Vieira Antonio Hélio, Leles Cláudio Rodrigues
Department of Prevention and Oral Rehabilitation, School of Dentistry, Federal University of Goias, Goiania, Goias, Brazil.
Patient Prefer Adherence. 2014 Sep 12;8:1215-21. doi: 10.2147/PPA.S69619. eCollection 2014.
Motivations for seeking and undergoing prosthodontic care are poorly understood and are not often explored for clinical purposes when determining treatment need and understanding the factors related to the demand for health care and effective use. This article uses the Theory of Planned Behavior construct to identify factors related to the motivations of edentulous subjects to seek and undergo prosthodontic treatment. The conceptual framework of the Theory of Planned Behavior includes attitude toward behavior, an individual's positive or negative evaluation of self-performance of the particular behavior; the subjective norm, an individual's perception of social normative pressures or relevant others' beliefs that he or she should or should not perform such behavior; and perceived behavioral control, or an individual's perceived ease or difficulty in performing the particular behavior, determined by the total set of accessible control beliefs. These components mediate a subject's intention and behavior toward an object and may also explain health-related behaviors, providing strong predictions across a range of health behaviors. This study suggests categories for each component of the Theory of Planned Behavior, based on clinical evidence and practical reasoning. Attitudes toward behavior include perceived consequences of no treatment, perceived potential benefits and risks of treatment, dental anxiety, previous experiences, and interpersonal abilities of the health care providers. The subjective norm includes the opinions of relevant others, advertisement, professionally defined normative need, perceived professional skills, and technical quality of care. Perceived behavioral control includes subject's time, availability and opportunity, treatment costs, subject's perceived need, and accessibility to dental care. This conceptual model represents a theoretical multidimensional model that may help clinicians better understand the patient's treatment behaviors and provide additional information for clinical research on patient's adherence to interventions in prosthodontics.
人们对寻求和接受口腔修复治疗的动机了解甚少，在确定治疗需求以及理解与医疗保健需求和有效利用相关的因素时，也不常出于临床目的对其进行探究。本文运用计划行为理论结构来确定与无牙颌患者寻求和接受口腔修复治疗动机相关的因素。计划行为理论的概念框架包括行为态度，即个体对特定行为自我表现的积极或消极评价；主观规范，即个体对社会规范压力或相关他人认为其应该或不应该执行该行为的信念的感知；以及感知行为控制，即个体对执行特定行为的难易程度的感知，由可获得的控制信念的总体集合决定。这些组成部分介导个体对某一对象的意图和行为，也可能解释与健康相关的行为，对一系列健康行为具有很强的预测能力。本研究基于临床证据和实际推理，为计划行为理论的每个组成部分提出了分类。行为态度包括对不治疗的感知后果、对治疗潜在益处和风险的感知、牙科焦虑、既往经历以及医疗保健提供者的人际能力。主观规范包括相关他人的意见、广告、专业定义的规范需求、对专业技能的感知以及护理的技术质量。感知行为控制包括患者的时间、可及性和机会、治疗费用、患者的感知需求以及获得牙科护理的难易程度。这个概念模型代表了一个理论多维模型，可能有助于临床医生更好地理解患者的治疗行为，并为关于患者对口腔修复干预依从性的临床研究提供更多信息。
