Ninoska Abreu-Placeres1,2, Johnathon Timothy Newton3, Nigel Pitts4, Luis Eduardo Garrido5,6, Kim R Ekstrand7, Viviana Avila1, Stefania Martignon1,4. 1. UNICA - Caries Research Unit, Research Vice-rectory, Universidad El Bosque, Bogotá, Colombia. 2. Biomaterials and Dentistry Research Center (CIBO-UNIBE), Academic Research Department, Universidad Iberoamericana, Santo Domingo, Dominican Republic. 3. Social & Behavioural Sciences, King's College London Dental Institute, London, UK. 4. Dental Innovation and Translation Centre, King's College London Dental Institute, London, UK. 5. Vicerrectoría de Investigación e Innovación, Pontificia Universidad Católica Madre y Maestra, Santo Domingo, República Dominicana. 6. Department of Psychology, University of Virginia, Charlottesville, VA, USA. 7. Section of Cariology and Endodontics, School of Dentistry, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Abstract
OBJECTIVE: To design and validate a questionnaire to measure caries management based on the Capability, Opportunity, and Motivation Behavior model (COM-B) and the International Caries Classification and Management System (ICCMS™). METHODS: A combination of Cariology and Psychology experts developed a 79-item pool that measured the COM-B components according to the ICCMS™ caries management recommended behaviours. After face and content validation and a pilot study, two samples of Colombian dentists participated: clinicians (n = 277) and clinical-practice educators (n = 212). RESULTS: Using parallel analysis and exploratory structural equation modelling (ESEM), the questionnaire was reduced to a 47-item 5-factor instrument that demonstrated good internal consistency and validity properties, including a robust factor structure, measurement invariance across samples and high predictive validity of ICCMS™ recommended behaviours. Scales' mean scores showed that dentists were conducting recommended behaviours "most-of-the-time" (Behavior), showed high confidence in their ability to conduct these behaviours (Capability) and considered recommendations as highly relevant (Opportunity-Relevance), while their appraisals of the available resources (Opportunity-Resources) and remuneration (Motivation) were notably lower. CONCLUSION: Overall, the findings highlight the practical utility of the COM-B ICCMS™ Questionnaire in understanding the potential antecedent variables that may explain dentists' behaviours related to caries diagnosis and management and in suggesting avenues for achieving a positive change in their behaviour.
OBJECTIVE: To design and validate a questionnaire to measure caries management based on the Capability, Opportunity, and Motivation Behavior model (COM-B) and the International Caries Classification and Management System (ICCMS™). METHODS: A combination of Cariology and Psychology experts developed a 79-item pool that measured the COM-B components according to the ICCMS™ caries management recommended behaviours. After face and content validation and a pilot study, two samples of Colombian dentists participated: clinicians (n = 277) and clinical-practice educators (n = 212). RESULTS: Using parallel analysis and exploratory structural equation modelling (ESEM), the questionnaire was reduced to a 47-item 5-factor instrument that demonstrated good internal consistency and validity properties, including a robust factor structure, measurement invariance across samples and high predictive validity of ICCMS™ recommended behaviours. Scales' mean scores showed that dentists were conducting recommended behaviours "most-of-the-time" (Behavior), showed high confidence in their ability to conduct these behaviours (Capability) and considered recommendations as highly relevant (Opportunity-Relevance), while their appraisals of the available resources (Opportunity-Resources) and remuneration (Motivation) were notably lower. CONCLUSION: Overall, the findings highlight the practical utility of the COM-B ICCMS™ Questionnaire in understanding the potential antecedent variables that may explain dentists' behaviours related to caries diagnosis and management and in suggesting avenues for achieving a positive change in their behaviour.
Authors: Stefania Martignon; Andrea Cortes; Gail V A Douglas; J Timothy Newton; Nigel B Pitts; Viviana Avila; Margarita Usuga-Vacca; Luis F Gamboa; Christopher Deery; Ninoska Abreu-Placeres; Clarisa Bonifacio; Mariana M Braga; Fabiana Carletto-Körber; Patricia Castro; María P Cerezo; Nathaly Chavarría; Olga L Cifuentes; Beatriz Echeverri; Sofía Jácome-Liévano; Irina Kuzmina; J Sebastián Lara; David Manton; E Angeles Martínez-Mier; Paulo Melo; Michèle Muller-Bolla; Emilia Ochoa; Jesús R Osorio; Ketty Ramos; Angie F Sanabria; Johanna Sanjuán; Magdalena San-Martín; Aldo Squassi; A Karina Velasco; Rita Villena; Andrea Ferreira Zandona; Edgar O Beltrán Journal: BMC Oral Health Date: 2021-07-01 Impact factor: 2.757