scholarly journals Understanding behaviour change to promote regular dental attendance

2021 ◽  
Vol 10 (3) ◽  
pp. 55-61
Author(s):  
Jessica Holloway
Keyword(s):  
Oral Health ◽  
Behaviour Change ◽  
Systematic Approach ◽  
Health Behaviours ◽  
Behaviour Change Techniques ◽  
Behaviour Change Intervention ◽  
Behaviour Change Interventions ◽  
Dental Attendance ◽  
Behaviour Change Wheel ◽  
Oral Health Behaviours

Regular dental attendance is a key oral health behaviour. Behaviour change interventions are increasingly being used to promote positive oral health behaviours. A systematic approach to understanding behaviour has led to the development of frameworks which aim to guide the process of designing behaviour change interventions. One such framework is the Behaviour Change Wheel (BCW). This article aims to explore and identify barriers to regular dental attendance which may be targeted using behaviour change interventions based on the Capability, Opportunity and Motivation Behaviour model (COM-B) and the BCW, and suggests potential behaviour change techniques which could be utilised into a behaviour change intervention with the aim to promote regular dental attendance.

scholarly journals The effectiveness of behaviour change interventions delivered by non-dental health workers in promoting children’s oral health: A systematic review and meta-analysis

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0262118
Author(s):  
Mehreen Riaz Faisal ◽  
Masuma Pervin Mishu ◽  
Faisal Jahangir ◽  
Sabahat Younes ◽  
Omara Dogar ◽  
...  
Keyword(s):  
Oral Health ◽  
Health Outcomes ◽  
Behaviour Change ◽  
Health Workers ◽  
Health Behaviours ◽  
Behaviour Change Technique ◽  
Behaviour Change Interventions ◽  
Change Technique ◽  
Oral Health Behaviours ◽  
Dental Professionals

Objectives Dental caries is the most common preventable childhood condition. Non-dental professionals and health workers are often well placed to support parents in adopting positive oral health behaviours for their children. The aim of this study was to determine the effectiveness of behaviour change interventions and their individual component behaviour change techniques (BCTs), that were delivered by non-dental professionals and health workers. Methods A systematic search of Ovid MEDLINE, PubMed, CINAHL, Cochrane Library, Web of Science, TRoPHI and PROQUEST from inception until March 2021 was conducted. Randomised controlled trials and quasi-experimental studies for improving oral health outcomes in children were included. Quality assessment was carried out using Cochrane Risk of Bias tool and ROBINS-I tool. Publication bias was assessed using funnel plots and Egger’s regression intercept. Effect sizes were estimated as standardised mean difference (SMD) and odds ratio/risk ratio for proportions. Meta-analyses were performed for studies reporting mean decayed, missing, filled surfaces (dmfs) and mean decayed, missing, filled, teeth (dmft) indices. Behaviour change technique coding was performed using behaviour change technique taxonomy v1 (BCTTv1). Results Out of the 9,101 records retrieved, 36 studies were included with 28 showing a significant effect either in clinical and/or behavioural/knowledge outcomes. Most studies (n = 21) were of poor methodological quality. The pooled SMD for caries experience showed statistically significant result for caries prevention at surface level -0.15 (95% CI -0.25, -0.04) and at the tooth level -0.24 (95% CI -0.42, -0.07). In 28 effective interventions, 27 individual BCTs were identified and the most frequently used were: “Instructions on how to perform the behaviour” and “Information about health consequences”. Conclusion There is low quality of evidence suggesting non-dental professionals and health workers may help improve oral health outcomes for children. To confirm these findings, further high-quality studies incorporating a variety of BCTs in their interventions for adoption of good oral health behaviours are needed.

scholarly journals A behaviour change intervention to reduce home exposure to second hand smoke during pregnancy in India and Bangladesh: a theory and evidence-based approach to development

