Psychometric Properties of the Turkish Oral Health Behavior Questionnaire for Adolescents Based on the Health Belief Model

Yıl 2024, Cilt: 24 Sayı: 4, 207 - 214, 24.02.2025

İlknur Bektaş , Murat Bektaş , Dilek Demir Kösem , Şenay Demir , Gülser Kılınç

https://doi.org/10.26650/jchild.2024.1497791

Öz

Objective: To identify oral and dental health behaviors as critical life skills for adolescents. This study examined the Turkish psychometric properties of the “Health Belief Model-Based Oral Health Behavior Questionnaire for Adolescents” (OHBQAHBM).

Methods: This was a methodological study. The study sample consisted of 335 adolescents aged 13–18 years. The Sociodemographic Information Form and OHBQAHBM were used to gather data. The data analysis and evaluation were performed using factor analysis, Cronbach’s alpha, and item-total score correlation.

Results: Thirty-five items were recorded on the main scale, and the other items were recorded on six subscales. The six subscales had a variance of 50.4%. The Turkish Cronbach’s alpha coefficient was 0.880. Because of confirmatory factor analysis, the model fit index results were recorded as follows: 0.048 as the RMSEA, 0.861 as the goodness-of-fit index, and 0.924 as the comparative fit index.

Conclusions: The measurement tool was valid and reliable for evaluating adolescents’ oral and dental health behaviors based on their health belief model.

Anahtar Kelimeler

Health belief model, oral health behavior, adolescent health, scale validity, reliability

