Extended Theory of Planned Behavior Applied to Oral Hygiene in Peruvian Undergraduates
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Background: There is considerable evidence in favor of applying the Theory of Planned Behavior to oral hygiene, proving to be an adaptable and highly explanatory model. However, more evidence is needed to apply an extended version of this theory to various populations in South-America. Purpose: To analyze the psychometric characteristics of an Oral Hygiene Questionnaire, a scale developed by Buunk-Werkhoven, and to describe the prediction level of Extended Theory of Planned Behavior to oral hygiene behavior. Methods: This was a non-experimental and cross-sectional study in which a non-probabilistic sample of 644 Peruvian undergraduate students was surveyed to respond the Oral Hygiene Questionnaire. Results: There are acceptable and good reliability coefficients of the Oral Hygiene Questionnaire subscales, and the Confirmatory Factorial Analysis shows items that fit the standardized measurement model of four exogenous first-order constructs. Regarding the structural model, absolute, comparative, and parsimony fit statistic was applied. Additionally, variables of the Extended Theory of Planned Behavior explained 31 % and 26 % of intention variance and oral hygiene behavior, respectively. Conclusion: The assessment and structural model based on the Extended Theory of Planned Behavior show good empirical evidence to apply it to oral hygiene of Peruvian undergraduates.
comportamiento, conducta saludable, estudiante universitario, higiene oral, odontología, teoría de la conducta planificada, teoría psicológicabehavior, dentistry, healthy behavior, oral hygiene, psychological theory, theory of planned behavior, undergraduate studentcomportamento, comportamento saudável, higiene oral, odontologia, teoria psicológica, teoria do comportamento planejado, estudante universitário
2. Buunk-Werkhoven YA, Dijkstra A, van der Schans CP. Determinants of oral hygiene behavior: a study based on the theory of planned behavior. Community Dent Oral Epidemiol. 2011 Jun; 39(3): 250-259. https://doi.org/10.1111/j.1600-0528.2010.00589.x
3. Chambrone L, Chambrone L. Results of a 20-year oral hygiene and prevention programme on caries and periodontal disease in children attended at a private periodontal practice. Int J Dent Hyg. 2011 May; 9(2): 155-158. https://doi.org/10.1111/j.1601-5037.2010.00455.x
4. Instituto Nacional de Estadística e Informática (INEI). Enfermedades no transmisibles Lima, Peru: INEI; 2018.
5. Brannon L, Updegraff JA, Feist J. Health psychology: an introduction to behavior and Health. 9a ed. Cengage Learning; 2017.
6. McCaul D, Oneill HK, Glasgow E. Predicting the performance of dental hygiene behaviors: an examination of the Fishbein and Ajzen Model and self-efficacy expectations. J Applied Socia1 Psychol. 1988 Feb; 18(2): 114-128. https://doi.org/10.1111/j.1559-1816.1988.tb00009.x
7. Buunk-Werkhoven YAB, Dijkstra A, Bink P, Van Zanten S, Van Der Schans CP. Determinants and promotion of oral hygiene behaviour in the Caribbean and Nepal. Int Dent J. 2011; 61(5): 267-273. https://doi.org/10.1111/j.1875-595X.2011.00071.x
8. Ajzen I. The theory of planned behavior: Frequently asked questions. Hum Behav Emerg Technol. 2020 Dec; 2(4): 314-324. https://doi.org/10.1002/hbe2.195
9. Ajzen I. The Theory of planned behavior. Organ Behav Hum Decis Process. 1991 Dec; 50: 179-211. https://doi.org/10.1016/0749-5978(91)90020-T
10. Patel J, Kulkarni S, Doshi D, Reddy BS, Reddy MP, Buunk-Werkhoven YAB. Determinants of oral hygiene behaviour among patients with moderate and severe chronic periodontitis based on the theory of planned behaviour. Int Dent J. 2019 Feb; 69(1): 50-57.
11. Dumitrescu AL, Wagle M, Dogaru BC, Manolescu B. Modeling the theory of planned behavior for intention to improve oral health behaviors: the impact of attitudes, knowledge, and current behavior. J Oral Sci. 2011; 53(3): 369-377. https://doi.org/10.2334/josnusd.53.369
12. Zetu I, Zetu L, Dogaru CB, Duţă C, Dumitrescu AL. Gender Variations in the Psychological Factors as Defined by the Theory of planned of oral hygiene behaviors. Procedia Soc Behav Sci. 2014 Apr; 127: 353-357. https://doi.org/10.1016/j.sbspro.2014.03.270
13. Dumitrescu AL, Duţă C, Dogaru CB, Manolescu B. Predicting undergraduates’ intentions to improve oral health behaviors: the importance of self-identity - a pilot study. J Dent Hyg. 2013 Aug; 87(4): 224-234.
