Janneke F M Scheerman1,2,3, Pepijn van Empelen3, Cor van Loveren1, Amir H Pakpour4, Berno van Meijel5,6,7, Maryam Gholami8, Zaher Mierzaie2, Matheus C T van den Braak1, Gijsbert H W Verrips3. 1. Department of Preventive Dentistry, Academic Centre of Dentistry Amsterdam, Amsterdam, The Netherlands. 2. Department of Oral Hygiene, Inholland University, Amsterdam, The Netherlands. 3. Research Group Child Health, TNO, Leiden, The Netherlands. 4. Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran. 5. Department of Health, Sports and Welfare/Cluster Nursing, Inholland University of Applied Sciences, Amsterdam, The Netherlands. 6. Department of Psychiatry and EMGO Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands. 7. Parnassia Psychiatric Institute, Parnassia Academy, The Hague, The Netherlands. 8. Department of Health Psychology, Freie Universität Berlin, Berlin, Germany.
Abstract
BACKGROUND: The Health Action Process Approach (HAPA) model addresses health behaviours, but it has never been applied to model adolescents' oral hygiene behaviour during fixed orthodontic treatment. AIM: This study aimed to apply the HAPA model to explain adolescents' oral hygiene behaviour and dental plaque during orthodontic treatment with fixed appliances. METHODS: In this cross-sectional study, 116 adolescents with fixed appliances from an orthodontic clinic situated in Almere (the Netherlands) completed a questionnaire assessing oral health behaviours and the psychosocial factors of the HAPA model. Linear regression analyses were performed to examine the factors associated with dental plaque, toothbrushing, and the use of a proxy brush. RESULTS: Stepwise regression analysis showed that lower amounts of plaque were significantly associated with higher frequency of the use of a proxy brush (R2 = 45%), higher intention of the use of a proxy brush (R2 = 5%), female gender (R2 = 2%), and older age (R2 = 2%). The multiple regression analyses revealed that higher action self-efficacy, intention, maintenance self-efficacy, and a higher education were significantly associated with the use of a proxy brush (R2 = 45%). CONCLUSION: Decreased levels of dental plaque are mainly associated with increased use of a proxy brush that is subsequently associated with a higher intention and self-efficacy to use the proxy brush.
BACKGROUND: The Health Action Process Approach (HAPA) model addresses health behaviours, but it has never been applied to model adolescents' oral hygiene behaviour during fixed orthodontic treatment. AIM: This study aimed to apply the HAPA model to explain adolescents' oral hygiene behaviour and dental plaque during orthodontic treatment with fixed appliances. METHODS: In this cross-sectional study, 116 adolescents with fixed appliances from an orthodontic clinic situated in Almere (the Netherlands) completed a questionnaire assessing oral health behaviours and the psychosocial factors of the HAPA model. Linear regression analyses were performed to examine the factors associated with dental plaque, toothbrushing, and the use of a proxy brush. RESULTS: Stepwise regression analysis showed that lower amounts of plaque were significantly associated with higher frequency of the use of a proxy brush (R2 = 45%), higher intention of the use of a proxy brush (R2 = 5%), female gender (R2 = 2%), and older age (R2 = 2%). The multiple regression analyses revealed that higher action self-efficacy, intention, maintenance self-efficacy, and a higher education were significantly associated with the use of a proxy brush (R2 = 45%). CONCLUSION: Decreased levels of dental plaque are mainly associated with increased use of a proxy brush that is subsequently associated with a higher intention and self-efficacy to use the proxy brush.
Authors: Janneke F M Scheerman; Berno van Meijel; Pepijn van Empelen; Gijsbert H W Verrips; Cor van Loveren; Jos W R Twisk; Amir H Pakpour; Matheus C T van den Braak; Gem J C Kramer Journal: Int J Dent Hyg Date: 2019-08-09 Impact factor: 2.477
Authors: Janneke F M Scheerman; Berno van Meijel; Pepijn van Empelen; Gem J C Kramer; Gijsbert H W Verrips; Amir H Pakpour; Matheus C T Van den Braak; Cor van Loveren Journal: BMC Oral Health Date: 2018-02-07 Impact factor: 2.757
Authors: Katrin M Jaedicke; Susan M Bissett; Tracy Finch; Jared Thornton; Philip M Preshaw Journal: Int J Dent Hyg Date: 2018-10-10 Impact factor: 2.477