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Developing an instrument to measure dental flossing in Iranian adolescents

Year 2011, Volume: 16 Issue: 4, 261 - 268, 22.01.2013

Abstract

Abstract. Preventable risk factors for oral health diseases are linked to related self-efficacy, attitudes and behaviors. The purpose of this study was to develop an instrument to measure oral self-care, based on the Transtheoretical model and to report on the psychometric testing of the instrument. The findings from qualitative research from Sanandaj, Iran, was used to generate the initial items. Construct validity was tested using principal component analysis to extract factors. Results: Factor analysis yielded 7 factors (28 items) related to interdental cleaning: 1 self-efficacy factor, 3 factors related to perceived benefits and 3 factors related to perceived barriers. Cronbach alpha reliability coefficient ranged from .83 to .87.  These preliminary results provide support for using the instrument to measure decisional balance and self-efficacy of interdental cleaning in Iranian adolescents.

Kew words:  Dental floss, transtheoretical model, reliability, validity, iranian adolescents

References

  • 1. Canadian Dental Association. The effects of oral health on overall health Available from: http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/life-vie/denteng.php
  • 2. American Dental Association. Cleaning your teeth and gums (oral hygiene. Available from: http:// www.ada.org/3063.aspx.
  • 3. Philippot P, Lenoir N, D'Hoore W, Bercy P. Improving patients' compliance with the treatment of periodontitis: a controlled study of behavioural intervention. J Clin Periodontol 2005; 32: 653-658.
  • 4. Hugoson A, Norderyd O. Has the prevalence of periodontitis changed during the last 30 years? J Clin Periodontol 2008; 35: 338-345.
  • 5. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003; 31: 3-23.
  • 6. Astrøm AN. Applicability of action planning and coping planning to dental flossing among Norwegian adults: a confirmatory factor analysis approach. Eur J Oral Sci 2008; 116: 250–259.
  • 7. Hamissi J, Ramezani GH, Ghodousi A. Prevalence of dental caries among high school attendees in Qazvin, Iran. J Indian Soc Pedod Prev Dent 2008; 26: 53-55.
  • 8. Mazloomi M, Roohani TN. Survey of some related factors to oral health in high school female students in Yazd, on the basis of health behavior model. Scientific journal of Birjand University of medical sciences 2009; 15: 40-48.
  • 9. Schwarzer R, Schuz B, Ziegelmann JP, et al. Adoption and maintenance of four health behaviors: theory-guided longitudinal studies on dental flossing, seat belt use, dietary behavior, and physical activity. Ann Behav Med 2007; 33: 156- 166.
  • 10. Buglar ME, White KM, Robinson NG. The role of self-efficacy in dental patients' brushing and flossing: Testing an extended Health Belief Model. Patient Educ Couns 2010; 78: 269-272.
  • 11. James E, Stewart, Strack S, Graves P. Self-efficacy, Outcome Expectancy, Dental Health Value, and Dental Plaque. Am J Health Behav 1999; 23: 303- 310.
  • 12. 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; 33: 612-619.
  • 13. Prochaska JO, Velicer WF. The Transtheoretical model of health behavior change. Health Promotion 1997; 12: 38-48.
  • 14. Prochaska JO, Velicer WF, Rossi JS, et al. Stages of change and decisional balance for 12 problem behaviors. Health Psychol 1994; 13: 39-46.
  • 15. Tillis TS, Stach DJ, Cross-Poline GN, et al. The transtheoretical model applied to an oral self-care behavioral change: development and testing of instruments for stages of change and decisional balance. J Dent Hyg 2003; 77: 16-25.
  • 16. Kasila K, Poskiparta M, Kettunen T, Pietilä I. Oral health counselling in changing schoolchildren's oral hygiene habits: a qualitative study. Community Dent Oral Epidemiol 2006; 34: 419-428.
  • 17. Hollister MC, Anema MG. Health behavior models and Oral health: a review. J Dent Hyg 2004; 78: 6.
  • 18. Nunnally JC. Psychometric Theory. 2nd edition. New York: McGraw-Hill; 1978.
  • 19. Rimondini L, Zolfanelli B, Bernardi F, Bez C. Selfpreventive oral behavior in an Italian university student population. J Clin Periodontol 2001; 28: 207-211.
  • 20. Astrøm AN, Rise J. Socio-economic differences in patterns of health and oral health behavior in 25 year old Norwegians. Clinical Oral Investigation 2001; 5: 122–128.
  • 21. Astrøm AN. Stability of oral health-related behaviour in a Norwegian cohort between the ages of 15 and 23 years. Community Dent Oral Epidemiol 2004; 32: 354–362.
Year 2011, Volume: 16 Issue: 4, 261 - 268, 22.01.2013