14. Shitu K, Alemayehu M, Buunk-Werkhoven YAB, Handebo S. Determinants of intention to improve oral hygiene behavior among students based on the theory of planned behavior: a structural equation modelling analysis. PLoS One. 2021 Feb; 25 16(2): e0247069 http://doi.org/10.1371/journal.pone.0247069
15. Al-Raash EA, Qasim AA. Dental health knowledge , attitude , and behaviors regarding oral hygiene status among university students at Mosul City. Int J Enhanc Res Med Dent Care. 2019 Jan; 6(1l): 1-9.
16. Kojima A, Ekuni D, Mizutani S, Furuta M, Irie K, Azuma T, et al. Relationships between self-rated oral health, subjective symptoms, oral health behavior and clinical conditions in Japanese university students: a cross-sectional survey at Okayama University. BMC Oral Health. 2013 Nov 6; 13: 62. https://doi.org/10.1186/1472-6831-13-62
17. Schüz B, Sniehotta FF, Wiedemann A, Seemann R. Adherence to a daily flossing regimen in university students: effects of planning when, where, how and what to do in the face of barriers. J Clin Periodontol. 2006 Sep; 33(9): 612-619. https://doi.org/10.1111/j.1600-051X.2006.00967.x.
18. Glynn I. Elegance in science: the beauty of simplicity. Oxford, UK: Oxford University Press; 2010.
19. Kline RB. Principles and practices of structural equation modeling. 4a ed. New York: Guilford; 2015.
20. Buunk-Werkhoven YAB, Dijkstra AP, van der SC, Jaso ME, Acevedo S, Parodi G. Evaluación y promoción de la actitud hacia la higiene oral en pacientes de la Facultad de Odontología de la Universidad Católica del Uruguay. Act Odontol. 2008 Nov; 5(2): 13-20.
21. Buunk-Werkhoven YAB, Burrekers SY, Jongboer A, Quant DFM, van Maanen-Schakel NWD. Determinants of oral hygiene behavior in the Dominican Republic. Int Dent J. 2011 Dec; 61(6): 328-333. https://doi.org/10.1111/j.1875-595X.2011.00083.x
22. Bollen KA. Structural equations with latent variables. Contemporary Sociology. New York: John Wiley & Sons; 1989.
23. DeVellis RF. Scale development: theory and applications. 4a ed. Los Angeles, CA: SAGE; 2016.
24. Hair Jr. WC, Black JF, Babin BJ, Anderson RE. Multivariate data analysis: Pearson New International Edition. 7a ed. New Jersey: Pearson/Prentice Hall; 2014.
25. Cupani M. Análisis de ecuaciones estructurales: conceptos, etapas de desarrollo y un ejemplo de aplicación. Rev Tesis. 2012; (1): 186-199.
26. Ady Hamene NA. Structural equation modelling: confirmatory factor analysis (PowerPoint slides). 2017. p1-52. https://doi.org/10.13140/RG.2.2.25615.38565
27. Chin WW. The partial least squares approach to structural equation modelling. In: Marcoulides GA, editor. Modern methods for business research. New York: Psychology Press; 1998 Jan. pp. 295-236.
28. Pallant J. SPSS survival manual: a step by step guide to data analysis using IBM SPSS. 6th.ed. Routledge.
29. Armitage CJ, Conner M. Efficacy of the Theory of Planned Behaviour: a meta-analytic review. Br J Soc Psychol. 2001 Dec; 40(4): 471-499. http://doi.org/10.1348/014466601164939
30. Ericsson JS, Östberg A-L, Wennström JL, Abrahamsson KH. Oral health-related perceptions, attitudes, and behavior in relation to oral hygiene conditions in an adolescent population. Eur J Oral Sci. 2012 Aug; 120(4):335-341. https://doi.org/10.1111/j.1600-0722.2012.00970.x
31. Soltani R, Sharifirad G, Mahaki B, Eslami AA. Determinants of Oral Health Behavior among Preschool Children: Application of the Theory of Planned Behavior. J Dent (Shiraz). 2018 Dec; 19(4): 273-279.
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