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Veena A. Satyanarayana ◽  
Cath Jackson ◽  
Kamran Siddiqi ◽  
Prabha S. Chandra ◽  
Rumana Huque ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Behaviour Change ◽  
Delphi Survey ◽  
Behaviour Change Techniques ◽  
Evidence Based ◽  
Behaviour Change Intervention ◽  
Behaviour Change Interventions ◽  
Modified Delphi ◽  
Qualitative Interview Study ◽  
At Home

Abstract Background Home exposure to secondhand smoke (SHS) is highly prevalent amongst pregnant women in low- and middle-income countries like India and Bangladesh. The literature on the efficacy of behaviour change interventions to reduce home exposure to SHS in pregnancy is scarce. Methods We employed a theory and evidence-based approach to develop an intervention using pregnant women as agents of change for their husband’s smoking behaviours at home. A systematic review of SHS behaviour change interventions led us to focus on developing a multicomponent intervention and informed selection of behaviour change techniques (BCTs) for review in a modified Delphi survey. The modified Delphi survey provided expert consensus on the most effective BCTs in reducing home exposure to SHS. Finally, a qualitative interview study provided context and detailed understanding of knowledge, attitudes and practices around SHS. This insight informed the content and delivery of the proposed intervention components. Results The final intervention consisted of four components: a report on saliva cotinine levels of the pregnant woman, a picture booklet containing information about SHS and its impact on health as well strategies to negotiate a smoke-free home, a letter from the future baby to their father encouraging him to provide a smoke-free home, and automated voice reminder and motivational messages delivered to husbands on their mobile phone. Intervention delivery was in a single face-to-face session with a research assistant who explained the cotinine report, discussed key strategies for ensuring a smoke-free environment at home and practised with pregnant women how they would share the booklet and letter with their husband and supportive family members. Conclusion A theory and evidence-based approach informed the development of a multicomponent behaviour change intervention, described here. The acceptability and feasibility of the intervention which was subsequently tested in a pilot RCT in India and Bangladesh will be published later.

Overview of behaviour change

2013 ◽  
Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt
Keyword(s):  
Oral Health ◽  
Behaviour Change ◽  
Health Professionals ◽  
Health Behaviours ◽  
Minor Role ◽  
Dental Practitioners ◽  
Oral Health Behaviours ◽  
Practical Factors ◽  
Individual Behaviour Change

Many dental practitioners become very frustrated with their patients when they fail to follow advice given to improve their oral health. This failure can often be interpreted by dentists as a sign of disinterest, lack of motivation, or sometimes even stupidity! Such an approach helps no one. As has already been identified, to successfully promote oral health the dental team need to work with their patients in a number of ways. For example, to help them select a healthy diet, maintain good oral hygiene, or stop smoking, the dental team need to understand what factors influence these behaviours and how they can be altered successfully. This chapter therefore aims to review behaviour change to help you understand more fully how you as a clinician can help your patients successfully alter their behaviour to promote and maintain their oral health. Theories and models of behaviour change will be reviewed and consideration will also focus on the practical factors influencing the process of change. Before reviewing the theoretical detail of behaviour change it is important to restate a core principle of public health, that is, the importance of the underlying social determinants of health. A wealth of evidence has highlighted that individual behaviours have a relatively limited influence on health outcomes compared to economic, environmental, and social factors (Marmot and Wilkinson 2006 ; Wilkinson 1996). Indeed, oral health behaviours play a somewhat minor role in explaining oral health inequalities (Sabbah et al . 2009; Sanders et al. 2006). Any exploration of individual behaviour change therefore needs to take into account the influence of the broader factors operating at a macro level. However, for health professionals working with individual patients, helping people change their behaviour is still an important task within their clinical practice. Traditionally, health professionals have focused largely upon giving their patients information in an attempt to change their behaviour. Such an approach has, however, been mostly unsuccessful at securing long-term changes in behaviour (Sprod et al. 1996; Yevahova and Satur 2009).

