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Title: Understanding dentists’ caries management: The COM-B ICCMS™ questionnaire
Autores: Abreu-Placeres, Ninoska
Newton, J. T.
Pitts, N. B.
Garrido, Luis Eduardo
Ekstrand, K. R.
Ávila, V.
Martignon, S.
Researchers (UNIBE): Abreu-Placeres, Ninoska 
Affiliations: Centro de Investigación en Biomateriales y Odontología (CIBO) 
Research area: Ciencias de la Salud
Keywords: Behavioral science; Caries detection/diagnosis/prevention; Caries treatment; Clinical-practice guidelines; Evidence-based dentistry/health care; Statistics
Issue Date: 2018
Publisher: Wiley-Blackwell Publishing Ltd
Source: Community dentistry and oral epidemiology, 46(6), 545-554
Journal: Community Dentistry and Oral Epidemiology 
Volume: 46
Issue: 6
Start page: 545
End page: 554
Objective: To design and validate a questionnaire to measure caries management based on the Capability, Opportunity, and Motivation Behavior model (COM-B) and the International Caries Classification and Management System (ICCMS™).
Methods: A combination of Cariology and Psychology experts developed a 79-item pool that measured the COM-B components according to the ICCMS™ caries management recommended behaviours. After face and content validation and a pilot study, two samples of Colombian dentists participated: clinicians (n = 277) and clinical-practice educators (n = 212).
Results: Using parallel analysis and exploratory structural equation modelling (ESEM), the questionnaire was reduced to a 47-item 5-factor instrument that demonstrated good internal consistency and validity properties, including a robust factor structure, measurement invariance across samples and high predictive validity of ICCMS™ recommended behaviours. Scales' mean scores showed that dentists were conducting recommended behaviours "most-of-the-time" (Behavior), showed high confidence in their ability to conduct these behaviours (Capability) and considered recommendations as highly relevant (Opportunity-Relevance), while their appraisals of the available resources (Opportunity-Resources) and remuneration (Motivation) were notably lower.
Conclusion: Overall, the findings highlight the practical utility of the COM-B ICCMS™ Questionnaire in understanding the potential antecedent variables that may explain dentists' behaviours related to caries diagnosis and management and in suggesting avenues for achieving a positive change in their behaviour.
DOI: 10.1111/cdoe.12388
Appears in Collections:Publicaciones del CIBO-UNIBE
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