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Health action process approach in oral health behaviour: Target interventions, constructs and groups-A systematic review. | LitMetric

AI Article Synopsis

  • The study aimed to systematically analyze HAPA-based interventions in dentistry, focusing on intervention type, target demographics, and the HAPA model constructs used.
  • A total of 13 studies were included, primarily targeting flossing behavior among students, adolescents, and dental patients, but most did not fully utilize all HAPA constructs.
  • Only two studies qualified as true HAPA interventions, highlighting a moderate level of evidence and limited application of the model across the research.

Article Abstract

Objective: The aim of this study was to systematically map the Health Action Process Approach (HAPA)-based interventions in dentistry in relation to the type of intervention, the target groups and the constructs of the HAPA model that are used in the study and to assess the clinical relevance of the studies.

Methods: A search in the databases of the National Library of Medicine (MEDLINE-PubMed), PsychINFO and Cochrane-CENTRAL was conducted. A quality assessment to estimate the risk of bias and a qualitative descriptive analysis were performed. The overall gathered evidence was graded.

Results: Ten randomized controlled trials and three observational studies thus in total 13 studies were included. Flossing was the targeted behaviour in ten studies. The target groups consisted of students, adolescents and dental patients. Overall, all nine HAPA constructs were used, but only one study used all HAPA constructs. Six studies presented the used behavioural change techniques according to the BCT taxonomy. Based on the number of the used constructs, only two studies were classified as HAPA intervention studies. The most frequently used constructs were action control as an intervention and behaviour as an outcome measure. The overall evidence was graded with moderate certainty.

Conclusion: In the majority of the studies, the targeted intervention was flossing and the population consisted of students, adolescents and dental patients. All studies used only a selection of the HAPA constructs. Therefore, only a minority of the studies can be considered real HAPA intervention studies.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10092238PMC
http://dx.doi.org/10.1111/idh.12628DOI Listing

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