Family medicine physicians’ confidence and perceived effectiveness in delivering health behaviour change interventions

2020 ◽  
Vol 37 (4) ◽  
pp. 493-498
Author(s):  
Michelle D Sherman ◽  
Stephanie A Hooker
Keyword(s):  
Family Medicine ◽  
Behaviour Change ◽  
Health Behaviour ◽  
Health Behaviours ◽  
Well Being ◽  
Behaviour Change Techniques ◽  
Evidence Based ◽  
Perceived Effectiveness ◽  
Behaviour Change Interventions ◽  
Health Behaviour Change

Abstract Background Approximately 40% of deaths in the USA are attributable to modifiable health behaviours. Despite clear recommendations and practice guidelines, primary care physicians (PCPs) generally do not dedicate much time to addressing health behaviours, thereby missing opportunities to improve patient well-being. Objective(s) To examine what health behaviour change techniques PCPs use with their patients, including frequency of use, confidence in and perceived effectiveness of those interventions. Methods Using a cross-sectional study design, family medicine resident and faculty physicians (n = 68) from three residency training programs completed an anonymous online survey. Questions explored their use of, confidence in and perceived effectiveness of health behaviour change interventions for six domains: physical activity, healthy eating, medication adherence, smoking cessation, sleep and alcohol reduction. Qualitative responses to open-ended questions were double coded by two independent raters. PCPs’ open-ended responses to questions regarding specific intervention techniques were coded using an evidence-based behaviour change taxonomy. Results Although PCPs indicated that they address health behaviour topics quite frequently with their patients, they reported only moderate confidence and low-to-moderate perceived effectiveness with their interventions. The most frequently cited technique was providing instruction (telling patients what to do). PCPs reported lowest frequency of addressing, lowest confidence and lowest effectiveness regarding helping patients decrease their use of alcohol. Insufficient time and perceived low patient motivation were commonly cited barriers. Conclusion These findings highlight the need for the development and evaluation of educational curricula to teach physicians brief, evidence-based approaches to helping patients make these changes in their health-related behaviours.

scholarly journals Oral health behaviours of parents and young children in a practice-based caries prevention trial in Northern Ireland

2017 ◽  
Vol 46 (3) ◽  
pp. 251-257 ◽  
Author(s):  
Lucy O'Malley ◽  
Helen V. Worthington ◽  
Michael Donaldson ◽  
Ciaran O'Neil ◽  
Stephen Birch ◽  
...  
Keyword(s):  
Oral Health ◽  
Northern Ireland ◽  
Young Children ◽  
Health Behaviours ◽  
Caries Prevention ◽  
Prevention Trial ◽  
Oral Health Behaviours

scholarly journals Estimating the reproducibility & transparency of smoking cessation behaviour change interventions

2020 ◽  
Author(s):  
Emma Norris ◽  
Yiwei He ◽  
Rachel Loh ◽  
Robert West ◽  
Susan Michie
Keyword(s):  
Open Access ◽  
Behaviour Change ◽  
Conflict Of Interest ◽  
Open Data ◽  
Smoking Behaviour ◽  
Funding Source ◽  
Behaviour Change Intervention ◽  
Behaviour Change Interventions ◽  
Replication Studies ◽  
Randomised Controlled

Introduction: Activities promoting research reproducibility and transparency are crucial for generating trustworthy evidence. Evaluation of smoking interventions is one area where vested interests may motivate reduced reproducibility and transparency. Aims: Assess markers of transparency and reproducibility in smoking behaviour change intervention evaluation reports.Methods: One hundred evaluation reports of smoking behaviour change intervention randomised controlled trials published in 2018-2019 were identified. Reproducibility markers of pre-registration, protocol sharing, data-, materials- and analysis script-sharing, replication of a previous study and open access publication were coded in identified reports. Transparency markers of funding and conflict of interest declarations were also coded. Coding was performed by two researchers, with inter-rater reliability calculated using Krippendorff’s alpha.Results: Seventy-one percent of reports were open access and 73% pre-registered. However, only 13% provided accessible materials, 7% accessible data and 1% accessible analysis scripts. No reports were replication studies. Ninety-four percent of reports provided a funding source statement and eighty-eight percent of reports provided a conflict of interest statement.Conclusions: Open data, materials, analysis and replications are rare in smoking behaviour change interventions, whereas funding source and conflict of interest declarations are common. Future smoking research should be more reproducible to enable knowledge accumulation.

