Factors affecting management of dental anxiety among dental students: A structural equation modelling - Payesh (Health Monitor)
Fri, May 3, 2024
OPEN ACCESS
Volume 22, Issue 3 (May-June 2023)                   Payesh 2023, 22(3): 323-333 | Back to browse issues page

Ethics code: IR.AJUMS.REC.1399.529


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Babadi F, Abdolhossein Y, Malekzadeh H, Araban M. Factors affecting management of dental anxiety among dental students: A structural equation modelling. Payesh 2023; 22 (3) :323-333
URL: http://payeshjournal.ir/article-1-2068-en.html
1- Department of Oral and Maxillofacial Medicine, School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- School of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
3- Menopause & Andropause Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract:   (725 Views)
Objective: The aim of the present study was to assess factors affecting behavioural management of dental anxiety among dental students.
Methods: The present study was conducted on 218 dental students of Ahvaz Jundishapur University of Medical Sciences, Ahvaz (AJUMS), school of dentistry, Iran during 1 to 21 November 2020. The data collection tool included a self-designed questionnaire containing a number of questions for assessing students’ anxiety reduction guidelines, and behavioural-medication anxiety control methods, as well as measuring key components of the Theory of Planned Behaviour (TPB). The layout of the questionnaire and all its questions/items were designed on the website https://survey.porsline.ir. Data were analysed using SPSS, version 23. The structural equation modelling (SEM) was performed using AMOS software version 26.0.
Results: A total of 246 dentistry students were invited to participate in the study. Out of 246 students enrolled, 218 (88%) students completed and sent the questionnaire. The results revealed that behavioural intention had a direct impact on the implementation of distinguished instructions. Likewise, subjective norms and perceived behavioural control directly influenced the behavioural intention. The fit indices indicated that the measurement might have an acceptable performance (GFI = 0.86, CFI=0.81 RMSEA = 0.07, x2/df >3); R2=0.37. Perceive behavioral control and intention were the most important factors in explaining dental anxiety control behaviour.
Conclusion: The findings suggest that the constructs of the theory of planned behaviour might have a preliminary acceptable fit for determining the factors related to the beliefs and behaviours of dental anxiety control. Further studies are needed to improve model fit indices. The future studies should determine which educational methods could better manipulate the predictive factors.
Full-Text [PDF 1755 kb]   (549 Downloads)    
type of study: Descriptive | Subject: Health Psychologhy
Received: 2023/02/2 | Accepted: 2023/05/24 | ePublished ahead of print: 2023/05/30 | Published: 2023/05/31

