{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:18:16Z","timestamp":1791299896310,"version":"4.1.0"},"reference-count":49,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T00:00:00Z","timestamp":1712275200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005760","name":"University of Gothenburg","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005760","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Dentistry"],"published-print":{"date-parts":[[2024,6]]},"DOI":"10.1016\/j.jdent.2024.104990","type":"journal-article","created":{"date-parts":[[2024,4,6]],"date-time":"2024-04-06T12:49:34Z","timestamp":1712407774000},"page":"104990","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"special_numbering":"C","title":["Finding the person behind caries disease: The dental caregivers\u2019 experiences of empowering patients to implement beneficial behavioral changes"],"prefix":"10.1016","volume":"145","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8368-9621","authenticated-orcid":false,"given":"Adam","family":"Alvenfors","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0798-8520","authenticated-orcid":false,"given":"Peter","family":"Lingstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia","family":"Oskarsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Milton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenny","family":"Bernson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jdent.2024.104990_bib0001","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1177\/0022034520908533","article-title":"Global, regional, and national levels and trends in burden of oral conditions from 1990 to 2017: a systematic analysis for the global burden of disease 2017 study","volume":"99","author":"Bernabe","year":"2020","journal-title":"J. Dent. Res."},{"key":"10.1016\/j.jdent.2024.104990_bib0002","series-title":"Global Oral Health Status Report\u2014Towards Universal Health Coverage for Oral Health by 2030","year":"2022"},{"key":"10.1016\/j.jdent.2024.104990_bib0003","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1177\/00220345211068033","article-title":"Consensus statement on future directions for the behavioral and social sciences in Oral Health","volume":"101","author":"McNeil","year":"2022","journal-title":"J. Dent. Res."},{"key":"10.1016\/j.jdent.2024.104990_bib0004","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/ANS.0000000000000162","article-title":"Middle range theory: a perspective on development and use","volume":"40","author":"Liehr","year":"2017","journal-title":"Adv. Nurs. Sci."},{"key":"10.1016\/j.jdent.2024.104990_bib0005","series-title":"Middle Range theories: Application to Nursing Research and Practice","author":"Peterson","year":"2019"},{"key":"10.1016\/j.jdent.2024.104990_bib0006","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1080\/14768320701233582","article-title":"Current issues and new direction in psychology and health: advancing the science of behavior change","volume":"22","author":"Michie","year":"2007","journal-title":"Psychol. Health."},{"key":"10.1016\/j.jdent.2024.104990_bib0007","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.copsyc.2015.02.011","article-title":"Using theory to develop and test interventions to promote changes in health behaviour: evidence, issues, and recommendations","volume":"5","author":"Prestwich","year":"2015","journal-title":"Curr. Opin. Psychol."},{"key":"10.1016\/j.jdent.2024.104990_bib0008","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1037\/a0032853","article-title":"Does theory influence the effectiveness of health behavior interventions? Meta-analysis","volume":"33","author":"Prestwich","year":"2014","journal-title":"Health Psychol"},{"key":"10.1016\/j.jdent.2024.104990_bib0009","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1159\/000351829","article-title":"Analysis of health behaviour change interventions for preventing dental caries delivered in primary schools","volume":"47","author":"Adair","year":"2013","journal-title":"Carie. Res."},{"key":"10.1016\/j.jdent.2024.104990_bib0010","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/s40359-017-0194-z","article-title":"Theory based interventions for caries related sugar intake in adults: systematic review","volume":"5","author":"Al Rawahi","year":"2017","journal-title":"BMC Psychol."},{"key":"10.1016\/j.jdent.2024.104990_bib0011","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1177\/0022034515609034","article-title":"Preventing childhood caries: a review of recent behavioral research","volume":"95","author":"Albino","year":"2016","journal-title":"J. Dent. Res."},{"key":"10.1016\/j.jdent.2024.104990_bib0012","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1177\/2380084419878180","article-title":"T, Behavior change for caries prevention: understanding inconsistent results","volume":"5","author":"Albino","year":"2020","journal-title":"JDR Clin. Transl. Res."},{"key":"10.1016\/j.jdent.2024.104990_bib0013","article-title":"Primary school-based behavioural interventions for preventing caries","volume":"5","author":"Cooper","year":"2013","journal-title":"Coch. Datab. Syst. Rev."},{"key":"10.1016\/j.jdent.2024.104990_bib0014","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1038\/sj.ebd.6400929","article-title":"Limited evidence available for the impact of school-based behavioural interventions on oral health","volume":"14","author":"Richards","year":"2013","journal-title":"Evid. Based Dent."},{"key":"10.1016\/j.jdent.2024.104990_bib0015","first-page":"275","article-title":"Effectiveness of school-based behavioural interventions to improve children's oral health by reducing sugar intake and promoting oral hygiene: a rapid review of randomized controlled trials","volume":"38","author":"Shakir","year":"2021","journal-title":"Commun. Dent. Health."