Self-determined motivational predictors of increases in dental behaviors, decreases in dental plaque, and improvement in oral health: A randomized clinical trial

Health Psychology

Volumn 31, Issue 6, 2012, Pages 777-788

  Halvari, Anne E Münster ^a   Halvari, Hallgeir ^b   Bjørnebekk, Gunnar ^c   Deci, Edward L ^d  

^a UNIVERSITY OF OSLO   (Norway)

^b UNIVERSITY OF SOUTH EASTERN NORWAY   (Norway)

^c Norwegian Centre for Child Behavioral Development   (Norway)

^d UNIVERSITY OF ROCHESTER   (United States)

Author keywords

Autonomous motivation; Autonomy support; Dental behavior; Oral health promotion and prevention of oral disease; Perceived competence

Indexed keywords

ADULT; ARTICLE; COMPETENCE; CONTROLLED STUDY; DENTAL PROCEDURE; EFFECT SIZE; FEMALE; GINGIVITIS; HOME CARE; HUMAN; MAJOR CLINICAL STUDY; MALE; MOTIVATION; MOUTH HYGIENE; PROFESSIONAL PRACTICE; RANDOMIZED CONTROLLED TRIAL; SELF DETERMINATION THEORY; THEORY; TOOTH PLAQUE;

ADOLESCENT; ADULT; DENTAL PLAQUE; FEMALE; FOLLOW-UP STUDIES; GINGIVITIS; HUMANS; MALE; MOTIVATION; ORAL HEALTH; ORAL HYGIENE; PERSONAL AUTONOMY; YOUNG ADULT;

EID: 84874389548     PISSN: 02786133     EISSN: 19307810     Source Type: Journal    
DOI: 10.1037/a0027062     Document Type: Article

References (45)

