Encouraging early preventive dental visits for preschool-aged children enrolled in Medicaid: Using the Extended Parallel Process Model to conduct formative research

Natoshia M. Askelson, Donald L. Chi, Elizabeth Momany, Raymond Kuthy, Cristina Ortiz, Jessica D. Hanson, Peter Damiano

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Objective: Preventive dental visits for preschool-aged children can result in better oral health outcomes, especially for children from lower income families. Many children, however, still do not see a dentist for preventive visits. This qualitative study examined the potential for the Extended Parallel Process Model (EPPM) to be used to uncover potential antecedents to parents' decisions about seeking preventive dental care. Methods: Seventeen focus groups including 41 parents were conducted. The focus group protocol centered on constructs (perceived severity, perceived susceptibility, perceived self-efficacy, and perceived response efficacy) of the EPPM. Transcripts were analyzed by three coders who employed closed coding strategies. Results: Parents' perceptions of severity of dental issues were high, particularly regarding negative health and appearance outcomes. Parents perceived susceptibility of their children to dental problems as low, primarily because most children in this study received preventive care, which parents viewed as highly efficacious. Parents' self-efficacy to obtain preventive care for their children was high. However, they were concerned about barriers including lack of dentists, especially dentists who are good with young children. Conclusions: Findings were consistent with EPPM, which suggests this model is a potential tool for understanding parents' decisions about seeking preventive dental care for their young children. Future research should utilize quantitative methods to test this model.

Original languageEnglish (US)
Pages (from-to)64-70
Number of pages7
JournalJournal of Public Health Dentistry
Volume74
Issue number1
DOIs
StatePublished - Dec 2014

Keywords

  • behavioral research
  • oral health
  • prevention
  • qualitative research

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