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

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Bilu Xiang ◽  
Hai Ming Wong ◽  
Wangnan Cao ◽  
Antonio P. Perfecto ◽  
Colman P. J. McGrath
2020 ◽  
Author(s):  
Bilu Xiang ◽  
Hai Ming Wong ◽  
Wangnan Cao ◽  
Antonio P. Perfecto ◽  
Colman P.J. McGrath

Abstract 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.


2020 ◽  
Vol 19 ◽  
pp. e206579
Author(s):  
Fatemeh Pourhaji ◽  
Mohammad Hossein Delshad ◽  
Sedigheh Sadat Tavafian ◽  
Alireza Hidarnia ◽  
Shamsodin Niknami

Aim: The purpose of this examination is determining the predictors of oral health behaviors among Iranian students in district 1 Tehran based on the health belief model with added commitment to plan construct. Methods: This cross-sectional study was conducted on 351 four grade female students in the first district of Tehran, Iran in 2017. The multi‑stage random cluster sampling method was used to recruit students. The inclusion criteria were being in four – graded level of elementary schools of the 1st district in Tehran, being female students aged between 9-11 years and being physically and psychologically healthy student. Logistic regression analysis was used to identify the variables that predict oral health behaviors. Results: Totally, (N= 31.8%) students  reported that they were brushing less than twice a day and (N=   55.2% ) students claimed  using of dental floss once a week or less than once a day. The results indicated that perceived self-efficacy (OR=1.46, 95% CI=0.57-3.78, P<0.001), commitment to plan (OR=1.13, 95% CI=1.04-1.23, P<0.001) and cues to action (OR=1.42, 95% CI=1.14–1.76, P=0.002) were the significant predicting variables of brushing twice a day, and use of dental floss once a day or more (OR=1.02, 95% CI=0.23-3.53, P=0.003). Conclusion: This study has shown the effectiveness of the health belief model with added commitment to plan construct to predict oral health behavior in female students. Thus, it seems that the model as a acceptable framework for designing training programs to improve oral health behavior in students.


2020 ◽  
Author(s):  
Enmar Almazyad ◽  
Abeer Ahmad ◽  
Deema Jomar ◽  
Rajiv Khandekar ◽  
Samar Al-Swailem

Abstract Purpose:To assess ophthalmologists preparedness in such a critical period in the history of pandemics, a logical socio-psychological framework assessment using the health belief model (HBM) is essential to evaluate their risk perception, their willingness to actively participate in engaging in protective health behavior and acknowledge its benefits and their capability to perform adequate successful methods in limiting the spread of COVID-19 and overcome the barriers they might encounter while implementing such precautions.Methods:A cross-sectional study conducted in King Khaled Eye Specialist Hospital using a questionnaire-based (HBM) was distributed to 135 ophthalmologists in the institute to evaluate their risk perception on COVID-19, and determine which components of the HBM contribute to preventive health behavior related to the COVID-19 infection.Results:The questionnaire had a reasonable response rate ( 79.3%, 107 ophthalmologists including; 48 consultants, 51 fellows, and 36 residents). The study demonstrated that this model is useful and mapped how several components were significantly correlated to actions. Most significantly, perceived susceptibility was the most important predictor of action. The second most important determinant of action was the perceived benefit.Conclusion:Pandemics such as COVID-19 are more likely to happen again in the future. Explicit attention to factors influencing motivation, such as threat perception to adopt appropriate health-related behavior to limit the spread of communicable diseases, is necessary. This study has successfully represented preparedness and risk behavior perception of ophthalmologists to the novel COVID-19 pandemic in one of the largest tertiary eye hospitals in the middle east using the health belief model.


2019 ◽  
Vol 6 (2) ◽  
pp. 398
Author(s):  
Nategh Abbasgholizadeh ◽  
Eslam Moradi-asl ◽  
Malek Abazari ◽  
Davoud Adham

Background: Oral and dental diseases are one of the most common diseases and oral hygiene is one of the important branches of public health which is more important during pregnancy. This study aimed to determine the effect of the educational intervention on oral health behaviours in pregnant mothers.Methods: In this intervention study, 170 pregnant women in the city of Ardabil were randomly selected and divided into two case and control groups (each of 85 people). The data were collected through a researcher-made questionnaire based on the Health Belief Model of oral health care and then they were analysed using the SPSS version 19.Results: Demographic data in both case and control groups were approximately the same. The mean of health belief model variables increased significantly after intervention (P 0.05). Mothers also obtained the most information on the prevention of dental caries before intervention through television programs but after the intervention, they obtained the most information through the curriculum. In this study, before the intervention, 23.7% of mothers used dental floss once a day. After training, this amount reached 40.8% of mothers.Conclusions: Findings showed that educational intervention based on the health belief model can promote oral health behaviours. Therefore, it is recommended to conduct health education courses at the community level.


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