Theory of Planned Behaviour[23] | Â |
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Variables (number of items) | Example Item(s) |
Behavioural intention (3) | I intend to place FS as a primary part of managing caries in six to sixteen year old patients. |
Attitude Direct (2); Indirecta (7) behavioural beliefs (bb) multiplied by 7 outcome evaluations (oe). The score was the mean of the summed multiplicatives.) | D: In general, the possible harm caused by placing PFS is outweighed by its benefits; I: In general, placing a PFS effectively reduces caries risk x effectively reducing caries risk is (un/important). |
Subjective Normb Indirect (3) normative beliefs (nb) multiplied by 3 motivation to comply items (mtc). The score was the mean of the summed multiplicatives). | I feel under pressure from the Dental Practice Board to place PFS (nb) x How motivated are you to do what the Dental Practice Board thinks you should (mtc: very much/not at all). |
Perceived Behavioural Control Direct (5); Indirect/power (10)c | D: It is entirely up to me whether I place PFSs; I: I find it difficult to decide in favour of placing a PFS if the patient is a poor attender. |
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Risk Perception (6) | It is highly likely that children with medium to high risk of caries will be worse off if I do not place PFS. |
Outcome Expectancies Self (2 × 2), Behaviour (7 × 7). The score was the mean of the summed multiplicatives. | S: If I place PFS, then I will think of myself as a caring dentist x Thinking of myself as a caring dentist is (Un/Important). B: See Attitude TPB |
Self Efficacy General: Generalized Self-Efficacy Scale (Schwarzer, 1992) (10: 4-point scale, not at all true/exactly true); Specific (12) | General: I can always manage to solve difficult problems if I try hard enough. Specific: How confident are you that you can effectively place a PFS in a six to sixteen yr old if the child has poor oral hygiene. |
Implementation intentions[27] | Â |
Action planning (1) | Currently, my standard method of managing caries does not primarily include placing a PFS. |
Operant conditioning[28] | Â |
Anticipated consequences (6) Mean | If I routinely place PFS then on balance, my life will be easier in the long run. |
Evidence of habit (2) Mean | When I see a patient, I automatically consider placing a PFS. |
Experienced (rewarding and punishing) consequences (4): more likely to PFS (score = 1); less likely (score = -1); unchanged/not sure/never occurred (score = 0)). Scores were summed. | Think about the last time you decided to place a PFS in a six to sixteen year old patient and felt pleased that you had done so. Do you think the result of this episode has made you... |
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Perceived identity (3) | Caries is a condition with symptoms generally of an intense nature. |
Perceived cause (5) | Caries is caused by poor oral hygiene. |
Perceived controllability (7) | What the patient does can determine whether caries reverses or progresses, What I do can determine whether the patient's caries reverses. |
Perceived duration (4) | Caries is a condition which is likely to be permanent rather than temporary. |
Perceived consequences (4) | Caries does not have much effect on a patient's life. |
Coherence (2) | I have a clear picture or understanding of caries. |
Emotional response (4) | Seeing patients with caries does not worry me. |
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Current stage of change. A single statement is ticked to indicate the behavioural stage | Which of these sentences most characterises you at the moment? Unmotivated (3): I have not yet thought about changing the number of PFS I place. Motivated (2): I have decided that I will place more/less PFS. Action (2): I have already done something about increasing/decreasing the number of PFS I place. |
Other measures | Â |
Knowledge (5) (True/False/Not Sure) | PFS are recommended for routine use with high-risk children. |
Demographic | gender, time qualified, number of other dentists in practice, trainer status, hours per week, list size, if the practice employs hygienists. |