},{"key":"10.1016\/j.jdent.2024.104990_bib0016","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1111\/j.1834-7819.2009.01118.x","article-title":"Models for individual oral health promotion and their effectiveness: a systematic review","volume":"54","author":"Yevlahova","year":"2009","journal-title":"Aust. Dent. J."},{"key":"10.1016\/j.jdent.2024.104990_bib0017","doi-asserted-by":"crossref","first-page":"e12225","DOI":"10.1111\/nup.12225","article-title":"Middle-range theories as models: new criteria for analysis and evaluation","volume":"20","author":"Risjord","year":"2019","journal-title":"Nurs. Philos."},{"key":"10.1016\/j.jdent.2024.104990_bib0018","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1111\/cdoe.12224","article-title":"Psychosocial correlates of oral hygiene behaviour in people aged 9 to 19 \u2013 a systematic review with meta-analysis","volume":"44","author":"Scheerman","year":"2016","journal-title":"Commun. Dent. Oral Epidemiol."},{"key":"10.1016\/j.jdent.2024.104990_bib0019","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1080\/19325037.2022.2100847","article-title":"Dental hygiene behaviors among young adults: a systematic review of surveys using the theory of planned behavior (TPB)","volume":"53","author":"Moore","year":"2022","journal-title":"Am. J. Health Educ."},{"key":"10.1016\/j.jdent.2024.104990_bib0020","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/17437199.2013.869710","article-title":"Time to retire the theory of planned behaviour","volume":"8","author":"Sniehotta","year":"2014","journal-title":"Health Psychol. Rev."},{"key":"10.1016\/j.jdent.2024.104990_bib0021","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1348\/014466601164939","article-title":"Efficacy of the theory of planned behaviour: a meta-analytic review","volume":"40","author":"Armitage","year":"2001","journal-title":"Br. J. Soc. Psychol."},{"key":"10.1016\/j.jdent.2024.104990_bib0022","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1111\/j.1600-0528.2010.00589.x","article-title":"Determinants of oral hygiene behavior: a study based on the theory of planned behavior","volume":"39","author":"Buunk-Werkhoven","year":"2011","journal-title":"Commun. Dent. Oral Epidemiol."},{"key":"10.1016\/j.jdent.2024.104990_bib0023","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1080\/08870440290013644a","article-title":"Application of the theory of planned behaviour in behaviour change interventions: a systematic review","volume":"17","author":"Hardeman","year":"2002","journal-title":"Psychol. Health"},{"key":"10.1016\/j.jdent.2024.104990_bib0024","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1186\/1472-6963-8-93","article-title":"Factors influencing the use of public dental services: an application of the theory of planned behaviour","volume":"8","author":"Luzzi","year":"2008","journal-title":"BMC Health Serv. Res."},{"key":"10.1016\/j.jdent.2024.104990_bib0025","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1080\/17437199.2010.521684","article-title":"Prospective prediction of health-related behaviours with the theory of planned behaviour: a meta-analysis","volume":"5","author":"McEachan","year":"2011","journal-title":"Health Psychol. Rev."},{"key":"10.1016\/j.jdent.2024.104990_bib0026","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.1186\/s12889-022-13796-4","article-title":"Modeling the theory of planned behavior to predict adults\u2019 intentions to improve oral health behaviors","volume":"22","author":"Rajeh","year":"2022","journal-title":"BMC Public Health"},{"key":"10.1016\/j.jdent.2024.104990_bib0027","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1111\/j.1758-0854.2009.01013.x","article-title":"An experimental test of the theory of planned behavior","volume":"1","author":"Sniehotta","year":"2009","journal-title":"Appl. Psychol. Health Well-Being"},{"key":"10.1016\/j.jdent.2024.104990_bib0028","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1038\/s41405-022-00115-7","article-title":"Difficult\u201d dental patients: a grounded theory study of dental staff's experiences","volume":"8","author":"Alvenfors","year":"2022","journal-title":"BDJ Open"},{"key":"10.1016\/j.jdent.2024.104990_bib0029","series-title":"The Discovery of Grounded Theory: Strategies for Qualitative Research","author":"Glaser","year":"1967"},{"key":"10.1016\/j.jdent.2024.104990_bib0030","series-title":"Samh\u00e4llsvetenskapliga Metoder","author":"Bryman","year":"2011"},{"key":"10.1016\/j.jdent.2024.104990_bib0031","series-title":"Kvalitativa Metoder Helt Enkelt! Upplaga","author":"Klingberg","year":"2021"},{"key":"10.1016\/j.jdent.2024.104990_bib0032","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.nedt.2003.10.001","article-title":"Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness","volume":"24","author":"Graneheim","year":"2004","journal-title":"Nurs. Educ. Today."},{"key":"10.1016\/j.jdent.2024.104990_bib0033","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.nedt.2017.06.002","article-title":"Methodological challenges in qualitative content analysis: a discussion paper","volume":"56","author":"Graneheim","year":"2017","journal-title":"Nurs. Educ. Today."},{"key":"10.1016\/j.jdent.2024.104990_bib0034","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijnurstu.2020.103632","article-title":"Abstraction and interpretation during the qualitative content analysis process","volume":"108","author":"Lindgren","year":"2020","journal-title":"Int. J. Nurs. Stud."