“…Fischbein’s integrative model (IM) of Behavioral Prediction integrates prior reason-based cognitive intervention models (Ajzen, 2002; Ajzen & Fishbein, 1980; Fishbein, 2008; Fishbein & Yzer, 2003; McCaul et al, 1988). It includes knowledge (Firmino et al, 2018), beliefs, self-efficacy (Ohara et al, 2017), and intentionality/planning/goal-setting (Lee, 2018; Newton & Asimakopoulou, 2015), variables that have been used to explain oral hygiene behaviors (McCaul et al, 1988; Tedesco, 1991; Tedesco et al, 1992). These factors, when built into interventions to improve self-care regimens, are shown to have short-term positive effects on cognitive domains and brushing/flossing and longer term improvements in clinical outcomes such as tooth decay, calculus, plaque, and bleeding (Ghaffari, Rakhshanderou, Ramezankhani, Buunk-Werkhoven, et al, 2018).…”