Department of Paediatric Dentistry, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands.
Department of Periodontology Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, The Netherlands.
Int J Dent Hyg. 2023 Feb;21(1):59-76. doi: 10.1111/idh.12628. Epub 2022 Nov 2.
The aim of this study was to systematically map the Health Action Process Approach (HAPA)-based interventions in dentistry in relation to the type of intervention, the target groups and the constructs of the HAPA model that are used in the study and to assess the clinical relevance of the studies.
A search in the databases of the National Library of Medicine (MEDLINE-PubMed), PsychINFO and Cochrane-CENTRAL was conducted. A quality assessment to estimate the risk of bias and a qualitative descriptive analysis were performed. The overall gathered evidence was graded.
Ten randomized controlled trials and three observational studies thus in total 13 studies were included. Flossing was the targeted behaviour in ten studies. The target groups consisted of students, adolescents and dental patients. Overall, all nine HAPA constructs were used, but only one study used all HAPA constructs. Six studies presented the used behavioural change techniques according to the BCT taxonomy. Based on the number of the used constructs, only two studies were classified as HAPA intervention studies. The most frequently used constructs were action control as an intervention and behaviour as an outcome measure. The overall evidence was graded with moderate certainty.
In the majority of the studies, the targeted intervention was flossing and the population consisted of students, adolescents and dental patients. All studies used only a selection of the HAPA constructs. Therefore, only a minority of the studies can be considered real HAPA intervention studies.
本研究旨在系统地绘制基于健康行动过程方法（HAPA）的牙科干预措施与干预类型、研究中使用的 HAPA 模型的目标群体和结构之间的关系，并评估研究的临床相关性。
在国家医学图书馆（MEDLINE-PubMed）、心理信息学和 Cochrane-CENTRAL 数据库中进行了检索。进行了质量评估以估计偏倚风险，并进行了定性描述性分析。总体收集的证据进行了分级。
共纳入 10 项随机对照试验和 3 项观察性研究，共计 13 项研究。10 项研究的目标行为为牙线使用。目标群体包括学生、青少年和牙科患者。总体而言，所有 9 个 HAPA 结构均被使用，但只有一项研究使用了所有 HAPA 结构。6 项研究根据 BCT 分类法介绍了所使用的行为改变技术。根据使用的结构数量，只有两项研究被归类为 HAPA 干预研究。最常使用的结构是作为干预措施的行动控制和作为结果测量的行为。总体证据的确定性为中等。
在大多数研究中，目标干预措施为牙线使用，研究人群为学生、青少年和牙科患者。所有研究仅使用了 HAPA 结构的一部分。因此，只有少数研究可以被认为是真正的 HAPA 干预研究。