Abstract

References

  • 1. Canadian Dental Association. The effects of oral health on overall health Available from: http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/life-vie/denteng.php
  • 2. American Dental Association. Cleaning your teeth and gums (oral hygiene. Available from: http:// www.ada.org/3063.aspx.
  • 3. Philippot P, Lenoir N, D'Hoore W, Bercy P. Improving patients' compliance with the treatment of periodontitis: a controlled study of behavioural intervention. J Clin Periodontol 2005; 32: 653-658.
  • 4. Hugoson A, Norderyd O. Has the prevalence of periodontitis changed during the last 30 years? J Clin Periodontol 2008; 35: 338-345.
  • 5. Petersen PE. The World Oral Health Report 2003: continuous improvement of oral health in the 21st century--the approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol. 2003; 31: 3-23.
  • 6. Astrøm AN. Applicability of action planning and coping planning to dental flossing among Norwegian adults: a confirmatory factor analysis approach. Eur J Oral Sci 2008; 116: 250–259.
  • 7. Hamissi J, Ramezani GH, Ghodousi A. Prevalence of dental caries among high school attendees in Qazvin, Iran. J Indian Soc Pedod Prev Dent 2008; 26: 53-55.
  • 8. Mazloomi M, Roohani TN. Survey of some related factors to oral health in high school female students in Yazd, on the basis of health behavior model. Scientific journal of Birjand University of medical sciences 2009; 15: 40-48.
  • 9. Schwarzer R, Schuz B, Ziegelmann JP, et al. Adoption and maintenance of four health behaviors: theory-guided longitudinal studies on dental flossing, seat belt use, dietary behavior, and physical activity. Ann Behav Med 2007; 33: 156- 166.
  • 10. Buglar ME, White KM, Robinson NG. The role of self-efficacy in dental patients' brushing and flossing: Testing an extended Health Belief Model. Patient Educ Couns 2010; 78: 269-272.
  • 11. James E, Stewart, Strack S, Graves P. Self-efficacy, Outcome Expectancy, Dental Health Value, and Dental Plaque. Am J Health Behav 1999; 23: 303- 310.
  • 12. 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; 33: 612-619.
  • 13. Prochaska JO, Velicer WF. The Transtheoretical model of health behavior change. Health Promotion 1997; 12: 38-48.
  • 14. Prochaska JO, Velicer WF, Rossi JS, et al. Stages of change and decisional balance for 12 problem behaviors. Health Psychol 1994; 13: 39-46.
  • 15. Tillis TS, Stach DJ, Cross-Poline GN, et al. The transtheoretical model applied to an oral self-care behavioral change: development and testing of instruments for stages of change and decisional balance. J Dent Hyg 2003; 77: 16-25.
  • 16. Kasila K, Poskiparta M, Kettunen T, Pietilä I. Oral health counselling in changing schoolchildren's oral hygiene habits: a qualitative study. Community Dent Oral Epidemiol 2006; 34: 419-428.
  • 17. Hollister MC, Anema MG. Health behavior models and Oral health: a review. J Dent Hyg 2004; 78: 6.
  • 18. Nunnally JC. Psychometric Theory. 2nd edition. New York: McGraw-Hill; 1978.
  • 19. Rimondini L, Zolfanelli B, Bernardi F, Bez C. Selfpreventive oral behavior in an Italian university student population. J Clin Periodontol 2001; 28: 207-211.
  • 20. Astrøm AN, Rise J. Socio-economic differences in patterns of health and oral health behavior in 25 year old Norwegians. Clinical Oral Investigation 2001; 5: 122–128.
  • 21. Astrøm AN. Stability of oral health-related behaviour in a Norwegian cohort between the ages of 15 and 23 years. Community Dent Oral Epidemiol 2004; 32: 354–362.
There are 21 citations in total.

Details

Primary Language English
Journal Section Articles
Authors

Parvaneh Taymoori This is me

Arezoo Fallahi This is me

Tanya Berry This is me

Publication Date January 22, 2013
Published in Issue Year 2011 Volume: 16 Issue: 4

Cite

APA Taymoori, P., Fallahi, A., & Berry, T. (2013). Developing an instrument to measure dental flossing in Iranian adolescents. EASTERN JOURNAL OF MEDICINE, 16(4), 261-268.
AMA Taymoori P, Fallahi A, Berry T. Developing an instrument to measure dental flossing in Iranian adolescents. EASTERN JOURNAL OF MEDICINE. March 2013;16(4):261-268.
Chicago Taymoori, Parvaneh, Arezoo Fallahi, and Tanya Berry. “Developing an Instrument to Measure Dental Flossing in Iranian Adolescents”. EASTERN JOURNAL OF MEDICINE 16, no. 4 (March 2013): 261-68.
EndNote Taymoori P, Fallahi A, Berry T (March 1, 2013) Developing an instrument to measure dental flossing in Iranian adolescents. EASTERN JOURNAL OF MEDICINE 16 4 261–268.
IEEE P. Taymoori, A. Fallahi, and T. Berry, “Developing an instrument to measure dental flossing in Iranian adolescents”, EASTERN JOURNAL OF MEDICINE, vol. 16, no. 4, pp. 261–268, 2013.
ISNAD Taymoori, Parvaneh et al. “Developing an Instrument to Measure Dental Flossing in Iranian Adolescents”. EASTERN JOURNAL OF MEDICINE 16/4 (March 2013), 261-268.
JAMA Taymoori P, Fallahi A, Berry T. Developing an instrument to measure dental flossing in Iranian adolescents. EASTERN JOURNAL OF MEDICINE. 2013;16:261–268.
MLA Taymoori, Parvaneh et al. “Developing an Instrument to Measure Dental Flossing in Iranian Adolescents”. EASTERN JOURNAL OF MEDICINE, vol. 16, no. 4, 2013, pp. 261-8.
Vancouver Taymoori P, Fallahi A, Berry T. Developing an instrument to measure dental flossing in Iranian adolescents. EASTERN JOURNAL OF MEDICINE. 2013;16(4):261-8.