Parental social-cognitive correlates of preschoolers’ oral hygiene behavior: A systematic review and meta-analysis

Smith, Stephanie R.; Kroon, Jeroen; Schwarzer, Ralf; Hamilton, Kyra

doi:10.1016/j.socscimed.2020.113322

Cited by 13 publications

(19 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Perceived control is divided into two components: self-efficacy which is the sense of ease/ difficulty in engaging in the behavior and controllability which is the extent to which the performance is up to the person. Parental attitude, self-efficacy, and intention are modifiable social-cognitive constructs that were reported to be significantly associated with preschool children’s oral hygiene behavior and can be targeted by behavior modification interventions [ 20 ]. In the proposed study, each TPB construct will be targeted by a component, and this is assumed to lead to the desired behavior modification (Fig.…”

Section: Methodsmentioning

confidence: 99%

Using mHealth to promote parents’ brushing of preschool children’s teeth: a protocol for a randomized factorial trial using the Multi-phase Optimization Strategy (MOST)

Ihab

Din

Ammar

et al. 2022

Trials

View full text Add to dashboard Cite

Background Early childhood caries is a highly prevalent disease affecting young children. Parental brushing of children’s teeth is recommended during preschool years. Interventions to promote parental brushing of children’s teeth are assessed as a package in randomized clinical trials and the efficacy of separate components is not known. Methods and analysis The aim of this study is to develop an optimized behavior modification intervention to increase parents’ brushing of their pre-school children’s teeth using the multi-phase optimization strategy (MOST) guided by the Theory of Planned Behavior. Behavior change will be assessed by the percent reduction in children’s dental plaque index after 6 months and parents reporting of toothbrushing frequency. Two phases of MOST will be carried out. First, the preparation phase comprises the development of a conceptual framework, identifying candidate components, conducting a feasibility pilot study to assess the acceptability and the design features of three intervention components (motivational interviewing (MI), and two mobile health (mHealth) components: oral health promotion messages and storytelling videos delivered using WhatsApp messenger) in addition to setting an optimization objective. Second, the optimization phase constitutes a factorial trial assessing the three intervention components and developing the intervention by selecting the most effective components within the optimization constraint. Each component will be set at two levels: yes (the intervention is applied) and no (the intervention is not applied). A linear regression model will be used to assess the effect of the intervention components on the percent reduction in dental plaque index (primary outcome measure). The secondary outcome measure is the change in the frequency of parents’ brushing of the child’s teeth. The combination of components making up the new optimized intervention will be selected. Discussion This will be the first study to apply the MOST framework in the field of dentistry. The results of this study can guide the development of an optimized behavior modification interventions using mHealth and MI. Trial registration ClinicalTrials.gov, NCT04923581, Registered 11 June 2021.

show abstract

Section: Methodsmentioning

confidence: 99%

Using mHealth to promote parents’ brushing of preschool children’s teeth: a protocol for a randomized factorial trial using the Multi-phase Optimization Strategy (MOST)

Ihab

Din

Ammar

et al. 2022

Trials

View full text Add to dashboard Cite

show abstract

“…Present findings are consistent with applications of the HAPA across multiple health behaviours (Zhang et al, 2019), as well as research on social cognition constructs more broadly McEachan, Conner, Taylor, & Lawton, 2011). The present findings align with recent meta-analytic evidence for the association of self-efficacy, attitude, and intention with parental supervised toothbrushing (Smith et al, 2020). In light of the high mean scores on intention and behaviour (see Table 3), we can also infer high parental motivation.…”

Section: Theoretical Implicationsmentioning

confidence: 99%

“…Numerous studies have highlighted the need for theory‐based behaviour change interventions targeting oral hygiene practices (Scheerman et al., 2016), including parental supervised toothbrushing (Aliakbari et al., 2020; Hamilton, Cornish, et al., 2018; Hariyani et al., 2020; Smith, Kroon, Schwarzer, & Hamilton, 2020). To inform the design of effective behaviour change interventions, it is important to identify potentially modifiable predictors of parental supervised toothbrushing.…”

Section: Introductionmentioning

confidence: 99%

“…Previous research has provided support for the HAPA constructs in predicting preventive health behaviours, with prominent roles for outcome expectancies, self‐efficacy, planning, and action control (Schwarzer & Hamilton, 2020; Zhang et al., 2019). Recent meta‐analytic evidence provides support for some of the proposed relationships among HAPA motivational factors, identifying social cognition constructs self‐efficacy, attitude, and intention as significant correlates of parental supervised toothbrushing (Smith et al., 2020). While a limited evidence base has prevented a meta‐analysis of self‐regulatory factors in relation to parental supervised toothbrushing (Smith et al., 2020), HAPA volitional processes (i.e., self‐regulatory skills) have been shown to relate directly to oral hygiene behaviours in populations other than parents of preschoolers (Gholami, Knoll, & Schwarzer, 2015; Hamilton, Bonham, Bonham, Bishara, Kroon, & Schwarzer, 2017; Lhakhang et al., 2016; Zhou et al., 2014).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Social‐cognitive predictors of parental supervised toothbrushing: An application of the health action process approach