1. Albandar, J. M., & Rams, T. E. (2002). Global epidemiology of periodontal diseases: An overview. Periodontology, 29, 7-10. doi:10.1034/j.1600-0757.2002.290101.x.
2. American Academy of Periodontology. (2005). Academy Report. Position paper: Epidemiology of periodontal diseases. Journal of Periodontology, 76, 1406-1419. doi:10.1902/jop.2005.76.8.1406.
3. Armitage, G. C. (2004). Periodontal diagnoses and classification of periodontal diseases. Periodontology 2000, 34, 9-21. doi:10.1046/j.0906-6713.2002.003421.x.
4. Bandura, A. (1989). Human agency in social cognitive theory. American Psychologist, 44, 1175-1184. doi:10.1037/0003-066X.44.9.1175.
5. Beauchamp, T. L., & Childress, J. F. (2001). Principles of biomedical ethics. New York, NY: Oxford University Press.
6. Bollen, K. (1989). Structural equations with latent variables. New York, NY: Wiley.
7. Clarkson, J. E., Young, L., Ramsay, C. R., Bonner, B. C., & Bonetti, D. (2009). How to influence patient oral hygiene behaviour effectively. Journal of Dentistry Research, 88, 933-937. doi:10.1177/0022034509345627.
8. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159. doi:10.1037/0033-2909.112.1.155.
9. Cohen, J., Cohen, P., West, S. G., & Aikin, L. S. (2003). Applied multiple regression/correlational analysis for the behavioural sciences. Mahwah, NJ: Erlbaum.
10. Deci, E. L., Eghrari, H., Patrick, B. C., & Leone, D. R. (1994). Facilitating internalization: The self-determination theory perspective. Journal of Personality, 62, 119-142. doi:10.1111/j.1467-6494.1994.tb00797.x.
11. Deci, E. L., & Ryan, R. M. (1985). The general causality orientations scale: Self-determination in personality. Journal of Research in Personality, 19, 109-134. doi:10.1016/0092-6566(85)90023-6.
12. Deci, E. L., & Ryan, R. M. (2000). The "what" and "why" of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11, 227-268. doi:10.1207/S15327965PLI1104_01.
13. Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129-136. doi:10.1126/science.847460.
14. Halvari, A., & Halvari, H. (2006). Motivational predictors of change in oral health: An experimental test of self-determination theory. Motivation and Emotion, 30, 295-305. doi:10.1007/s11031-006-9035-8.
15. Halvari, A., Halvari, H., Bjørnebekk, G., & Deci, E. L. (in press[a]). Motivation for dental home care: Testing a self-determination theory model. Journal of Applied Social Psychology.
16. Halvari, A., Halvari, H., Bjørnebekk, G., & Deci, E. L. (in press[b]). Oral health and dental well-being: Testing a self-determination theory model. Journal of Applied Social Psychology.
17. Halvari, A. E. M., Halvari, H., Bjørnebekk, G., & Deci, E. L. (2010). Motivation and anxiety for dental treatment: Testing a self-determination theory model of oral self-care behavior and dental clinic attendance. Motivation and Emotion, 34, 15-33. doi:10.1007/s11031-010-9154-0.
18. Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1-55. doi:10.1080/10705519909540118.
19. Jang, H., Reeve, J., & Deci, E. L. (2010). Engaging students in learning activities: It's not autonomy support or structure, but autonomy support and structure. Journal of Educational Psychology, 102, 588-600. doi: 10.1037/a0019682.
20. Jönsson, B., Lindberg, P., Oscarson, N., & Öhrn, K. (2006). Improved compliance and self-care in patients with periodontitis-a randomized control trial. International Journal of Dental Hygiene, 4, 77-83. doi:10.1111/j.1601-5037.2006.00175.x.
21. Kay, E., & Locker, D. (1998). A systematic review of the effectiveness of health promotion aimed at improving oral health. Community Dental Health, 15, 132-144.
22. Little, T. D., Cunningham, W. A., Shahar, G., & Widaman, K. F. (2002). To parcel or not to parcel: Exploring the question, weighing the merits. Structural Equation Modeling, 9, 151-173. doi:10.1207/S15328007SEM0902_1.
23. Löe, H. (1967). The Gingival Index, the Plaque Index and the Retention Index Systems. Journal of Periodontology, 38, 610-616. doi:10.1902/ jop.1967.38.6.610.
24. Löe, H. (2000). Oral hygiene in the prevention of caries and periodontal disease. International Dental Journal, 50, 129-139. doi:10.1111/j.1875-595X.2000.tb00553.x.
25. Marsh, P. D. (2006). Dental plaque as a biofilm and a microbial community - implications for health and disease. BMC Oral Health, 6, S14. doi:10.1186/1472-6831-6-S1-S14.
26. Milgrom, P., Weinstein, P., & Getz, T. (1995). Treating fearful dental patients. Seattle, WA: Herman.
27. Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879-891. doi:10.3758/BRM.40.3.879.
28. Ramsay, D. S. (2000). Patient compliance with oral hygiene regimes: A behavioral self-regulation analysis with implications for technology. International Dental Journal, 50, 304 -311. doi:10.1111/j.1875-595X.2000.tb00580.x.
29. Rose, E. A., Markland, D., & Parfitt, G. (2001). The development and initial validation of the Exercise Causality Orientations Scale. Journal of Sports Sciences, 19, 445-462. doi:10.1080/026404101300149393.
30. Ryan, R. M. (1982). Control and information in the intrapersonal sphere: An extension of cognitive evaluation theory. Journal of Personality and Social Psychology, 43, 450-461. doi:10.1037/0022-3514.43.3.450.
31. Schüz, B., Sniehotta, F. F., Wiedemann, A., & Seemann, R. (2006). Adherence to a daily flossing regimen in university students: Effects of planning when, where, how, and what to do in the face of barriers. Journal of Clinical Periodontology, 33, 612-619. doi:10.1111/j.1600-051X.2006.00967.x.
32. Schüz, B., Wiedemann, A. U., Mallach, N., & Scholz, U. (2009). Effects of a short behavioural intervention for dental flossing: Randomizedcontrolled trial on planning when, where and how. Journal of Clinical Periodontology, 36, 498-505. doi:10.1111/j.1600-051X.2009.01406.x.
33. Silva, M. N., Markland, D. A., Carraca, E. V., Vieira, P. N., Cautinho, S. R., Minderico, C. S., Teixeira, P. J. (2011). Exercise autonomous motivation predicts 3-yr weight loss in women. Medicine and Science in Sports and Exercise, 43, 728-737. doi:10.1249/MSS.0b013e3181f3818f.
34. Vallerand, R. J. (1997). Toward a hierarchical model of intrinsic and extrinsic motivation. In M. P. Zanna (Ed.), Advances in experimental social psychology (pp. 271-360). San Diego, CA: Academic Press.
35. Watt, R. G., & Marinho, V. C. (2005). Does oral health promotion improve oral hygiene and gingival health? Periodontology, 37, 35-47. doi:10.1111/j.1600-0757.2004.03796.x.
36. Williams, G. C. (2002). Improving patients' health through supporting the autonomy of patients and providers. In E. L. Deci & R. M. Ryan (Eds.), Handbook of self-determination research (pp. 233-254). Rochester, NY: University of Rochester Press.
37. Williams, G. C.,&Deci, E. D. (1996). Internalization of biopsychosocial values by medical Students: A test of self-determination theory. Journal of Personality and Social Psychology, 70, 767-779. doi:10.1037/0022-3514.70.4.767.
38. Williams, G. C., Grow, V. M., Freedman, Z., Ryan, R. M., & Deci, E. L. (1996). Motivational predictors of weight loss and weight-loss maintenance. Journal of Personality and Social Psychology, 70, 115-126. doi:10.1037/0022-3514.70.1.115.
39. Williams, G. F., McGregor, H., Sharp, D., Kouides, R. W., Lévesque, C. S., Ryan, R. M.,&Deci, E. L. (2006). A self-determination multiple risk intervention trial to improve smokers' health. Journal of General Internal Medicine, 21, 1288-1294. doi:10.1111/j.1525-1497.2006.00621.x.
40. Williams, G. F., McGregor, H., Sharp, D., Lévesque, C. S., Kouides, R. W., Ryan, R. M., & Deci, E. L. (2006). Testing a self-determination theory intervention for motivating tobacco cessation: Supporting autonomy and competence in a clinical trial. Health Psychology, 25, 91-101. doi:10.1037/0278-6133.25.1.91.
41. Williams, G. C., McGregor, H. A., Zeldman, A., Freedman, Z. R., & Deci, E. L. (2004). Testing a self-determination theory process model for promoting glycemic control through diabetes self-management. Health Psychology, 23, 58-66. doi:10.1037/0278-6133.23.1.58.
42. Williams, G. C., Rodin, G. C., Ryan, R. M., Grolnick, W. S.,&Deci, E. L. (1998). Autonomous regulation and long-term medication adherence in adult outpatients. Health Psychology, 17, 269-276. doi:10.1037/0278-6133.17.3.269.
43. Wolfe, G. R., Stewart, J. M., Meader, L. A., & Hartz, G. W. (1996). Use of dental coping beliefs scale to measure cognitive changes following oral hygiene interventions. Community Dental and Oral Epidemiology, 24, 37-41. doi:10.1111/j.1600-0528.1996.tb00810.x.
44. Woolf, S. H., Chan, E. C. Y., Harris, R., Sheridan, S. L., Braddock, C. H., Kaplan, R. M., Tunis, S. (2005). Promoting informed choice: Transforming health care to dispense knowledge for decision making. Annals of Internal Medicine, 143, 293-300.
45. Yevlahova, D., & Satur, J. (2009). Models for individual oral health promotion and their effectiveness: A systematic review. Australian Dental Journal, 54, 190-197.