scholarly journals Epidemiology and associated factors of gingivitis in adolescents in Guangdong Province, Southern China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Weihua Fan ◽  
Conghua Liu ◽  
Yazhi Zhang ◽  
Zijing Yang ◽  
Jianbo Li ◽  
...  
Keyword(s):  
Oral Health ◽  
Southern China ◽  
Multivariate Logistic Regression Analysis ◽  
Demographic Factors ◽  
Health Behaviours ◽  
Gingival Bleeding ◽  
Gingival Health ◽  
Oral Health Behaviours ◽  
Health Related ◽  
Socio Demographic Factors

Abstract Background Gingivitis is the most prevalent form of periodontal disease in children and adolescents, being strongly associated to some socioeconomic factors and oral health behaviours. This study aimed to assess the prevalence of gingivitis and its association with socio-demographic factors and oral health-related behaviours in children aged 12–15 years in Guangdong, Southern China. Methods A total of 7680 children were sampled using an equal-sized, stratified, multistage, random sampling method and clinically examined between December 2015 and April 2016. A questionnaire on socio-demographic factors and oral health-related behaviours related to gingivitis was completed by each of the selected children. Gingival bleeding was recorded using the Community Periodontal Index probe, and children with a gingival bleeding positive score ≥ 10% were defined as having gingivitis. A multivariate logistic regression analysis was performed to assess the association between socio-demographic factors and gingivitis. All statistical tests were performed at a two-sided significance level of 0.05. Results The weighted prevalence of gingivitis among 12–15-year-old children was 29.6%, with 22.6% having localised gingivitis and 7.0% having generalised gingivitis. Age differences were observed in the prevalence of gingivitis, whereas urban-rural differences were not. According to the multivariate logistic regression analysis results, factors such as increasing age, being the only child, lack of regular annual dental check-up, and heavy dental calculus were significantly associated with higher prevalence of gingivitis. In addition, the association of gingivitis with these factors was inconsistent among the urban and rural areas. Conclusions Dental calculus and oral health behaviour were found to be important factors for maintaining the gingival health of children aged 12–15 years in Guangdong. Maintaining gingival health in children requires promoting positive oral health behaviours and regular dental prophylaxis.

Associations between self-rated oral health, subjective oral conditions, oral health behaviours and oral health-related quality of life among college students: A study using structural equation modelling

2021 ◽  
Author(s):  
Nan Yin ◽  
Suge Zheng ◽  
Nianting Ju ◽  
Tiantian Hua ◽  
Wei Ding ◽  
...  
Keyword(s):  
College Students ◽  
Oral Health ◽  
Structural Equation ◽  
Eastern China ◽  
Health Behaviours ◽  
Oral Health Behaviours ◽  
Related Quality ◽  
Health Related ◽  
Negative Effect ◽  
Oral Conditions

Abstract Background: This study aimed to evaluate the relationship between self-rated oral health, subjective oral conditions, oral health behaviours, and oral health-related quality of life (OHRQoL) in Chinese college students.Methods: We conducted an online cross-sectional survey inviting college students from eastern China. A total of 1,708 participants were included. We constructed a structural equation model to explain and assess the associations among self-rated oral health, subjective oral conditions, oral health behaviours, and OHRQoL.Results: Self-rated oral health had a direct positive effect on subjective oral conditions and OHRQoL. Oral health behaviours had a direct negative effect on subjective oral conditions and OHRQoL, while oral health behaviours had a direct negative effect on tooth condition perception and oral health interventions. Subjective oral conditions had a direct positive effect on OHRQoL. There was a positive correlation between oral health behaviours and self-rated oral health. In addition, subjective oral conditions partially mediated both the effect of oral health behaviours on OHRQoL and the effect of self-rated oral health on OHRQoL.Conclusion: There were influential associations between self-rated oral health, subjective oral conditions, oral health behaviours, and OHRQoL among college students in eastern China.

Sign in / Sign up

Export Citation Format

Share Document