Promoting regular parental supervised toothbrushing: An additive intervention design adopting the Health Action Process Approach

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Smith, SR
Kroon, J
Schwarzer, R
Hamilton, K
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2023
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Abstract

The study aimed to test the efficacy of the core elements of the Health Action Process Approach (HAPA) in an intervention among parents to promote regular supervised toothbrushing of preschool-aged children. The pre-registered study (https://osf.io/fyzh3/) tested the effects of an intervention employing information provision, behavioural instruction, implementation intention and mental imagery techniques, adopting a randomised controlled design in a sample of Australian parents of preschoolers (N = 254). The intervention used an additive design with four conditions—education, self-efficacy, planning and action control—progressively layered to show the cumulative impact of incorporating self-efficacy, planning and action control strategies with a foundational education component. The intervention was delivered online, and participants completed self-report measures of parental supervised toothbrushing and HAPA-based social cognition constructs pre-intervention and 4 weeks post-intervention. Although no significant intervention effects on behaviour were observed, mixed-model analyses of variance (ANOVAs) revealed an increase in intention and task self-efficacy within the action control condition and an increase in action planning in both the action control and planning conditions from pre-intervention to follow-up. Despite no anticipated changes in behaviour, these findings endorse the use of theory- and evidence-based behaviour change strategies to inspire change in HAPA-based determinants of parental supervised toothbrushing: intention, action planning and task self-efficacy.

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Applied Psychology: Health and Well-Being

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© 2023 The Authors. Applied Psychology: Health and Well-Being published by John Wiley & Sons Ltd on behalf of International Association of Applied Psychology. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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This publication has been entered in Griffith Research Online as an advanced online version.

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Applied and developmental psychology

Clinical and health psychology

HAPA

implementation intentions

mental imagery

parental supervised toothbrushing

preschoolers

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Smith, SR; Kroon, J; Schwarzer, R; Hamilton, K, Promoting regular parental supervised toothbrushing: An additive intervention design adopting the Health Action Process Approach, Applied Psychology: Health and Well-Being, 2023

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