An Evaluation of a Storybook Targeting Parental Attitudes, Intention, and Self-Efficacy to Change Their Child’s Oral Health Behavior
An Evaluation of a Storybook Targeting Parental Attitudes, Intention, and Self-Efficacy to Change Their Child’s Oral Health Behavior
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针对父母改变孩子口腔健康行为的态度、意图和自我效能的故事书的评估
DOI：
10.1037/hea0000428
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发表时间：
2017
影响因子：
4.2
通讯作者：
C. Pine
中科院分区：
文献类型：
--
作者：
L. O’Malley;P. Adair;G. Burnside;L. Robinson;M. Coffey;C. Pine
目的：减少口腔疾病的方法传统上侧重于健康教育，而不是通过行为改变策略来针对核心行为的心理社会决定因素。这项研究测试了一种新的干预措施，其形式是嵌入行为改变技术的儿童故事(小猫的第一颗牙齿)(Abraham&Michie，2008)，目的是调查该干预措施在提高父母为孩子制定口腔健康行为的有效性和意向方面的有效性。方法：在英格兰贫困地区(n=149，儿童平均年龄4岁)进行前后对照研究，并设干预组和对照组。采用口腔健康行为问卷(OHBQ；Adair et al.，2004)在基线和干预后3个月测量任务特异性父母自我效能(PSE)和意向的变化。结果：在149名调查对象中，129人同时收回了基线问卷和评价问卷(保留86.6%)，其中125对问卷用于分析(83.4%)。使用一般线性模型(ANCOVA)对OHBQ进行分析。与儿童刷牙行为相关的PSE，干预组有显著差异，F(1，1)=12.04，p=.001，而与控制饮食糖有关的PSE无明显变化。结论：理论化的儿童故事可以通过支持父母改善孩子的口腔健康相关行为来有效地促进口腔健康。观察到儿童刷牙的变化，但没有观察到糖控制。这可能反映了故事的内容，也可能表明了改变饮食行为的困难。
Objective: Methods for reducing dental disease have traditionally focused on health education rather than targeting psychosocial determinants of the core behaviors through behavior change strategies. This study tested a novel intervention in the form of a children’s story (Kitten’s First Tooth) embedded with behavior change techniques (Abraham & Michie, 2008) with the aim of investigating how effective the intervention was at improving parents’ efficacy and intention to enact oral health behaviors for their child. Method: A controlled before and after study conducted in a deprived area of England (n = 149; child mean age 4 years) with an intervention and control group. Changes in task specific parental self-efficacy (PSE) and intention were measured using the Oral Health Behaviors Questionnaire (OHBQ; Adair et al., 2004) at baseline and 3 months following intervention. Results: Of the 149 participants, 129 returned both baseline and evaluation questionnaires (retention 86.6%), 125 of these pairs of questionnaires were used in the analysis (83.4%). The OHBQ was analyzed using a general linear model (ANCOVA). A significant difference was found in favor of the intervention group for PSE related to child tooth brushing behaviors, F(1,1) = 12.04, p = .001, however no change was observed for PSE related to control of dietary sugars. Conclusions: A theorized children’s story can be effective as an oral health promotion intervention by supporting parents to improve their child’s oral health-related behavior. Change was observed for child tooth brushing but not sugar control. This may reflect story contents or may be indicative of difficulties of changing dietary behavior.
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影响因子：
1.7
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影响因子：
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作者：
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影响因子：
22.4
作者：
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影响因子：
1.7
作者：
Harris,Rebecca;Nicoll,AlisonD;Adair,PaulineM;Pine,CynthiaM
通讯作者：
Pine,CynthiaM