ArticleJournal of racial and ethnic health disparities2018
Validity of Measures Assessing Oral Health Beliefs of American Indian Parents.
Article in Journal of racial and ethnic health disparities, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Family-centred interventions for Indigenous early childhood well-being by primary healthcare services.The Cochrane database of systematic reviews · 2022Pooled it
- Longitudinal Association of Health Literacy with Parental Oral Health Behavior.Health literacy research and practice · 2021Trial
- Parental Ethnic Identity and Its Influence on Children's Oral Health in American Indian Families.International journal of environmental research and public health · 2021Trial
- Longitudinal Follow-up Survey of Effects of Oral Comprehensive Healthcare Measures on Early Childhood Caries.Oral health & preventive dentistry · 2020Trial
- Parental health belief and behavioral factors influencing oral health behaviors of preschoolers in shanghai: a cross-sectional study.Scientific reports · 2025Article
- Feasibility and preliminary outcomes of a culturally adapted motivational interviewing intervention to reduce early childhood caries among children of two American Indian communities.Discover public health · 2025Article
- Parental health belief model constructs associated with oral health behaviors, dental caries, and quality of life among preschool children in China: a cross-sectional study.BMC oral health · 2024Article
- Parental Attitudes towards Child Oral Health and Their Structural Analysis.Children (Basel, Switzerland) · 2024Article
- Patterns of Change in Parental Health Literacy in Relation to Children's Oral Health.Health literacy research and practice · 2023Article
- Influence of Parental Health Literacy on Change over Time in the Oral Health of American Indian Children.International journal of environmental research and public health · 2021Article
- Health Literacy and Parental Oral Health Knowledge, Beliefs, Behavior, and Status Among Parents of American Indian Newborns.Journal of racial and ethnic health disparities · 2020Article
- Validation of Psychosocial Measures Assessing American Indian Parental Beliefs Related to Control over Their Children's Oral Health.International journal of environmental research and public health · 2020Article
- Health belief model for coronavirus infection risk determinants.Revista de saude publica · 2020Article
- Factors affecting oral examinations and dental treatments among older adults in Israel.Israel journal of health policy research · 2019Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesThis aimed to validate measures of constructs included in an extended Health Belief Model (EHBM) addressing oral health beliefs among American Indian (AI) parents.
methodsQuestionnaire data were collected as part of a randomized controlled trial (n = 1016) aimed at reducing childhood caries. Participants were AI parents with a preschool-age child enrolled in the Navajo Nation Head Start program. Questionnaire items addressed five EHBM constructs: perceived susceptibility, severity, barriers, benefits, and parental self-efficacy. Subscales representing each construct underwent reliability and validity testing. Internal consistency reliability of each subscale was evaluated using Cronbach's alpha. Convergent validity was assessed using linear regression to evaluate the association of each EHBM subscale with oral health-related measures.
resultsInternal consistency reliability was high for self-efficacy (α = 0.83) and perceived benefits (α = 0.83) compared to remaining EHBM subscales (α < 0.50). Parents with more education (p < 0.0001) and income (p = 0.0002) perceived dental caries as more severe younger parents (ps = 0.02) and those with more education (ps < 0.0001) perceived greater benefits and fewer barriers to following recommended oral health behavior. Female parents (p < 0.0001) and those with more education (p = 0.02) had higher levels of self-efficacy. Parental knowledge was associated with all EHBM measures (ps < 0.0001) excluding perceived susceptibility (p > 0.05). Parents with increased self-efficacy had greater behavioral adherence (p < 0.0001), whereas lower behavioral adherence was associated with parents who reported higher perceived barriers (p < 0.0001). Better pediatric oral health outcomes were associated with higher levels of self-efficacy (p < 0.0001) and lower levels of perceived severity (p = 0.02) and barriers (p = 0.05).
conclusionsResults support the value of questionnaire items addressing the EHBM subscales, which functioned in a manner consistent with the EHBM theoretical framework in AI participants.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.