Journal article
The Importance of Efficacy: Using the Extended Parallel Process Model to Examine Factors Related to Preschool-Age Children Enrolled in Medicaid Receiving Preventive Dental Visits
Health education & behavior, Vol.42(6), pp.805-813
12/2015
DOI: 10.1177/1090198115580575
PMID: 25862302
Abstract
Early preventive dental visits are vital to the oral health of children. Yet many children, especially preschool-age children enrolled in Medicaid, do not receive early visits. This study attempts to uncover factors that can be used to encourage parents to seek preventive dental care for preschool-age children enrolled in Medicaid. The extended parallel process model was used as a theoretical framework for this research. This model suggests that people will act if the perceived threat (severity and susceptibility) is high enough and if efficacy levels (self-efficacy and response efficacy) are likewise high. Following Witte's method of categorizing people's perceptions and emotions into one of four categories based on levels of threat and efficacy, this article describes four groups (high threat/high efficacy, high threat/low efficacy, low threat/high efficacy, and low threat/low efficacy) of parents and how they compare to each other. Using logistic regression to model if a child had a preventive visit, results indicate that parents with low threat/high efficacy and parents with high threat/high efficacy had approximately 2.5 times the odds of having a child with a preventive oral health visit compared to parents with low threat/low efficacy, when controlling for perceived oral health status, health literacy, and child's age. The importance of efficacy needs to be incorporated in interventions aimed at increasing preventive dental visits for young children.
Details
- Title: Subtitle
- The Importance of Efficacy: Using the Extended Parallel Process Model to Examine Factors Related to Preschool-Age Children Enrolled in Medicaid Receiving Preventive Dental Visits
- Creators
- Natoshia M Askelson - University of Iowa, Iowa City, IA, USA natoshia-askelson@uiowa.eduDonald L Chi - University of Washington, Seattle, WA, USAElizabeth T Momany - University of Iowa, Iowa City, IA, USARaymond A Kuthy - University of Iowa, Iowa City, IA, USAKnute D Carter - University of Iowa, Iowa City, IA, USAKathryn Field - University of Iowa, Iowa City, IA, USAPeter C Damiano - University of Iowa, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Health education & behavior, Vol.42(6), pp.805-813
- DOI
- 10.1177/1090198115580575
- PMID
- 25862302
- NLM abbreviation
- Health Educ Behav
- ISSN
- 1090-1981
- eISSN
- 1552-6127
- Publisher
- United States
- Grant note
- The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by funding from the NIDCR/NIH Grant Number RC1DE02030. Donald L. Chi received funding from the U.S. National Institute of Dental and Craniofacial Research (Grant No. K08DE020856).
- Language
- English
- Date published
- 12/2015
- Academic Unit
- Preventive and Community Dentistry; Health Management and Policy; Biostatistics; Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health; University College Courses; Oral Health Policy Research
- Record Identifier
- 9983917687802771
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