Document Detail

The theory of reasoned action and patient compliance during orthodontic treatment.
MedLine Citation:
PMID:  16262609     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: The aim of the present study was to investigate the potential of the theory of reasoned action (TRA) for the prediction and understanding of patients' intention to comply during orthodontic treatment and to analyze the effect of two additional variables in the model, namely perceived behavioral control and anticipated regret. Moreover, (the determinants of) intentions of orthodontic patients to comply during treatment were compared with (the determinants of) intentions of parents to stimulate this cooperation. METHODS: A questionnaire was handed out to patients and parents visiting the Department of Orthodontics of the Academic Centre of Dentistry in Amsterdam. In both the patient and parent sample, independent-sample t-tests, correlation analyses and stepwise regression analyses were conducted. Variables in both samples were compared and tested. RESULTS: The extended version of the TRA explained 20% of the variance in the patients' intention to comply. The patients' anticipated regret, attitude and motivation to comply were significant determinants of the patients' intention to comply. In addition, the parents' attitude toward compliance was a significant predictor. The role of parents in enhancing patients' intentions to comply cannot be neglected. CONCLUSION: Our findings suggest that patients' intentions to comply during orthodontic treatment are influenced by factors outside of the TRA. Therefore, it is recommended to develop a new model, in which factors of the TRA are included, which can be used specifically for the study of compliance in orthodontics.
Annemieke Bos; Johan Hoogstraten; Birte Prahl-Andersen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Community dentistry and oral epidemiology     Volume:  33     ISSN:  0301-5661     ISO Abbreviation:  Community Dent Oral Epidemiol     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-11-02     Completed Date:  2006-01-04     Revised Date:  2009-01-29    
Medline Journal Info:
Nlm Unique ID:  0410263     Medline TA:  Community Dent Oral Epidemiol     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  419-26     Citation Subset:  D; IM    
Department of Orthodontics and Social Dentistry, Academic Centre of Dentistry Amsterdam, The Netherlands.
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MeSH Terms
Internal-External Control
Models, Psychological
Orthodontics, Corrective / psychology*
Parents / psychology
Patient Compliance / psychology*
Psychological Theory*
Regression Analysis

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