Research project manager, Douglas Research Centre (affiliated with McGill University), Montreal, QC, Canada.
Associate professor, Faculty of Dental Medicine, Université de Montréal, QC, Canada.
Can J Dent Hyg. 2022 Oct 1;56(3):147-154. eCollection 2022 Oct.
This article describes the development of an oral hygiene self-care behaviour change intervention (Safeguard Your Smile [SYS]) for Punjabi immigrant adults, using the Behaviour Change Wheel (BCW) theoretical framework.
The 3 stages and 8 steps of the BCW were followed to develop the face-to-face SYS intervention. Identification of the problem in behavioural terms was enabled by referring to the results of a qualitative focus group (FG) previously conducted by the research team. Following the BCW method, the sources of behaviour were defined in terms of capability, opportunity, and motivation. Appropriate intervention functions, policy categories, behaviour change techniques (BCTs), and modes of delivery were then identified, selected, and mapped. Concrete strategies were chosen to bring about the desired oral hygiene self-care behavioural change.
Two main barriers to oral hygiene self-care faced by Punjabi immigrant adults were identified from the original FG: 1) inadequate knowledge and 2) inconsistent daily routine. Oral hygiene self-care behaviour was designated as a target behaviour, detailing frequency, duration, and technique. Five intervention functions (education, training, modelling, environmental restructuring, and enablement) and 2 policy categories (communication and service provision) were identified to influence the capability, opportunity, and motivation related to oral hygiene self-care behaviour. Nine BCTs were selected to influence desired oral hygiene self-care behaviour among adults.
The development process for this SYS intervention may be employed by researchers to design a behaviour change intervention for other populations. However, additional strategies tailored to each specific context and population must be incorporated.
本文描述了使用行为改变车轮（BCW）理论框架为旁遮普裔成年移民开发口腔卫生自我保健行为改变干预措施（保护您的微笑 [SYS]）的过程。
遵循 BCW 的 3 个阶段和 8 个步骤来开发面对面的 SYS 干预措施。通过参考研究团队之前进行的定性焦点小组（FG）的结果，可以确定行为方面的问题。根据 BCW 方法，从能力、机会和动机三个方面定义行为的来源。然后确定、选择和映射适当的干预功能、政策类别、行为改变技术（BCT）和交付模式。选择具体策略来实现所需的口腔卫生自我保健行为改变。
从原始 FG 中确定了旁遮普裔成年移民在口腔卫生自我保健方面面临的两个主要障碍：1）知识不足，2）日常惯例不一致。口腔卫生自我保健行为被指定为目标行为，详细说明频率、持续时间和技术。确定了 5 种干预功能（教育、培训、示范、环境重构和赋权）和 2 种政策类别（沟通和服务提供）来影响与口腔卫生自我保健行为相关的能力、机会和动机。选择了 9 种 BCT 来影响成年人对口腔卫生自我保健行为的期望。
这个 SYS 干预措施的开发过程可以被研究人员用来为其他人群设计行为改变干预措施。但是，必须结合每个特定背景和人群的额外策略。
