A conceptual model of parental behavior change following a child's dental general anesthesia procedure.
OBJECTIVE
The purpose of this study was to investigate parents' challenges to long-term maintenance of healthy behaviors following their child's dental general anesthesia (GA).


METHODS
Twenty-six in-depth interviews were conducted with parents of children younger than 6 years of age who had dental treatment under GA. The interviews were scheduled at various time periods following the surgery. Compared were the responses of: (1) "relapse" families, whose child had new cavities at the 6-month recall; and (2) "no relapse" families, who were caries-free at recoil. A grounded theory approach to data analysis was used.


RESULTS
"Relapse" parents: (1) valued baby teeth differently; (2) perceived their child to be less susceptible to new cavities; and (3) expressed lower self-efficacy for controlling their child's oral health compared to "no relapse" parents. They also appeared to be: (1) in earlier stages of change; (2) less receptive to advice from others, including professionals; and (3) more permissive regarding their child's desires. "Relapse" parents did not seem to have any immediate plans to change their "home-care" behaviors.


CONCLUSIONS
GA did not appear to affect long-term preventive behaviors for all parents. Readiness to change seemed to be an important predictor of whether parents adopted and maintained preventive behaviors to improve their child's oral health.
Amin
Maryam S
MS
Department of Oral Health Sciences, University of British Columbia, Vancouver, Canada. msharifz@interchange.ubc.ca
Harrison
Rosamurd L
RL
D000766:Anesthesia, Dental / Q000379:methods / Q000523:psychology*; D000768:Anesthesia, General / Q000523:psychology*; D002675:Child, Preschool; D019140:Dental Care for Children / Q000523:psychology*; D003731:Dental Caries / Q000517:prevention & control / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008960:Models, Psychological; D016487:Parenting / Q000523:psychology*; D010290:Parents / Q000523:psychology; D012008:Recurrence; D014094:Tooth, Deciduous