Smith

Kroon

Schwarzer

et al. 2021

British J Health Psychol

Self Cite

View full text Add to dashboard Cite

Background. We examined the social cognition determinants of parental supervised toothbrushing guided by the health action process approach (HAPA). Methods.In a prospective correlational survey study, participants (N = 185, 84.3% women) completed HAPA social cognition constructs at an initial time point (T1), and 12 weeks later (T2) self-reported on their parental supervised toothbrushing behaviour, toothbrushing habit, and action control.Results. Structural equation models exhibited adequate fit with the data when past behaviour and habit were either excluded or included. Intention, self-efficacy, planning, and action control were predictors of parental supervised toothbrushing; intention predicted action planning and coping planning; and self-efficacy and attitude were predictors of intention. Indirect effects of social cognition constructs through intentions, and intentions through planning constructs were also observed. Inclusion of past behaviour and habit attenuated model effects. Conclusion.Results indicate that parental supervised toothbrushing is a function of motivational and volitional processes. This knowledge can be used to inform behaviour change interventions targeting parental supervised toothbrushing. Statement of contributionWhat is already known on this subject?Early childhood caries is the most common preventable chronic disease in childhood.Regular parental supervised toothbrushing is vital for preventing early childhood caries in preschoolers.

show abstract

“…Perceived control is divided into two components self-e cacy which is the sense of ease/ di culty in engaging in the behavior; and controllability which is the extent to which the performance is up to the person. Parental attitude, self-e cacy, and intention are modi able social-cognitive constructs that were reported to be signi cantly associated with preschool children's oral hygiene behavior and can be targeted by behaviour modi cation interventions [20]. In the proposed study, each TPB construct will be targeted by a component, and this is assumed to lead to the desired behaviour modi cation (Figure 1).…”

Section: Preparation Phase a Conceptual Frameworkmentioning

confidence: 99%

Using mHealth to Promote Mothers’ Brushing of Preschool Children’s Teeth: A Study Protocol using the Multi-phase Optimization Strategy (MOST)

Ihab¹,

Din²,

Ammar³

et al. 2021

Preprint

View full text Add to dashboard Cite

Background Early childhood caries is a highly prevalent disease affecting young children. Parental brushing of children’s teeth is recommended during preschool years. Interventions to promote parental brushing of children’s teeth are assessed as a package in randomized clinical trials and the efficacy of separate components is not known. Methods and Analysis The aim of this study is to develop an optimized behavior modification intervention to increase mothers’ brushing of their pre-school children’s teeth using the Multi-phase Optimization Strategy (MOST) guided by the Theory of Planned Behavior. Behavior change will be assessed by the percent reduction in children’s dental plaque index after 6 months and mothers’ reporting of toothbrushing frequency. Two phases of MOST will be carried out. First: the preparation phase comprises the development of a conceptual framework, identifying candidate components, conducting a feasibility pilot study to assess the acceptability and the design features of three intervention components (motivational interviewing (MI), and two mobile health (mHealth) components: oral health promotion messages, and storytelling videos delivered using WhatsApp messenger) in addition to setting an optimization objective. Second: the optimization phase constitutes a factorial trial assessing the three intervention components and developing the intervention by selecting the most effective components within the optimization constraint. Each component will be set at two levels: yes (the intervention is applied) and no (the intervention is not applied). A linear regression model will be used to assess the effect of the intervention components on the percent reduction in dental plaque index (primary outcome measure). The secondary outcome measure is the change in the frequency of mother’s brushing of the child’s teeth. The combination of components making up the new optimized intervention will be selected.Discussion This will be the first study to apply the MOST framework in the field of dentistry. The results of this study can guide to the development of an optimized behaviour modification interventions using mHealth and MI. Trial Registration This trial was registered on June 11th, 2021, in Clinical trials.gov. Registration number: NCT04923581.

show abstract

Parental social-cognitive correlates of preschoolers’ oral hygiene behavior: A systematic review and meta-analysis

Cited by 13 publications

References 72 publications

Using mHealth to promote parents’ brushing of preschool children’s teeth: a protocol for a randomized factorial trial using the Multi-phase Optimization Strategy (MOST)

Using mHealth to promote parents’ brushing of preschool children’s teeth: a protocol for a randomized factorial trial using the Multi-phase Optimization Strategy (MOST)

Social‐cognitive predictors of parental supervised toothbrushing: An application of the health action process approach

Using mHealth to Promote Mothers’ Brushing of Preschool Children’s Teeth: A Study Protocol using the Multi-phase Optimization Strategy (MOST)

Contact Info

Product

Resources

About