&rft_id=info:pmid/31945098&rft_galeid=A611503717&rft_doaj_id=oai_doaj_org_article_cfe93388571647f8bfa26f594c56fafc&rfr_iscdi=true |