Effects of a Planned Behavior Enhancing Program on Dental Decay Prevention Behaviors in Late School-Age Children
Keywords:
Planned behavior, Dental decay prevention, Behaviors to prevent dental decay, Late school-age childrenAbstract
School-aged children are at risk for dental caries which has both physical and mental effects on this group including effects on learning and quality of life. This quasi-experimental research, with a two-group pretest-posttest design, aimed to study the effect of the planned behavior enhancing program on dental decay prevention behaviors in late school-age children. The participants were 40 students aged 9-12 years from grades 4 to 6 in Saraphi district, Chiang Mai province. They were recruited using purposive sampling and assigned to an experimental group (n = 20) or a control group (n = 20). The research instruments consisted of 1) the 5-week planned behavior enhancing program on dental decay prevention behaviors; 2) media and a guidebook; and 3) a questionnaire on dental decay prevention behavior which was verified for content accuracy by six experts, demonstrating a content validity index of 1.00 and a Cronbach’s alpha coefficient of 0.73. The data were analyzed with descriptive statistics, paired sample t-test, and independent t-test.
The results showed that the experimental group had significantly higher mean scores for dental decay prevention behaviors (M = 35.90, SD = 3.26) than before receiving the planned behavior enhancing program (M = 31.45, SD = 2.89, t = -5.784, p < 0.001) and significantly higher than those of the control group (M = 32.30, SD = 2.58, t = 3.875, p < 0.001).
The results of this study can be used as guidelines for community nurse practitioners, health care teams, and school health teams to encourage late school-age children to change their behaviors to prevent tooth decay and reduce the incidence of dental decay in this population.
References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211. https://doi.org/10.1016/0749-5978(91)90020-T
Ajzen, I. (2002). Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. Journal of Applied Social Psychology, 32(4), 665-683. https://doi.org/10.1111/j.1559-1816.2002.tb00236.x
Ajzen, I. (2019). TPB questionnaire construction. https://people.umass.edu/aizen/pdf/tpb.measurement.pdf
Boonin, T. (2017). Dental carles status and oral health practice of grade six primary school students at Samrong District, Ubon Ratchathani Province. Journal of Health Science Baromarajonani College of Nursing Sunpasitthiprasong, 1(3), 12-28. https://he01.tci-thaijo.org/index.php/bcnsp/article/view/193065/134567 (in Thai)
Bureau of Dental Health, Department of Health, Ministry of Public Health. (2012). Oral care…the gateway to to good health. WVO Office of Printing Mill.
Bureau of Dental Health, Department of Health, Ministry of Public Health. (2018). Report of the 8th National Oral Health Survey, Thailand 2017. Sam Charoen Panich.
Choomsri, A., & Somhom, W. (2019). Dental caries status, knowledge, attitude and oral health care practice in primary school students Warin Chamrap District, Ubon Ratchathani Province. Thai Dental Nurse Journal, 30(1), 55-68. (in Thai)
Cronbach, L. J. (1970). Essentials of psychological test (5th ed.). Harper Collins.
Department of Health, Ministry of Public Health [MOPH]. (2018). Thai children with dental caries big problems that affect the future. https://multimedia.anamai.moph.go.th/help-knowledgs/kid-and-decay-tooth/
Department of Health, Ministry of Public Health [MOPH]. (2020). Modified Bass Technique. [Video]. YouTube. https://www.youtube.com/watch?v=jwviPK4Lt70&t=3s
Emyaem, C., & Jariya, W. (2023). Effects of dental health education program on dental caries and gingivitis preventive behaviors among the four to six grade students in Kaoliao District, Nakhonsawan Province. Journal of Health Science, 32(1), 96-108. (in Thai)
Fraihat, N., Madae’en, S., Bencze, Z., Herczeg, A., & Varga, O. (2019). Clinical effectiveness and cost-effectiveness of oral-health promotion in dental caries prevention among children: Systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 16(15), 2668. https://doi.org/10.3390/ijerph16152668
FreeMedEducation. (2019). What causes tooth decay? [Video]. YouTube. https://www.youtube.com/watch?v=BE_h4bTdcdQ&t=14s
Hongsud, C., Srichailkul, B., & Luangubol, J. (2020). The effects of health education programs on promoting oral health care to prevent dental caries of primary school students in Nong Phue Sub-district, Chaturaphukpiman District, Roi-et Province. Thai Dental Nurse Journal, 31(1), 39-56. https://he02.tci-thaijo.org/index.php/TDNJ/article/view/221804/165159 (in Thai)
Naseri-Salahshour, V., Abredari, H., Sajadi, M., Sabzaligol, M., & Karimy, M. (2019). The effect of oral health promotion program on early dental decay in students: A cluster randomized controlled trial. Journal of Caring Sciences, 8(2), 105-110. https://doi.org/10.15171/jcs.2019.015
Pannarong, K., Hemchayat, A., & Thanomnuan, P. (2016). Factors related to dental carry among grade 6 students in Sisaket Province. Journal of Education and Social Development, 12(1), 58-68. https://journal.lib.buu.ac.th/index.php/social/article/view/5054/2229 (in Thai)
Sangarun, W., Jinnge, P., & Kasemnet, L. (2018). Causal the structure of relationships causal in preventing alcohol consumption among teenagers in Rayong Province. Warasan Phuettikammasat, 24(2), 119-134. (in Thai)
Sattanako, P., Khiewkhern, S., & Chualinfa, S. (2019). Effects of oral health care behavior modification program on preventing dental caries and gingivitis of Prathomsuksa 4-6 students in Selaphum District, Roi Et Province. Thai Dental Nurse Journal, 30(1), 131-150. https://he02.tci-thaijo.org/index.php/TDNJ/article/view/182552/129164 (in Thai)
Srithahai, J., Loysak, B., & Charoenkit, K. (2018). Self-management behaviors regarding dental caries prevention and solving among 8-12 years children, Ban Thung Muang School, Pong Nam Ron District, Chanthaburi Province. Journal of Phrapokklao Nursing College, 29(1), 159-169. https://he01.tci-thaijo.org/index.php/pnc/article/view/132807/99659 (in Thai)
Srithanya, S., Thongbai, W., & Kummabutr, J. (2019). The effects of a planned behavior program on the sedentary behaviors of late primary school-aged children with obesity. Journal of Nursing and Education, 12(4), 61-74. https://he01.tci-thaijo.org/index.php/JNAE/article/view/240159/163655 (in Thai)
Strategy and Planning Division [SPD], Office of the Permanent Secretary [OPS], Ministry of Public Health [MOPH]. (2018). Twenty-year national strategic plan for public health (2017-2036). https://spd.moph.go.th/wp-content/uploads/2022/09/Ebook-MOPH-20-yrs-plan-2017-Final-Eng-120961.pdf
Visedketkan, P. (2018). Factors related to dental caries in grade 6 elementary school children from Khamthaleso District, Nakhon Ratchasima. Reglonal Health Promotion Center 9 Journal, 12(27), 49-61. (in Thai)
World Health Organization [WHO]. (2022). Global oral health status report: Towards universal health coverage for oral health by 2030. https://www.who.int/publications/i/item/9789240061484
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nursing Journal CMU

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว