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Vocabulary flashcards covering core behavioral theories in dental hygiene practice: Health Belief Model, Theory of Reasoned Action, Theory of Planned Behavior, Social Learning Theory, and the Transtheoretical Model.
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Health Belief Model (HBM)
A value-expectancy framework developed in the 1950s by social psychologists at the U.S. Public Health Service that focuses on a patient's perceived susceptibility, severity, benefits, and barriers to health action.
Perceived Susceptibility
A core construct of the Health Belief Model that assesses whether a patient believes they are at risk for a disease, such as periodontal disease or caries.
Perceived Severity
A construct of the Health Belief Model evaluating how serious a patient believes the consequences of a disease are.
Perceived Benefits
A construct of the Health Belief Model assessing whether a patient believes that adopting a preventive behavior will reduce the disease threat.
Perceived Barriers
A construct of the Health Belief Model evaluating obstacles such as cost, time, or fear that prevent a patient from acting.
Cues to Action
Internal triggers (e.g., pain, bleeding gums) or external triggers (e.g., clinician recommendations, health pamphlets) that prompt a patient to take health action.

Theory of Reasoned Action (TRA)
A framework developed by Fishbein and Ajzen proposing that behavioral intention is the primary predictor of actual behavior, shaped by individual attitudes and subjective norms.
Subjective Norm
A component of TRA/TPB representing what a patient perceives significant others (family, friends, or dental providers) expect of them, combined with their motivation to comply with those expectations.
Theory of Planned Behavior (TPB)
An extension of the Theory of Reasoned Action by Ajzen that incorporates perceived behavioral control alongside attitudes and social norms to predict behavioral intention.
Perceived Behavioral Control
A construct added in the Theory of Planned Behavior reflecting a patient's belief that they possess the skills and resources required to perform a specific behavior.
Social Learning Theory (SLT)
A theory formulated by Albert Bandura (also called Social Cognitive Theory) asserting that people learn behaviors through observation, self-efficacy, and dynamic environmental interaction.

Reciprocal Determinism
A foundational concept in Social Learning Theory describing the continuous interaction among personal factors, behavior, and environmental influences.
Self-Efficacy
A patient's confidence in their ability to successfully perform a specific behavior, built through mastery experiences, vicarious experiences, verbal persuasion, and physiological states.
Observational Learning (Modeling)
A process in Social Learning Theory where individuals learn by watching others perform behaviors, applied in dental hygiene through strategies like 'tell-show-do' and return demonstrations.

Transtheoretical Model (TTM)
A model developed by Prochaska and DiClemente describing behavior change as a staged, cyclical process rather than a single event.
Precontemplation Stage
The initial stage in TTM where a patient is not considering change and is unaware or unwilling to modify their behavior ('I don't have a problem').
Contemplation Stage
The stage in TTM where a patient is aware of the need to change and is actively weighing pros and cons ('Maybe I should change…').
Preparation Stage
The stage in TTM where a patient intends to take action soon and begins making small preparatory steps ('I'm ready to try').
Action Stage
The stage in TTM where a patient actively modifies their behavior, with the change being recent (under 6 months).
Maintenance Stage
The stage in TTM involving sustained behavior change for 6 or more months and ongoing effort to prevent relapse.
Processes of Change
Ten cognitive and behavioral strategies in TTM (such as consciousness-raising, self-reevaluation, and self-liberation) that patients use to transition through stages of change.
Decisional Balance
The cognitive process of weighing the pros and cons of changing behavior, which clinicians attempt to tip in favor of oral health action.