Kaynakça

• Al JA. Factors affecting utilization of dental health services and satisfaction among adolescent females in Riyadh City. Saudi Dental Journal 2010;22: 19-25. google scholar
• Sanaei NH, Yazdanian M, Mokhayeri Y et al. The role of psychological theories in oral health interventions: A systematic review and meta-analysis. International Journal of Dental Hygiene, 2019;17:142-152. google scholar
• Glanz K, Rimer BK, Viswanath K. (Eds.). Health behavior: Theory, research, and practice. John Wiley & Sons. 2015 google scholar
• Sfreddo CS, Moreira CHC, Nicolau B, Ortiz FR, Ardenghi TM. (2019). Socioeconomic inequalities in oral health-related quality of life in adolescents: a cohort study. Quality of Life Research, 2019;28:2491-2500. google scholar
• Knorst JK, Sfreddo CS, de F Meira G, Zanatta FB, Vettore MV, Ardenghi TM. Socioeconomic status and oral health-related quality of life: A systematic review and meta-analysis. Community Dentistry and Oral Epidemiology, 2021;49(2), 95-102. google scholar
• Foster Page LA, Thomson WM, Ukra A, Baker SR. Clinical status in adolescents: is its impact on oral health-related quality of life influenced by psychological characteristics? Eur J Oral Sci.2013;121:182-7. google scholar
• Gomes, A. C., Rebelo, M. A., de Queiroz, A. C., et al. Socioeconomic status, social support, oral health beliefs, psychosocial factors, health behaviors, and health-related quality of life in adolescents. Quality of Life Research, 2020;29(1), 141-151. google scholar
• Davidson T, Bergström EK, Husberg M, Moberg Sköld U. Long-term cost effectiveness through the Dental-Health FRAMM Guideline for Caries Prevention. International Journal of Environmental Research and Public Health, 2022;19(4), 1954. google scholar
• Dodd VJ, Logan H, Brown CD, Calderon A, Catalanotto F. Perceptions about oral health, preventive care, and care-seeking behaviors among rural adolescents. Journal of School Health, 2014;84:802-809. google scholar
• Bhola R, Malhotra R. Dental procedures, oral practices, and associated anxiety: A study of late-teenagers. Osong Public Health and Research Perspectives. 2014;5:219-232. google scholar
• Wahengbam PP, Kshetrimayum N, Wahengbam BS, et al. Assessment of oral health knowledge, attitude, and self-care practice among adolescents: a state-wide cross-sectional study in Manipur, North Eastern India. Journal of clinical and diagnostic research: 2016;10:ZC65. google scholar
• Xiang B, Wong HM, Cao W et al. Development and validation of the Oral health behavior questionnaire for adolescents based on the health belief model (OHBQAHBM). BMC Public Health 2020;20:1-11. google scholar
• S.J. Calderon, C. Mallory My pearly white teeth: Exploring adolescents’ oral health behavior. Public Health Nursing, 2019;36:62-69. google scholar
• Shitu K, Alemayehu M, Buunk-Werkhoven YA, Handebo S. Determinants of intention to improve oral hygiene behavior among students based on the theory of planned behavior: A structural equation modeling analysis. PloS one, 2021;16: e0247069. google scholar
• Goodarzi A, Heidarnia A, Tavafian SS, Eslami M. Predicting oral health behaviors among Iranian students using the health belief model. Journal of Education and Health Promotion, 2019;8(10). google scholar
• Top FU, Ocakci AF. Effectiveness of a health improving model on oral health behavior for adolescents by nursing interventions. Med Sci. 2018;7: 83-88. google scholar
• Gözüm S, Çapık C. Sağlık davranışlarının geliştirilmesinde bir rehber: sağlık inanç modeli. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 2014;:230-237. google scholar
• Burglar ME, White KM, Robinson NG. The role of self-efficacy in brushing and flossing among dental patients: Testing an extended Health Belief Model. Patient Education and Counseling. 2010;78:269-272. google scholar
• Rahmati-Najarkolaei F, Rahnama P, Fesharaki MG, Behnood V. Predictors of oral health behaviors in female students: Application of the health belief model. Iran Red Crescent Med J. 2016;18:e24747. google scholar
• Bahramian H, Mohebbi SZ, Khami MR, Sighaldeh SS. A health belief model-based instrument for assessing factors affecting Oral health behavior during pregnancy. Iran Red Crescent Med J. 2017;19:e58266. google scholar
• Çam MO, Baysan-Arabacı L. Qualitative and quantitative steps on attitude scale construction. Hemar-G 2020;12(2),59-71. google scholar
• Şencan H. Reliability and validity in social and behavioral measurement. 1. ed. Ankara: Seçkin Yayınevi. 2005. google scholar
• Nunnallyi JC, Bernstein IH. Psychometric theory. 3. ed. New York, NY: McGraw-Hill, 2010. google scholar
• Rattray J, Jones MC. (2007). Essential elements of questionnaire design and development. J Clin Nurs. 2007;16:234-243. google scholar
• De Vellis, R.F. Scale development, theory and applications, 2012; 3rd ed., pp.6-89. India: SAGE Publication, Inc. google scholar
• Jonhson B, Christensen L. Educational Research: Quantitative, Qualitative, and Mixed Approaches. California: SAGE Publication, Inc.; 2014; 190-222. google scholar
• Hayran M. Saglik arastirmalari icon texel statistic. Ankara, Turkey: Omega Arastirma, 2011; 29-30. google scholar
• Kartal M, Bardakçı S. SPSS ve AMOS uygulamalı örneklerle güvenirlik ve geçerlik analizleri, 2018; pp. 1-192. Türkiye: Akademisyen Publishing. (Turkish) google scholar
• Karagöz Y. SPSS 23 ve AMOS 23 uygulamalı istatistiksel analyzer (SPSS 23 and AMOS 23 applied statistical analysis). Ankara, A. (Turkish: Nobel Akademi Publishing. (Turkish) 2016 google scholar
• Seçer I. Psikolojik test geliştirme ve ulama süreci; Spss ve Lisrel uygulamaları (Psychological test development and adaptation process; Spss and Lisrel applications), 2018; 2nd ed., pp. 10-168. Ankara: Anı Publishing. (Turkish) google scholar
• Özdamar K. Ölçek ve test geliştirme yapısal eşitlik modellemesi (Scale and test development structural equation modeling), 2016; pp.6-286. Ankara: Nisan Kitabevi Publishing. google scholar
• Marashi SZ, Hidarnia A, Kazemi SS, Zarei F. Factors predicting oral health behaviors among students age 13-15 years in Shushtar city, Iran. BMC Oral Health. 2023 Sep 25;23(1):691. doi: 10.1186/ s12903-023-03363-7. google scholar
• Marashi, S. Z.; Hidarnia, A.; Kazemi, S. S.; Zarei, F. Educational Intervention for Promote Behaviors Related to Oral Health: A Randomized Controlled Trial Protocol. Journal of Nursing & Healthcare, 2023, 8.4: 257-263. google scholar
• Erdede, O., Sari, E., Kulcu, N. U., & Yamanel, R. G. S. Parents’ awareness of their children’s oral-dental health: Knowledge, attitudes and practices. Medicine, 2022; 11(4), 1599-602. google scholar
• Özel, İ. Ç., Erbaş Ünverdi, G.; Serdar Eymirli, P., & Yabancı Ayhan, N. The relationship between dental caries, dietary intake, and body composition in school-age children. Eur Pediatr Assoc Gazette, 2024, 72(1), 14. google scholar