References
1. Halonen H, Nissinen J, Lehtiniemi H, Salo T, Riipinen P, Miettunen J: The association between dental anxiety and psychiatric disorders and symptoms: a systematic review. Clinical Practice and Epidemiology in Mental Health 2018; 14:207 [DOI:10.2174/1745017901814010207]
2. Tellez M, Kinner DG, Heimberg RG, Lim S, Ismail AI: Prevalence and correlates of dental anxiety in patients seeking dental care. Community Dentistry and Oral Epidemiology 2015; 432:135-142 [DOI:10.1111/cdoe.12132]
3. Anbari F, Elmi Z, Anbari F, Rezaeifar K: General Anxiety and Dental Fear: Is There A Relationship? Journal of Dental Materials & Techniques 2019; 84 [persian]
4. Farhadinasab A, Shekofteh Rad A, Mani Kashani K: Assessment of anxiety frequency and its trigger factors in patients referred to general dental offices in the city of Hamedan in 2005. Journal of Dental Medicine 2008; 211:36-40 [persian]
5. Carter AE, Carter G, Boschen M, AlShwaimi E, George R: Pathways of fear and anxiety in dentistry: A review. World Journal of Clinical Cases 2014; 211:642 [DOI:10.12998/wjcc.v2.i11.642]
6. Avramova N: Insight on Improving Professional Performance in Dental Practice: Essentials of Verbal and Nonverbal Communication in Dentist-Patient Relationship (A Critical Review). International Journal of Research and Reports in Dentistry 2021; 4 : 7-15
7. Buduneli N: Communication Skills of the Clinician and Patient Motivation in Dental Practice. Current Oral Health Reports 2020; 7:202-207 [DOI:10.1007/s40496-020-00273-3]
8. JW L, Rhodus N: Little and Falace's dental management of the medically compromised patient. 9th Edition, Mosby: London, 2016
9. Jahan SS, Nerali JT, Parsa AD, Kabir R: Exploring the Association between Emotional Intelligence and Academic Performance and Stress Factors among Dental Students: A Scoping Review. Dentistry Journal 2022; 104:67 [persian] [DOI:10.3390/dj10040067]
10. Alzahem AM, Van der Molen HT, Alaujan AH, De Boer BJ: Stress management in dental students: a systematic review. Advances in Medical Education and Practice 2014; 5:167-176 [DOI:10.2147/AMEP.S46211]
11. Ebrahimipour S, Ebrahimipoiur H, Alibakhshian F, Mohamadzadeh M: Effect of education based on the theory of planned behavior on adoption of oral health behaviors of pregnant women referred to health centers of Birjand in 2016. Journal of International Society of Preventive & Community Dentistry 2016; 66:584 [persian] [DOI:10.4103/2231-0762.195514]
12. The theory of planned behavior. https://people.umass.edu/~aizen/.access date:5/15/2023
13. Harrington D, Confirmatory Factor Analysis . online edition, Oxford Academic: New York, 2008 [DOI:10.1093/acprof:oso/9780195339888.001.0001]
14. Hoyle RH: Handbook of structural equation modeling. 1th Edition, Guilford press:New York City, 2012
15. Browne, M. W., & Cudeck, R. Alternative Ways of Assessing Model Fit. Sociological Methods & Research 1992; 21, 230-258 [DOI:10.1177/0049124192021002005]
16. Yang J, Zhang Y, Ye X, Xie C, Ge X, Lu F, Yu Q, Sun H: Dental education evaluation in China: a systematic review. BMC Medical Education 2014; 141:1-6 [DOI:10.1186/1472-6920-14-178]
17. Campos-Sánchez A, López-Núñez JA, Carriel V, Martín-Piedra M-Á, Sola T, Alaminos M: Motivational component profiles in university students learning histology: a comparative study between genders and different health science curricula. BMC Medical Education 2014; 14:1-13 [DOI:10.1186/1472-6920-14-46]
18. Díez-Palomar J, García-Carrión R, Hargreaves L, Vieites M: Transforming students' attitudes towards learning through the use of successful educational actions. PloS One 2020; 1510:e0240292 [DOI:10.1371/journal.pone.0240292]
19. Brahm CO, Lundgren J, Carlsson SG, Nilsson P, Hultqvist J, Hägglin C: Dentists' skills with fearful patients: education and treatment. European Journal of Oral Sciences 2013; 1213pt2:283-291 [DOI:10.1111/eos.12017]
20. Strøm K, Rønneberg A, Skaare AB, Espelid I, Willumsen T: Dentists' use of behavioural management techniques and their attitudes towards treating paediatric patients with dental anxiety. European Archives of Paediatric Dentistry 2015; 16:349-355 [DOI:10.1007/s40368-014-0169-1]
21. Guivarc'h M, Saliba-Serre B, Jacquot B, Le Coz P, Bukiet F: Dental students' attitudes towards management of pain and anxiety during a dental emergency: educational issues. International Dental Journal 2017; 676:384-390 [DOI:10.1111/idj.12323]
22. Cramer H, Haller H, Lauche R, Dobos G: Mindfulness-based stress reduction for low back pain. A systematic review. BMC Complementary and Alternative Medicine 2012; 121:1-8 [DOI:10.1186/1472-6882-12-162]
23. Abedi Z, Alavi M, Ghazavi Z, Visentin D, Cleary M: Improving coping styles in family caregivers of psychiatric inpatients using planned behavior problem-solving training. Journal of Nursing Research 2020; 281:e70 [DOI:10.1097/jnr.0000000000000320]
24. Shokouhi E, Zamani-Alavijeh F, Araban M: Explaining family physicians' beliefs about antibiotic prescription. Electronic Physician 2017; 910:5560 [DOI:10.19082/5560]
25. Xiao X, Wong RM: Vaccine hesitancy and perceived behavioral control: A meta-analysis. Vaccine 2020; 3833:5131-5138 [DOI:10.1016/j.vaccine.2020.04.076]
26. Shi H, Wang J, Huang R, Zhao J, Zhang Y, Jiang N, Tanimoto T, Ozaki A, Shao C, Wang J et al: Application of the extended theory of planned behavior to understand Chinese students' intention to improve their oral health behaviors: a cross-sectional study. BMC Public Health 2021; 211:2303 [DOI:10.1186/s12889-021-12329-9]
27. Ullah I, Lin CY, Malik NI, Wu TY, Araban M, Griffiths MD, Pakpour AH: Factors affecting Pakistani young adults' intentions to uptake COVID-19 vaccination: An extension of the theory of planned behavior. Brain and Behavior 2021; 1111:e2370 [DOI:10.1002/brb3.2370]
28. Hagger MS, Polet J, Lintunen T: The reasoned action approach applied to health behavior: Role of past behavior and tests of some key moderators using meta-analytic structural equation modeling. Social Science & Medicine 2018; 213:85-94 [DOI:10.1016/j.socscimed.2018.07.038]
29. Tehrani H, Lael- Monfared E, Jangi F, Aman N, Jafari A: Determining the Theory of Planned Behavior's Predictive Power on University Students' Positive Thinking. Iranian Journal of Health Education and Health Promotion 2021; 91:45-55 [DOI:10.52547/ijhehp.9.1.45]
30. Sur MH, Jung J, Shapiro DR: Theory of planned behavior to promote physical activity of adults with physical disabilities: Meta-analytic structural equation modeling. Disabillity and Health Journal 2022; 151:101199 [DOI:10.1016/j.dhjo.2021.101199]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and Permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 All Rights Reserved | Payesh (Health Monitor)

Designed & Developed by : Yektaweb