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Validation of an improved questionnaire assessing the social cognitive constructs of the Health Action Process Approach among parents regarding brushing their children's teeth. | LitMetric

AI Article Synopsis

  • The study aimed to refine a questionnaire based on the Health Action Process Approach (HAPA) to help measure attitudes and behaviors of parents regarding their children's dental hygiene, particularly in high-risk caries situations.
  • Research involved parents of children ages 3-10 and included various statistical methods to validate the questionnaire's effectiveness, yielding a multidimensional scale with different factors related to dental care.
  • The final results showed the improved questionnaire is reliable and valid, making it suitable for assessing the impact of interventions aimed at enhancing the oral health of children.

Article Abstract

Objective: The Health Action Process Approach (HAPA) describes social cognitive constructs related to behaviour change. A validated questionnaire is needed to measure these constructs in paediatric dentistry. The aim of this study was to improve an existing HAPA-based questionnaire for parents regarding brushing their children's teeth and to assess its validity and reliability in a population of parents of high caries risk children.

Methods: Parents of high caries risk children of 3-10 years filled out the adjusted HAPA-based questionnaire. Mokken scale analysis, graded response model analyses, factor analyses and reliability analyses were performed according to the protocol of Dima. Discriminant validity was assessed by comparing the mean scores of the HAPA constructs between two groups of participants, based on different levels of caries experience, brushing frequency and education level of the mother.

Results: The Mokken scale analysis and factor analyses indicated a multidimensional eight factor scale. The graded response model did not fit our data. The subscale action control could be identified as a two-factor subscale. Reliability indices from the Dima protocol varied, for instance Cronbach alpha ranged from 0.73 to 0.96. The constructs coping self-efficacy, action planning and action control discriminated between brushing frequencies.

Conclusions: The adjusted HAPA-based questionnaire is an improved, valid and reliable instrument that could be used to evaluate HAPA-based interventions to improve children's oral health.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11149846PMC
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0300432PLOS

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