Evidence map›Paper›PMID 33830175›Full record

Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2021

Pathways Through Which Health Literacy Is Linked to Parental Oral Health Behavior in an American Indian Tribe.

Angela G Brega, Rachel L Johnson, Sarah J Schmiege, Anne R Wilson, Luohua Jiang, Judith Albino

Open access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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 · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Angela G BregaCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID 0000-0002-7319-4892
Rachel L JohnsonDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Sarah J SchmiegeDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Anne R WilsonDepartment of Pediatric Dentistry, School of Dental Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Luohua JiangDepartment of Epidemiology, School of Medicine, University of California Irvine, Irvine, CA, USA.ORCID 0000-0002-2281-7260
Judith AlbinoCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Colorado School of Public Health · USUniversity of California, Irvine · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Statistics and Data Coordinating CenterU54DE019285 · NIDCR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RAMOS-GOMEZ, FRANCISCO J. · 2008 to 2014
$24.9M
Statistical Core (formerly Statistics and Data Coordinating Center)U54DE019259 · NIDCR · UNIVERSITY OF COLORADO DENVER · PI ALBINO, JUDITH E.N. · 2008 to 2016
$20.6M
Research Program and Administrative CenterU54DE019275 · NIDCR · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GARCIA, RAUL I · 2008 to 2015
$17.1M
Relationship of Parental Health Literacy with Change Over Time in Oral Health Outcomes Among American Indian ChildrenR01DE027077 · NIDCR · UNIVERSITY OF COLORADO DENVER · PI BREGA, ANGELA GWEN · 2018 to 2020
$898k
NIDCR NIH HHS R01 DE027077NIDCR NIH HHS U54 DE019259NIDCR NIH HHS U54DE019259NIDCR NIH HHS U54 DE019275NIDCR NIH HHS U54 DE019285NIH HHS R01DE027077
6 · The paper itself

Abstract

backgroundHealth literacy (HL) is the "ability to find, understand, evaluate and put information to use to improve decision making and, ultimately, improve health and quality of life." Parents with limited HL are less likely to follow recommended parental oral health behaviors. PURPOSE: We tested a theoretical framework designed to clarify mechanisms through which HL may influence parental oral health behavior. The framework proposed that HL: (a) has a direct effect on parental oral health knowledge, beliefs (i.e. self-efficacy; perceived susceptibility, severity, benefits, barriers), and behavior; (b) influences beliefs indirectly through knowledge; and (c) influences behavior indirectly through knowledge and beliefs.

methodsWe analyzed cross-sectional data from a randomized controlled trial designed to reduce dental decay in American Indian children (N = 521). Parents completed survey questions assessing sociodemographic characteristics, HL, and parental oral health knowledge, beliefs, and behavior. Path analysis was used to test the framework.

resultsHL exerted significant direct effects on knowledge and beliefs but not behavior. HL had significant indirect effects on all beliefs through knowledge. Significant indirect effects of HL on behavior occurred through self-efficacy (estimate: 0.99, 95% CI: 0.42, 1.83, p = .005), perceived barriers (estimate: 0.73, 95% CI: 0.29, 1.43, p = .010), knowledge to self-efficacy (estimate: 0.57, 95% CI: .31, 0.98, p = .001), and knowledge to perceived barriers (estimate: 0.24, 95% CI: 0.09, 0.47, p = .012).

conclusionsHL exerted an indirect effect on parental oral health behavior, with knowledge, self-efficacy, and perceived barriers being the primary constructs linking HL to behavior.

Indexed as

Health LiteracyAmerican Indian or Alaska NativeChildCross-Sectional StudiesHealth BehaviorHealth Knowledge, Attitudes, PracticeHumansOral HealthParentsQuality of LifeAmerican IndianHealth beliefsHealth literacyPath analysisPediatric oral health

Identifiers

PMID33830175
PMCPMC8557384
OpenAlexW3139671788

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.