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

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...

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Published in:International Journal of Dental Hygiene Vol. 21; no. 1; pp. 59 - 77
Main Authors: van Nes, Karin Alexandra, van Loveren, Cor, Luteijn, Michiel Fridthjof, Slot, Dagmar Else
Format: research systematic review tables/charts Journal Article
Published: Wiley-Blackwell Feb2023
Online Access:View this record in EBSCOhost
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      jtl: International Journal of Dental Hygiene
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      dt: Feb2023
      vid: 21
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/idh.12628
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        atl: Health action process approach in oral health behaviour: Target interventions, constructs and groups—A systematic review.
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        au:
          van Nes, Karin Alexandra
          van Loveren, Cor
          Luteijn, Michiel Fridthjof
          Slot, Dagmar Else
        affil: Department of Paediatric Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam,, The Netherlands
      sug:
        subj:
          Health Promotion Methods
          Oral Health
          Health Behavior
          Behavioral Changes
          Human
          Male
          Female
          Systematic Review
          Medline
          PubMed
          Psycinfo
          Cochrane Library
          Funding Source
          Male
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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