The contributions of behaviour change science towards dental public health practice: a new paradigm
Open accessAbstract
Conventional behavioural models, such as social cognition models, to improve oral health have been proposed for a long time but have failed to consistently explain reliable amounts of variability in human behaviours relevant to oral health. This paper introduces current work from the behavioural sciences aiming to better understand the process through which behaviour change may take place. Given the shortcomings seen so far in attempts to explain behaviour through traditional models it is proposed that a new approach is adopted. This commentary outlines this new approach, grounded in current work by mainstream behaviour change experts. We propose that attempts to use unreliable theoretical models to explain and predict oral health behaviour should now be replaced by work following this new paradigm.
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Psychological models such as Protection Motivation Theory (PMT) propose that fear, coupled with discussion of coping strategies, may be beneficial in eliciting behavior change in patients.
“Although the use of fear to motivate behavior change has recently been questioned 8 , psychological models such as Protection Motivation Theory (PMT) propose that, fear, coupled with discussion of coping strategies maybe beneficial in eliciting behavior change in patients 9 .”
From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [8]
The 'These are:' section discusses COM-B and PRIME theory, while the behaviour-change-technique table lists coping planning and threats separately. Searches for Protection Motivation Theory, fear, and fear paired with coping strategies found no passage saying that this combination may elicit behaviour change in patients. Page numbers were not available in our copy. (LLM, conf=0.76)
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Cites
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“…the usability of either the COM-B model or TDF in midwifery contexts; however there are publications that report on the use of the COM-B model and TDF in other healthcare contexts outside the discipline of midwifery (Asimakopoulou & Newton, 2015; Lynch, Luker, Cadilhac, Fryer, & Hillier, 2017).”
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- Authors
- Asimakopoulou, K., & Newton, J. T.
- Affiliations
- Guy's Hospital (GB)
- Unit of Social and Behavioural Sciences Dental Institute King's College London London UK
- Corresponding author
- Asimakopoulou, Koula
- ORCID
- Asimakopoulou, Koula
- Venue
- Community Dentistry and Oral Epidemiology
- Publisher
- Wiley
- Published
- 2014-10-17
- Volume
- 43
- Issue
- 1
- Pages
- 2-8
- ISSN
- 0301-5661 (ISSN-L)
- 1600-0528
- OpenAlex
- W2053281369
- Cited by
- 74
- References
- 0
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 3 · 2023: 7 · 2022: 12 · 2021: 5 · 2020: 11 · 2019: 8 · 2018: 5 · 2017: 5 · 2016: 7 · 2015: 2
- FWCI
- 7.22
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- Locations
- Community Dentistry And Oral Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- behavior change, oral health behavior, dental public health, social cognition models, behavior change models, paradigm shift
- MeSH terms
- Humans, Models, Psychological, Oral Health, Public Health Dentistry, Health Behavior
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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