TY - JOUR
T1 - An application of the Health Action Process Approach model to oral hygiene behaviour and dental plaque in adolescents with fixed orthodontic appliances
AU - Scheerman, J.F.M.
AU - van Empelen, P.
AU - van Loveren, C.
AU - Pakpour, A.H.
AU - van Meijel, B.
AU - Gholami, M.
AU - Mierzaie, Z.
AU - van den Braak, M.C.T.
AU - Verrips, G.H.W.
N1 - cited By 0
PY - 2017/11/1
Y1 - 2017/11/1
N2 - Background: The Health Action Process Approach (HAPA) model addresses health behaviours, but it has never been applied to model adolescents’ oral hygiene behaviour during fixed orthodontic treatment.Aim: This study aimed to apply the HAPA model to explain adolescents’ oral hygiene behaviour and dental plaque during orthodontic treatment with fixed appliances.Methods: In this cross‐sectional study, 116 adolescents with fixed appliances from an orthodontic clinic situated in Almere (the Netherlands) completed a questionnaire assessing oral health behaviours and the psychosocial factors of the HAPA model. Linear regression analyses were performed to examine the factors associated with dental plaque, toothbrushing, and the use of a proxy brush.Results: Stepwise regression analysis showed that lower amounts of plaque were significantly associated with higher frequency of the use of a proxy brush (R2 = 45%), higher intention of the use of a proxy brush (R2 = 5%), female gender (R2 = 2%), and older age (R2 = 2%). The multiple regression analyses revealed that higher action self‐efficacy, intention, maintenance self‐efficacy, and a higher education were significantly associated with the use of a proxy brush (R2 = 45%). Conclusion: Decreased levels of dental plaque are mainly associated with increased use of a proxy brush that is subsequently associated with a higher intention and self‐efficacy to use the proxy brush.
AB - Background: The Health Action Process Approach (HAPA) model addresses health behaviours, but it has never been applied to model adolescents’ oral hygiene behaviour during fixed orthodontic treatment.Aim: This study aimed to apply the HAPA model to explain adolescents’ oral hygiene behaviour and dental plaque during orthodontic treatment with fixed appliances.Methods: In this cross‐sectional study, 116 adolescents with fixed appliances from an orthodontic clinic situated in Almere (the Netherlands) completed a questionnaire assessing oral health behaviours and the psychosocial factors of the HAPA model. Linear regression analyses were performed to examine the factors associated with dental plaque, toothbrushing, and the use of a proxy brush.Results: Stepwise regression analysis showed that lower amounts of plaque were significantly associated with higher frequency of the use of a proxy brush (R2 = 45%), higher intention of the use of a proxy brush (R2 = 5%), female gender (R2 = 2%), and older age (R2 = 2%). The multiple regression analyses revealed that higher action self‐efficacy, intention, maintenance self‐efficacy, and a higher education were significantly associated with the use of a proxy brush (R2 = 45%). Conclusion: Decreased levels of dental plaque are mainly associated with increased use of a proxy brush that is subsequently associated with a higher intention and self‐efficacy to use the proxy brush.
UR - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85013052771&doi=10.1111%2fipd.12287&partnerID=40&md5=ee7a872b7b7f7e6d9bd6ef93cfb92824
UR - http://www.scopus.com/inward/record.url?scp=85013052771&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/ipd.12287
DO - https://doi.org/10.1111/ipd.12287
M3 - Article
SN - 0960-7439
VL - 27
SP - 486
EP - 495
JO - International Journal of Paediatric Dentistry
JF - International Journal of Paediatric Dentistry
IS - 6
ER -