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RecruitingNCT07715773RCTUpdated Jul 21, 2026

EHBM-Based Intervention on Collegians' Adherence to Oral Health Behaviors (EHBM- CAOHB)

An interventional study of Intervention Group in Oral Health Behavior Change, sponsored by University of Baghdad. Recruiting at 1 site in Iraq. Open to participants aged 18 Years to 25 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-21.

Sponsored by University of Baghdad · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 3 months after the study started (first participant enrolled Mar 2026, registered Jul 2026).
  • Started Mar 2026; still recruiting 7 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
166
Allocation
Randomized
Ages
18 Years to 25 Years
Sex
All
01

Study summary

This study aims to evaluation of collegians adherence to oral health behavers and to examine the efficacy of the Expanded Health Belief Model-based intervention in enhancing oral health behaviors among collegians.

Read the detailed description

The intersection of oral health and health beliefs represents a critical area in understanding why people adopt or neglect dental care behaviors. The Health Belief Model (HBM) has emerged as a foundational framework for explaining and promoting oral health behaviors, with significant research demonstrating its effectiveness in dental health education.

The Health Belief Model (HBM) effectively predicts and promotes oral health behaviors by targeting individuals' perceptions of disease risks and preventive actions. Research consistently links HBM constructs to improved brushing, flossing, and dental visits, aligning with your prior work on perceived severity, behavioral intention, and oral health.

Education using HBM significantly boosts all perceptions and behaviors: in one quasi-experimental study on 12-year-old girls, post-intervention daily flossing rose from 11% to 87%, correct brushing from 8% to 77%, and Oral Hygiene Index improved (mean 0.72 vs. 1.33 in controls). Another cross-sectional analysis of 748 university students found perceived benefits (e.g., fear of disease risk without check-ups) and floss/interdental brush use strongly predicted willingness for regular dental check-ups (OR 1.683 and 1.616).

Research has demonstrated that the HBM is highly applicable to understanding and promoting oral health behaviors. Studies show that educational interventions based on the HBM can significantly improve:

  • Tooth brushing frequency and technique: Participants who received HBM-based education showed increased correct brushing behaviors, with 76.9% brushing correctly compared to 0% in control groups.
  • Dental floss usage: Daily flossing increased dramatically from 10.9% to 87.2% in intervention groups, with 75.5% using correct flossing techniques.
  • Regular dental check-ups: Willingness to undergo regular dental examinations improved significantly, with 96.6% visiting a dentist within 4-6 months after HBM-based education.
  • Oral hygiene status: The Oral Hygiene Index improved from fair to good in 95.7% of participants receiving HBM-based interventions.

Recent research demonstrates that HBM-based interventions are especially effective for middle-aged and elderly individuals with type 2 diabetes, improving oral health knowledge, beliefs, and hygiene behaviors-particularly tooth brushing and flossing.

For University Students, Studies show that university students often have lower rates of regular dental check-ups (12.3-30.2%) than the general population, making them an important target for HBM-based interventions focused on building long-term preventive habits.

02

Conditions studied

  • Oral Health Behavior Change

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Keywords

  • Oral Health Behavior
03

In context

Health Behavior

967 studies on the registry are indexed under Health Behavior; 165 are open to participants now.

This study's planned enrollment of 166 is above the median of 150 across 824 interventional studies indexed under Health Behavior.

Browse Health Behavior studies →

Lead sponsor

University of Baghdad is the lead sponsor of 170 studies on the registry; 69 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 25 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria: The study included

  • Male and female students aged 18-25 years.
  • Enrolled as undergraduate students.
  • Willing to participate and provide .

Exclusion Criteria: Students were excluded if they were

  • Students with orthodontic appliances or removable prostheses.
  • Recent comprehensive dental treatment.
  • Female students which are pregnant or lactating.
  • Recent contribution in another oral-health behavioral trial or structured oral-health program.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
166 participants (estimated)

Study arms

  • Experimental
    Intervention Group

    Awareness lectures will be presented to the intervention group about the oral health, based on the expanded health belief model.

    Behavioral: Intervention Group

  • No intervention
    Control group.

    Participants in this arm will receive routine college based health education only. This includes general information about healthy lifestyle. No structured behavioral change program or stage-based intervention will be provided.

Interventions

  • BehavioralIntervention Group

    The participants will be a male and female students enrolled in the Southern Technical University. the recommended sample size would be (72 for each group). As for sampling technique, simple random sampling will be used to select eligible participants, who will then be randomly assigned to either the intervention or control group. Then, awareness lectures will be presented to the intervention group about the oral health, based on the expanded health belief model.

    Also known as: Expanded Health Belief Model (EHBM) Based Behavioral Intervention for Oral Health

06

What researchers measure

Primary outcomes

  1. Oral Health Behavior Score

    The primary outcome measure is the Collegians' Adherence to Oral Health Behaviors and determining whether there is a change resulting from receiving the Expanded Health Belief Model-based intervention. Oral health behavior will be assessed using a structured, validated five Likert scale questionnaire (The Expanded Health Belief Model Scales for Oral Health-Preventive Behaviors) which consists of Perceived Benefits, Perceived Barriers, Self-Efficacy, Subjective Norms, Health Motivation, Cues-To-Action, and Behavioral Intention. The Adherence to Oral Health Behaviors Score (which is a better outcome if it be higher) will be compared between the intervention and control groups to determine the effectiveness of the intervention program in improving adherence of college students to oral health behavior.

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
  • Southern Technical University
    Basra, Basra Governorate 61003, Iraq
    Recruiting
08

References and documents

Related links

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07715773
Responsible party
Haider Y. Abdulrazaq (Principal Investigator, University of Baghdad) — Principal investigator
First posted
Jul 20, 2026
Start date
Mar 24, 2026
Primary completion
Nov 1, 2026 (estimated)
Completion
Dec 1, 2026 (estimated)
Last update
Jul 21, 2026

Study contacts

Haider Younis Ablulrazaq, PhD
Contact
haidar.abd2406p@conursing.uobaghdad.edu.iq
+9467807698322

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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