},{"key":"10.1016\/j.jdent.2024.104990_bib0035","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1037\/0022-006X.75.6.842","article-title":"Untangling the alliance-outcome correlation: exploring the relative importance of therapist and patient variability in the alliance","volume":"75","author":"Baldwin","year":"2007","journal-title":"J. Consult. Clin. Psychol."},{"key":"10.1016\/j.jdent.2024.104990_bib0036","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1037\/0022-006X.68.3.438","article-title":"Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review","volume":"68","author":"Martin","year":"2000","journal-title":"J. Consult. Clin. Psychol."},{"key":"10.1016\/j.jdent.2024.104990_bib0037","series-title":"The Great Psychotherapy debate: Models, methods, and Findings","author":"Wampold","year":"2013"},{"key":"10.1016\/j.jdent.2024.104990_bib0038","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0272-7358(02)00146-0","article-title":"A review of therapist characteristics and techniques positively impacting the therapeutic alliance","volume":"23","author":"Ackerman","year":"2003","journal-title":"Clin. Psychol. Rev."},{"key":"10.1016\/j.jdent.2024.104990_bib0039","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1037\/h0045357","article-title":"The necessary and sufficient conditions of therapeutic personality change","volume":"21","author":"Rogers","year":"1957","journal-title":"J. Consult. Psychol."},{"key":"10.1016\/j.jdent.2024.104990_bib0040","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1111\/j.1600-0722.2011.00845.x","article-title":"Making dental care possible: a mutual affair\u201d: a grounded theory relating to adult patients with dental fear and regular dental treatment","volume":"5","author":"Bernson","year":"2011","journal-title":"Eur. J. Oral. Sci."},{"issue":"7","key":"10.1016\/j.jdent.2024.104990_bib0041","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2017-016491","article-title":"The realities of partnership in person-centred care: a qualitative interview study with patients and professionals","volume":"7","author":"Wolf","year":"2017","journal-title":"BMJ Open"},{"key":"10.1016\/j.jdent.2024.104990_bib0042","doi-asserted-by":"crossref","first-page":"216","DOI":"10.3390\/ijerph18010216","article-title":"Barriers and facilitators to promoting oral health literacy and patient communication among dental providers in California","volume":"18","author":"Tseng","year":"2020","journal-title":"Int. J. Environ. Res. Public Health"},{"issue":"3","key":"10.1016\/j.jdent.2024.104990_bib0043","doi-asserted-by":"crossref","DOI":"10.1111\/nup.12385","article-title":"What makes us human? Exploring the significance of ricoeur's ethical configuration of personhood between naturalism and phenomenology in health care","volume":"23","author":"Kristensson Uggla","year":"2022","journal-title":"Nurs. Philos."},{"key":"10.1016\/j.jdent.2024.104990_bib0044","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1093\/heapro\/dan014","article-title":"A salutogenic interpretation of the Ottawa Charter","volume":"23","author":"Eriksson","year":"2008","journal-title":"Health Promot. Int."},{"key":"10.1016\/j.jdent.2024.104990_bib0045","year":"2003","journal-title":"Health Literacy in Healthy People"},{"key":"10.1016\/j.jdent.2024.104990_bib0046","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1186\/s12903-021-01508-0","article-title":"Oral Health academics\u2019 conceptualisation of health promotion and perceived barriers and opportunities in dental practice: a qualitative study","volume":"21","author":"Bracksley-O'Grady","year":"2021","journal-title":"BMC Oral Health"},{"issue":"2003","key":"10.1016\/j.jdent.2024.104990_bib0047","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1071\/HE03019","article-title":"Attitudes and beliefs of oral health professionals regarding their role in health promotion","volume":"14","author":"Proctor","year":"2003","journal-title":"Health Promot. J. Aust."},{"key":"10.1016\/j.jdent.2024.104990_bib0048","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1186\/s12903-023-02756-y","article-title":"Dental professionals\u2019 perception of their role in the practice of oral health promotion: a qualitative interview study","volume":"23","author":"Shmarina","year":"2023","journal-title":"BMC Oral Health"},{"key":"10.1016\/j.jdent.2024.104990_bib0049","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1136\/jech-2022-219776","article-title":"Testing and refining middle-range theory in evaluations of public-health interventions: evidence from recent systematic reviews and trials","volume":"77","author":"Bonell","year":"2023","journal-title":"J. Epidemiol. Commun. Health"}],"container-title":["Journal of Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S030057122400160X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S030057122400160X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T19:30:36Z","timestamp":1733427036000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S030057122400160X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":49,"alternative-id":["S030057122400160X"],"URL":"https:\/\/doi.org\/10.1016\/j.jdent.2024.104990","relation":{},"ISSN":["0300-5712"],"issn-type":[{"value":"0300-5712","type":"print"}],"subject":[],"published":{"date-parts":[[2024,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Finding the person behind caries disease: The dental caregivers\u2019 experiences of empowering patients to implement beneficial behavioral changes","name":"articletitle","label":"Article Title"},{"value":"Journal of Dentistry","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jdent.2024.104990","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"104990"}}