Title: 0586 - Psychological Theory in Oral Health Promotion: A Systematic Review
Tamanna Tiwari (Presenter)
University of Colorado
Nayanjot Rai, university of colorado
Sarah Baker, University of Sheffield
Objectives: The objective of this review is to identify the types of psychological theory or models that have been used for oral health interventions to improve oral health outcomes. We conducted a systematic review to explore the extent and types of psychological model or theory used in the design of interventions to improve behavioral or clinical outcomes in parents, children, and adolescents.
Methods: Studies included in the review were published between 2005 and 2015. These studies either evaluated improvement in parental and/or children’s knowledge, behavioral and attitudes or clinical outcomes (dental caries) using appropriate oral health intervention techniques/models. Articles were retrieved from Ovid Medline, PubMed, and Psychinfo databases.
Results: 600 studies were initially reviewed; with only 14 studies meeting the inclusion criteria. Motivational Interviewing (MI), Theory of Planned Behavior (TPB), Health Belief Model (HBM), Sense of Coherence (SOC), Stage Theory (ST), Self-determination theory (SDT) were the models/techniques used in the oral health promotion interventions. Of these 14 studies, ten studies were based on MI. Three found MI to be effective in reducing dental caries in children. Four MI studies found improvement in either maternal oral health knowledge, self-efficacy, attitude, and behavior and two MI interventions were not successful in changing either the clinical or behavioral outcomes. The SDT based intervention improved maternal behavior related to child’s oral hygiene. One study found that TPB increased the stage-of-change scores and improved maternal oral health knowledge. HBM based intervention was found to be useful to decrease caries in children in one study. SOC based intervention improved oral health quality of life and behaviors in children.
Conclusions: Oral health promotion interventions based on psychological models/theories may be useful for improving parental knowledge and behaviors in relation to children’s oral health and could have higher public health impact in reducing dental diseases in children.
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: None