Oral health and dental well‐being: testing a self‐determination theory model

Halvari, Anne E. Münster; Halvari, Hallgeir; Bjørnebekk, Gunnar; Deci, Edward L.

doi:10.1111/j.1559-1816.2012.00996.x

Cited by 35 publications

(45 citation statements)

References 110 publications

(175 reference statements)

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“…Sample items were: “I find that my oral health care professional decides too much”; “When my teeth are being examined, I feel underestimated and humiliated”; and “My oral health care professional does not see me as a person, he/she sees only the teeth.” Participants responded to the items on a 1 ( strongly disagree ) to 7 ( strongly agree ) scale. For additional reliability and validity indications of the PCSDCQ, see (Halvari et al, , b, ).…”

Section: Methodsmentioning

confidence: 99%

“…General well‐being involves positive experiences at both the physical and psychological levels, and has been operationalized by vitality, absence of anxiety, and absence of somatic symptom burden (Baard, Deci, & Ryan, ) and by positive affect, vitality, absence of negative affect, and absence of somatic symptom burden (Farholm, Halvari, Niemiec, Williams, & Deci, ). In the dental field, poor OHRQoL has been associated with poor general health and well‐being (Buunk‐Werkhoven et al, ; Halvari, Halvari, Bjørnebekk, & Deci, ).…”

Section: Introductionmentioning

confidence: 99%

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Dental anxiety, oral health‐related quality of life, and general well‐being: A self‐determination theory perspective

Halvari

Deci

2019

J Applied Social Pyschol

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The aim of this study was to test a structural equation model (SEM) with the following hypotheses: (1) patients’ perceptions of oral health care professionals’ (i.e., dentists and dental hygienists) controlling interpersonal styles would positively predict patients’ dental anxiety through their basic psychological need frustration in treatment; (2) in turn, high dental anxiety would positively predict dysregulation of dental anxiety, which through a feedback loop contributes to perception of oral health care professionals’ controlling styles; and, (3) in addition, both dental anxiety and dysregulation of dental anxiety would predict poor Oral Health‐Related Quality of Life (OHRQoL) and subsequently poor general well‐being. A cross‐sectional study was conducted among 322 students at the University of Oslo. Participants responded to a survey with validated questionnaires. All variables in the model tested were acceptably normally distributed. The SEM did fit the data well and all hypotheses were supported. A bootstrapping procedure indicated that all indirect links in the model were supported. Analysis indicated that common method variance (CMV) did not seriously distort the results in this setting. Although the majority of oral health care professionals are perceived as being noncontrolling by their patients (51%), the proportion perceived as moderately (38%) or highly (11%) controlling represent a challenge for oral health care education and practice. It would be useful for oral health care professionals to be trained in avoiding a controlling treatment style.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Dental anxiety, oral health‐related quality of life, and general well‐being: A self‐determination theory perspective

Halvari

Deci

2019

J Applied Social Pyschol

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“…On the other hand, users also are motivated to innovate because they enjoy the development situation and derive subjective well‐being from it (Lakhani and Wolf, ; Raasch and von Hippel, ). “Subjective well‐being is … what makes experiences and life pleasant as opposed to unpleasant” (Halvari, Halvari, Bjørnebekk, and Deci, , p. 275; Kahneman, Diener, and Schwarz, ).…”

Section: Literature Reviewmentioning

confidence: 99%

Impacts of Hedonic and Utilitarian User Motives on the Innovativeness of User‐Developed Solutions

Stock¹,

Oliveira²,

Hippel³

2014

J of Product Innov Manag

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When individual consumers develop products for their own use, they in part expect to be rewarded by the use value of what they are creating (utilitarian user motives), and in part expect to be rewarded intrinsically by such things as the fun and learning experience derived from creating it (hedonic user motives). In this paper, we conduct first-of-type studies to understand the relationship between individual consumers' motives to innovate and the novelty and utility of the solutions they develop. The theoretical framework integrates self-determination theory and goal setting theory.The major findings of this study are that utilitarian user motives positively affect the utility of user-developed innovations. In addition, we find that a strong utility motive is associated with reduced solution novelty-perhaps because if individual users really need something to function well, it may be wise to go with tried and true solutions. In contrast, hedonic user motives drive solution novelty; the more an innovator is "in it for fun," the more novel the solution developed. However, hedonic user motives also have an inverted U-shaped relationship with solution utility. When the dominant motive for developing an innovation is the joy of the creative process rather than use value, the utility of what is developed is negatively affected. The levels of utility and hedonic user motives driving innovators are variables that can be adjusted by the innovators themselves, and/or by third parties seeking to motivate individual innovators and affect the rate and direction of inventive activities.

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“…Sample item: “My oral health care professional does not see me as a person, he/she sees only my teeth.” Participants responded to the items on a 1 ( strongly disagree ) to 7 ( strongly agree ) scale. For additional reliability and validity indications of the PCSDCQ, see (Halvari et al, , , ). In the current study, the α reliability coefficient was .86.…”

Section: Methodsmentioning

confidence: 99%

Motivation and anxiety for dental treatment and dental attendance: The roles of the locus of causality personality and treatment styles

Halvari

Deci

et al. 2019

J Applied Social Pyschol

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The purpose of the present study was to test a self‐determination theory model with the following hypotheses: (1) Patients’ autonomous causality personality orientation and oral health care professionals’ autonomy‐supportive treatment styles, as perceived by patients, would both be positively indirectly associated with dental attendance through patients’ autonomous motivation for dental treatment. (2) Patients’ controlled causality personality orientation and oral health care professionals’ controlling treatment styles, as perceived by patients, would both be positively indirectly associated with avoidance of making a dental clinic appointment through patients’ anxiety for dental treatment. A sample size of about 200 patients was estimated to be acceptable in detecting moderate effect sizes (independent variables: 5–6; power: .80; p < .05). Student patients (N = 226) responded to a survey with validated questionnaires. Using LISREL, both hypotheses were supported. In addition, patients’ perception of a controlling treatment style moderated the controlled personality—dental anxiety relation, so that a lower controlling treatment style mitigated dental anxiety substantially among patients with a high control orientation. Effect sizes were moderate to large. Analyses (Z‐scores) also revealed that the autonomous personality is more strongly linked to situational autonomous motivation than situational autonomy support, whereas a controlled personality and a perceived controlling treatment style are equally and significantly associated to dental anxiety. Both patient personalities and oral health care professionals’ treatment styles are substantially linked to autonomous motivation and anxiety for dental treatment, which are relatively strongly associated with dental attendance and avoiding dental clinic appointments, respectively.

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Oral health and dental well‐being: testing a self‐determination theory model

Cited by 35 publications

References 110 publications

Dental anxiety, oral health‐related quality of life, and general well‐being: A self‐determination theory perspective

Dental anxiety, oral health‐related quality of life, and general well‐being: A self‐determination theory perspective

Impacts of Hedonic and Utilitarian User Motives on the Innovativeness of User‐Developed Solutions

Motivation and anxiety for dental treatment and dental attendance: The roles of the locus of causality personality and treatment styles

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