Oral health-related self-efficacy and fatalism in a regional South Australian Aboriginal population

Abstract

Objectives: To assess the psychometric properties, including face, content, criterion and known-groups validity and reliability, of scales to measure oral health-related self-efficacy and fatalism in a regional Aboriginal adult population in Australia. Methods: Four hundred Aboriginal adults (aged 18-82 years, 67% female) completed a self-report questionnaire including items pertaining to oral health-related self-efficacy and fatalism. Structural validity was determined in exploratory factor analysis (EFA) with principal components analysis for each scale. Criterion validity was assessed between the instruments and theoretically related variables. Known-groups validity was investigated by comparing the scores in different population groups according to age, sex, education and employment. Reliability of the scales was assessed through internal consistency. Results: The EFA confirmed a single factor structure for self-efficacy and fatalism scales, with Cronbach’s alphas of 0.93 and 0.89 respectively. The two scales were not correlated. Oral health-related self-efficacy was associated with toothbrush ownership and brushing the previous day supporting criterion validity. Oral health-related fatalism was associated with previous extractions and perceived need for extractions also supporting criterion validity. Both measures were associated with social impact of oral health as measured by the OHIP-14, supporting their criterion validity. Mixed findings were observed in terms of known-groups validity. Conclusions: There was initial evidence that measures of oral health-related self-efficacy and fatalism displayed adequate psychometric properties in this Aboriginal community. These constructs could have implications for approaches for improving oral health among Aboriginal people.

Keywords

oral health self-efficacy Aboriginal Australians Social Cognitive Theory

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References

Australian Institute of Health and Welfare (2015): The health and welfare of Australia’s Aboriginal and Torres Strait Islander peoples 2015. Cat. no. IHW 147. Canberra: AIHW.

Bandura

(2004): Health Promotion by Social Cognitive Means. Health Education & Behaviour 3, 143–164.

Bandura

Locke

E.A.

(2003): Negative Self-efficacy and goal effects revisited. Journal of Applied Psychology 88, 87–99.

Brennan

D.S.

Carter

K.D.

(1998): Adult access to dental care- Indigenous Australians. AIHW Dental Statistics and Research Series No. 16, The University of Adelaide.

Davidson

(2014): Known-groups validity. Encyclopaedia of quality of life and well-being research. Springer: 3481–3482.

deSilva-Sanigorski

Ashbolt

Green

Calache

Keith

Riggs

Waters

(2013): Maternal Self-efficacy and oral health-related knowledge are associated with parent and child oral health behaviors and self-reported oral health status. Community Dentistry and Oral Epidemiology 41, 345–42.

Finlayson

T.L.

Siefert

Ismail

A.I.

Delva

Sohn

(2005): Reliability and Validity of Brief Measures of Oral Health-related Knowledge, Fatalism and Self-efficacy in Mothers of African American Children. Pediatric Dentistry 27, 422–428.

Finlayson

T.L.

Siefert

Ismail

A.I.

Sohn

(2007a): Maternal Self-efficacy and 1-5-year-old children’s brushing habits. Community Dentistry and Oral Epidemiology 35, 272–281.

Finlayson

T.L.

Siefert

Ismail

A.I.

Sohn

(2007b): Psychosocial factors and early childhood caries among low-income African-American children in Detroit. Community Dentistry and Oral Epidemiology 35, 439–448.

10.

Joekes

Van Elderen

Schreurs

(2007): Self-efficacy and overprotection are related to quality of life, psychological well-being and self-management in cardiac patients. Journal of Health Psychology 12, 4–16.

11.

Kneckt

M.C.

Syrjala

A-M.H.

Laukkanen

Knjjttila

M.L.E.

(1999): Self efficacy as a common variable in oral health behaviour and diabetes adherence. European Journal of Oral Science 107, 89–96.

12.

Marmot

(2011): Social determinants and the health of Indigenous Australians. Medical Journal of Australia 194, 512–513.

13.

O’Leary

Shoor

Lorig

Holman

H. R.

(1988): A cognitive-behavioural treatment for rheumatoid arthritis. Health Psychology, 7, 527–544.

14.

Parker

E.J.

Misan

Chong

Mills

Roberts-Thomson

Horowitz

A.M.

Jamieson

L.M.

(2012): An oral health literacy intervention for Indigenous adults in a rural setting in Australia. BMC Public Health 12, 461.

15.

Shahid

Finn

Bessarab

Thompson

S.C.

(2009): Understanding, beliefs and perspectives of Aboriginal people in WA about cancer and its impact on access to cancer services. BMC Health Services Research 9, 132.

16.

Slade

GD.

(1997): Derivation and validation of a short-form oral health impact profile. Community Dentistry and Oral Epidemiology 25, 284–290.

17.

Syrjala

A-M.H.

Ylostalo

Niskanen

M.C.

Knuuttila

M.L.E.

(2004): Relation of different measures of psychological characteristics to oral health habits, diabetes adherence and related clinical variables among diabetic patients. European Journal of Oral Science 112, 109–114.

18.

Taherdoost

(2016): Validity and Reliability of the Research Instrument; How to Test the Validation of a Questionnaire/Survey in a Research. International Journal of Academic Research in Management 5, 28–36.

19.

Watt

R.G.

(2012): Social determinants of oral health inequalities: implications for action. Community Dentistry and Oral Epidemiology 40 (Suppl. 2): 44–48.

20.

Woebler

J.P.

Bienas

Fabry

Silbernagel

Giesler

Tennert

Stampf

Ratka-Kruger

Hellwig

(2015): Oral hygiene-related self-efficacy as a predictor of oral hygiene behaviour: a prospective cohort study. Journal of Clinical Periodontology 42, 142–149.

21.

Zubrick

S.R.

Dudgeon

Gee

Glaskin

Kelly

Paradies

Scrine

Walker

(2010): Social determinants of Aboriginal and Torres Strait islander social and emotional wellbeing. In Purdie, Nola, Dudgeon, Pat and Walker, Roz (ed), Working together: Aboriginal and Torres Strait islander mental health and wellbeing principles and practice, Commonwealth of Australia, Canberra, A. C. T., 75–90.