Identification of factors associated with periodontal health behaviors using the COM-B model in adolescent orthodontic patients
LI Jin-feng
LIU Rui
WANG Zhen-zhen
ZHANG Huan
LIU Li-na
ZHU Wan-li
FAN Yun-chao
Abstract：AIM:To investigate periodontal self-management health behaviors and influencing factors among adolescent orthodontic patients using the COM-B model.METHODS:A sample of 305 orthodontic patient treated adolescents was selected.The adolescents' cognition of malocclusion,the Self-Efficacy Scale for Self-care,the Social Support Scale,and the Self-management Scale were used.The COM-B theory was used to explain how ability,motivation,and opportunity influence periodontal health self-management among patients.RESULTS:The self-management health behavior score for adolescent patients on fixed orthodontic therapy was 53.07±7.5.Orthodontic treatment duration,and cause of treatment significantly influenced self-management.Regression analysis pinpointed malocclusion cognition and treatment understanding as key ability factors,and self-efficacy in check-ups,brushing,and diet as crucial motivational factors.These factors collectively accounted for 43.2％of variance,with ability contributing 7.3％and motivation 15.4％.CONCLUSION:Healthcare professionals should consider patients' factors to strengthen adolescents' malocclusion cognition,foster oral health beliefs,teach cleaning,encourage check-ups,promote balanced diets,enhance self-efficacy,and improve periodontal self-management among orthodontic patients.
Keywords：adolescentsorthodontic appliancesfixedmalocclusioninfluencing factorsCOM-B theory
Publication Date：2025-07-28
Online Publishing Date：2025-08-21(First online date of this platform, not the publication date of the document)
Pages：7( 380-386 )