A Health Belief Model-Based Instrument for Assessing Factors Affecting Oral Health Behavior During Pregnancy

Bahramian, Hoda; Mohebbi, Simin Zahra; Khami, Mohammad Reza; Sighaldeh, Shirin Shahbazi

doi:10.5812/ircmj.58266

Cited by 10 publications

(14 citation statements)

References 20 publications

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“…The factors affecting preventive health behavior include personal perceived susceptibility to illness (e.g., assessment of risk of dental and oral problems), perceived disease seriousness (e.g., dental problems), perceived benefits of preventive actions (e.g., routine dental examinations), and barriers to taking such actions (e.g., treatment costs, fear of examination). The HBM has been implemented in numerous studies examining health issues in general and dental health issues in particular [26–34]. For example, according to the theoretical study by Flaer et al [30], the following HBM categories affect preventive dental health behavior: personal perception of probability of dental problems, perceived seriousness of dental illness, sense of self-efficacy, and cues to action (e.g., examination recommendations).…”

Section: Literature Reviewmentioning

confidence: 99%

Factors affecting oral examinations and dental treatments among older adults in Israel

Shahrabani

2019

Isr J Health Policy Res

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Background Routine dental examinations are important for early diagnosis and treatment of dental problems among older adults in order to improve their quality of life and avoid costly future treatments. In Israel, a significant percentage of adults do not seek dental care. Methods The study is based on a 2017 telephone survey conducted among people aged 50–75 from different population groups in Israel to examine their health beliefs and attitudes toward dental treatments. Results The results show that among older adults the decision to undergo routine dental checkups is affected by socio-demographic status and health beliefs regarding dental health. Lower age, higher income levels, and Jewish religion predicted higher chances of frequent checkups. In addition, those who saw the benefits of routine checkups, believed that dentists were readily available, and had higher levels of health motivation were more likely to seek out routine dental care. Conclusions According to the recent dental reform in Israel, people aged 75 and over are eligible for subsidized dental treatments. To enhance the frequency of dental checkups among older adults, it is recommended to provide this subsidized coverage for adults under age 75. In addition, planning dental health services for individuals in this age group should be based upon their accepted beliefs and values. Moreover, systematic health education through the media and health maintenance organizations should specifically target this population group to encourage them to undergo dental checkups more frequently.

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Section: Literature Reviewmentioning

confidence: 99%

Factors affecting oral examinations and dental treatments among older adults in Israel

Shahrabani

2019

Isr J Health Policy Res

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“…CFI > 0.90, TLI > 0.90, RMSEA and SRMR < 0.06 indicated a good fit (SRMR < 0.08 acceptable) [21,22]. The indicators that are conceptually more distant from the supposed latent variable result in a lower loading (< 0.5) and should be removed [13].…”

Section: Phase I: Development and Pilot Test Of The Questionnairementioning

confidence: 99%

“…Based on the HBM, oral health belief has been shown to be a prerequisite of changing oral health behaviors [12]. Several studies have confirmed the applicability and effectiveness of HBM in predicting oral health behaviors [11,13]. No previous standard instrument has been validated to assess adolescents' beliefs towards oral health behaviors.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of the Oral health behavior questionnaire for adolescents based on the health belief model (OHBQAHBM)

et al. 2020

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Background: Oral health belief is a prerequisite of changing oral health behaviors especially during adolescence. However, there is a paucity of well-established questionnaire for use among adolescents. This study aimed to develop and validate an instrument to evaluate adolescents' beliefs about oral health behaviors using health belief model. Methods: A preliminary 43-item questionnaire was developed by an expert panel. Then the questionnaire was finalized by decreasing the number of items to 35 by analyzing the results from face validity and factor analysis from 421 Hong Kong secondary school students. The content validity were evaluated by a panel of 2 behavioral scientists, 2 dentists, 2 schoolteachers and 10 adolescents. The construct validity of the questionnaire was assessed by performing exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The Cronbach's alpha coefficient, item-total correlation and intraclass coefficient were used to test its reliability. In addition, to confirm its applicability, multiple regression analysis and path analysis were used to evaluate the possibility of HBM as predictors for oral health behaviors and oral hygiene status. Results: The initial analysis extracted six factors that jointly accounted for 62.47% of the variance observed. Based on CFA, the final version of the questionnaire consisted of 35 items and the data of the final version fitted the model well. The Cronbach's alpha coefficient for the subscale (> 0.7), item-total correlations (0.47-0.91) and the intraclass coefficient (0.82-0.91) were all above acceptable thresholds. The results of multiple regression analysis and path analysis confirmed its ability to predict oral health behaviors and status. Conclusions: The present findings indicate satisfactory validity, reliability and applicability of the proposed Oral Health Behavior Questionnaire for Adolescents based on the Health Belief Model (OHBQAHBM) for measuring oral health beliefs of adolescents. This questionnaire can be used as an instrument to measure oral health beliefs and predict oral health behavior and oral hygiene status of adolescents.

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“…Perceived Susceptibility (SUS 1-2), Perceived Benefits (BEN 3-10), Perceived Barriers (BAR [11][12][13][14][15][16][17][18][19],…”

Section: Face and Content Validitymentioning

confidence: 99%

Development and validation of the Oral Health Behavior Questionnaire for Adolescents based on the Health Belief Model (OHBQAHBM)

Xiang

Wong

Cao

et al. 2020

Preprint

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Background Oral health belief is a prerequisite of changing oral health behaviors especially during adolescence. However, there is a paucity of well-established questionnaire for use among adolescents. This study aimed to develop and validate an instrument to evaluate adolescents' beliefs about oral health behaviors using health belief model.Methods A preliminary 43-item questionnaire was developed by an expert panel. Then the questionnaire was finalized by decreasing the number of items to 35 by analyzing the results from face validity and factor analysis from 421 Hong Kong secondary school students. The content validity were evaluated by a panel of 2 behavioral scientists, 2 dentists, 2 schoolteachers and 10 adolescents.The construct validity of the questionnaire was assessed by performing exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The Cronbach's alpha coefficient, item-total correlation and intraclass coefficient were used to test its reliability. In addition, to confirm its applicability, multiple regression analysis and path analysis were used to evaluate the possibility of HBM as predictors for oral health behaviors and oral hygiene status. ResultsThe initial analysis extracted six factors that jointly accounted for 62.47% of the variance observed. Based on CFA, the final version of the questionnaire consisted of 35 items and the data of the final version fitted the model well. The Cronbach's alpha coefficient for the subscale (>0.7), itemtotal correlations (0.47-0.91) and the intraclass coefficient (0.82-0.91) were all above acceptable thresholds. The results of multiple regression analysis and path analysis confirmed its ability to predict oral health behaviors and status. Conclusions The present findings indicate satisfactory validity, reliability and applicability of the proposed Oral Health Behavior Questionnaire for Adolescents based on the Health Belief Model (OHBQAHBM) for measuring oral health beliefs of adolescents. This questionnaire can be used as an instrument to measure oral health beliefs and predict oral health behavior and oral hygiene status of adolescents.

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A Health Belief Model-Based Instrument for Assessing Factors Affecting Oral Health Behavior During Pregnancy

Abstract: Background: Maintaining optimal oral health behavior (OHB) during pregnancy could preserve short-term and long-term health of women and their children.

Cited by 10 publications

References 20 publications

Factors affecting oral examinations and dental treatments among older adults in Israel

Factors affecting oral examinations and dental treatments among older adults in Israel

Development and validation of the Oral health behavior questionnaire for adolescents based on the health belief model (OHBQAHBM)

Development and validation of the Oral Health Behavior Questionnaire for Adolescents based on the Health Belief Model (OHBQAHBM)

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