Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients

Lhakhang, Pempa; Hamilton, Kyra; Sud, Nayantara; Sud, Shonali; Kroon, Jeroen; Knoll, Nina; Schwarzer, Ralf

doi:10.1186/s12903-016-0164-5

Cited by 65 publications

(36 citation statements)

References 32 publications

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“…A study sought to examine whether a brief oral health promotion program (self-management cues that were based on self-efficacy and self-regulatory skills) in combination with an incentive (free dental treatment) would make a difference in the adoption of regular dental flossing in Indian periodontal outpatients (Lhakhang et al, 2016). One hundred and twelve participants (n = 55 oral health promotion intervention group; n = 57 control group) were assigned to the intervention (selfmanagement cues + incentive) or control groups, and follow-up assessments were performed three weeks later.…”

Section: Self-management Cues To Promote Interdental Cleaning Among Imentioning

confidence: 99%

Health Action Process Approach (HAPA) as a Theoretical Framework to Understand Behavior Change

Schwarzer

2016

Self Cite

166

137

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Abstract.A theoretical framework to explain, predict, and modify health behaviors is presented which consists of various psychological constructs and a mediator mechanism. Risk perception, outcome expectancies, self-efficacy, intention, planning, and action control constitute the building blocks for a mediator model that is based on two processes: goal setting and goal pursuit. When it comes to the development of interventions to modify behaviors, one can target either the initial motivation phase or the subsequent volition phase. This is an open architecture framework allowing for various research designs and subsets of constructs. Hundreds of studies have been conducted based on this model. Three correlational and two intervention studies were chosen to illustrate the diversity of approaches targeting physical activity in Germany and Costa Rica, dental cleaning in India and Poland, and dust mask wearing in China. They differ in terms of the predictors that emerged as most relevant for behavior change. Keywords.Outcome expectancies, self-efficacy, planning, action control, self-monitoring.Resumen. Se presenta un marco de referencia para explicar, predecir, y modificar conductas de salud el cual consiste en varios constructos psicológicos y un mecanismo de mediación. La percepción de riesgo, las expectativas de resultado, la autoeficacia, la intención, y el control de acción constituyen los bloques de construcción para un modelo de mediación que está basado en dos procesos: el establecimiento de metas y la consecución de metas. Cuando se trata del desarrollo de intervenciones para modificar conductas, uno puede apuntar hacia la fase inicial de motivación, o bien, hacia la fase volitiva subsecuente. Este es un marco de referencia abierto, que permite varios diseños de investigación y un subconjunto de constructos. Se han realizado cientos de estudios basados en este modelo, de los cuales se escoge, como ilustración, tres estudios correlacionales y dos estudios de intervención, que abordan actividad física en Alemania y Costa Rica, higiene dental en India y Polonia, y uso de mascarillas contra el polvo en China. Estos difieren en términos de predictores que emergen como predictores más relevantes para el cambio de conductas.Palabras Clave. expectativas de resultado, autoeficacia, planeamiento, control de la acción, auto-monitoreo.

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Section: Self-management Cues To Promote Interdental Cleaning Among Imentioning

confidence: 99%

Health Action Process Approach (HAPA) as a Theoretical Framework to Understand Behavior Change

Schwarzer

2016

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166

137

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“…The HAPA proposes self‐efficacy, planning, and action control as key self‐regulatory factors in the volitional phase that need to be enacted to ensure an intention is realized, and once initiated, maintained. Self‐regulatory skills have been shown to relate directly to a wide range of adaptive behaviours and outcomes (Hagger & Luszczynska, ), including oral hygiene behaviours (Gholami, Knoll, & Schwarzer, ; Hamilton, Bonham, Bishara, Kroon, & Schwarzer, ; Lhakhang et al ., ; Zhou, Sun, Knoll, Hamilton, & Schwarzer, ). Given the many barriers parents report to being involved in their children's toothbrushing including resistance, tiredness, forgetting (Marshman et al ., ), and the importance of self‐regulatory strategies on unpacking health behaviour, the role of these factors in the context of parental supervision behaviours for their children's toothbrushing was examined.…”

Section: Introductionmentioning

confidence: 99%

Parental supervision for their children's toothbrushing: Mediating effects of planning, self‐efficacy, and action control

Hamilton

Cornish

Kirkpatrick

et al. 2018

British J Health Psychol

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107

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While national recommendations are provided to guide parents in promoting good oral hygiene practices with their children, current results show the importance of going beyond simple knowledge transmission to support parents' intentions to supervise their children's toothbrushing actually materialize. Current findings make a significant contribution to the cumulative empirical evidence regarding self-regulatory components in health behaviour change and can inform intervention development to increase parents' participation in childhood oral hygiene practices, thus helping to curb rising oral health conditions and diseases. Statement of contribution What is already known on this subject? Self-regulatory skills are important to translate intentions into behaviour. Self-efficacy, planning, and action control are key self-regulatory skills for behaviour change. What does this study add? Self-regulatory skills are needed for parents to supervise their children's toothbrushings. Self-efficacy, planning, and action control are important self-regulatory skills in this context. Future interventions should map these self-regulatory predictors onto behaviour change techniques.

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“…Emerging research has started to investigate the role of self-regulatory (Lhakhang et al, 2016;Zhou, Sun, Knoll, Hamilton & Schwarzer, 2015) and automatic (Judah, Gardner & Aunge, 2013) factors on oral hygiene behaviours. Regarding the latter, automatic action refers to a process by which, as a consequence of repeated action in stable contexts, learned cue-response associations are formed so that cues automatically trigger behaviour.…”

Section: Introductionmentioning

confidence: 99%

Dental flossing and automaticity: a longitudinal moderated mediation analysis

Hamilton

Orbell

Bonham

et al. 2017

Psychology, Health & Medicine

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We investigated the role of normative support, behavioural automaticity, and action control in predicting dental flossing behaviour. Between May and October 2015, 629 Australian young adults completed a questionnaire assessing constructs of normative support and automaticity, and a 2-week follow-up of dental flossing behaviour and action control, resulting in n = 241 persons for longitudinal analysis. Findings supported the hypotheses that the effect of normative support on behaviour would be mediated via automaticity, and the effect of automaticity would be moderated by action control. Current results extend previous research to elucidate the mechanisms that help to understand predictors of oral hygiene behaviours and contribute to the cumulative evidence concerning self-regulatory and automatic components of health behaviour.

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Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients

Cited by 65 publications

References 32 publications

Health Action Process Approach (HAPA) as a Theoretical Framework to Understand Behavior Change

Health Action Process Approach (HAPA) as a Theoretical Framework to Understand Behavior Change

Parental supervision for their children's toothbrushing: Mediating effects of planning, self‐efficacy, and action control

Dental flossing and automaticity: a longitudinal moderated mediation analysis

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