The influence of text messaging on oral hygiene effectiveness

Bowen, T Brent; Rinchuse, Donald J.; Zullo, Thomas G.; DeMaria, Mark E

doi:10.2319/071514-495.1

Cited by 71 publications

(55 citation statements)

References 25 publications

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“…Nineteen articles met all inclusion criteria [35-53]. Most (n=15) included texting interventions [35-41,43-45,47-49,52,53], and only 4 studies had mobile phone–based app interventions [42,46,50,51]. The primary aim of the interventions was to improve adherence to clinic attendance (primary care, gynecology, mental health) [35,36], contraception use [37-39], oral health and hygiene in orthodontic patients [46,47], physical activity and weight management [48-51], sun-protective measures [52], and HPV vaccination [53]; or to reduce risky behavior, including unsafe sex [40-42], smoking [45], and alcohol misuse [43,44].…”

Section: Resultsmentioning

confidence: 99%

“…Nine were conducted in the United States [36-41,47,50,53], 3 in Switzerland [35,44,45], 2 in Hong Kong [48,49], and 1 each in Colombia [42], Wales [43], Italy[46], New Zealand [51], and Germany [52]. Most (n=9) were conducted in a clinic setting [35-39,46,47,53], 3 in a university [41-43], 2 in vocational schools [44,45], 1 in secondary schools [48], 1 in an emergency department [40], 1 in a clinic and summer camp [52], 1 in both a clinic and Web-based environment [50], and 1 at participants’ home [51]. Most (n=12) enrolled younger adolescents (age ≥12 and < 18 years) [35,36,41,45-53], 6 enrolled older adolescents (age ≥18 and <24 years) [37,38,40,42-44], and 1 reported only an age range of 13-21 years [39].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Texting and Mobile Phone App Interventions for Improving Adherence to Preventive Behavior in Adolescents: A Systematic Review

Badawy¹,

Kuhns²

2017

JMIR Mhealth Uhealth

211

176

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BackgroundMany preventable behaviors contribute to adolescent mortality and morbidity. Non-adherence to preventive measures represents a challenge and has been associated with worse health outcomes in this population. The widespread use of electronic communication technologies by adolescents, particularly the use of text messaging (short message service, SMS) and mobile phones, presents new opportunities to intervene on risk and preventive risk behavior, but little is known about their efficacy.ObjectiveThis study aimed to systematically evaluate evidence for the efficacy of text messaging and mobile phone app interventions to improve adherence to preventive behavior among adolescents and describe intervention approaches to inform intervention development.MethodsThis review covers literature published between 1995 and 2015. Searches included PubMed, Embase, CENTRAL, PsycINFO, CINAHL, INSPEC, Web of Science, Google Scholar, and additional databases. The search strategy sought articles on text messaging and mobile phone apps combined with adherence or compliance, and adolescents and youth. An additional hand search of related themes in the Journal of Medical Internet Research was also conducted. Two reviewers independently screened titles and abstracts, assessed full-text articles, and extracted data from articles that met inclusion criteria. Included studies reflect original research—experimental or preexperimental designs with text messaging or mobile phone app interventions—targeting adherence to preventive behavior among adolescents (12-24 years old). The preferred reporting items of systematic reviews and meta-analyses (PRISMA) guidelines were followed for reporting results, and findings were critically appraised against the Oxford Centre for Evidence-based Medicine criteria.ResultsOf 1454 records, 19 met inclusion criteria, including text messaging (n=15) and mobile phone apps (n=4). Studies targeted clinic attendance, contraceptive use, oral health, physical activity and weight management, sun protection, human papillomavirus (HPV) vaccination, smoking cessation, and sexual health. Most studies were performed in the United States (47%, 9/19), included younger adolescents (63%, 12/19), and had sample size <100 (63%, 12/19). Although most studies were randomized controlled trials (RCTs; 58%, 11/19), only 5 followed an intent-to-treat analysis. Only 6 of 19 studies (32%) incorporated a theoretical framework in their design. Most studies reported good feasibility with high acceptability and satisfaction. About half of the included studies (42%, 8/19) demonstrated significant improvement in preventive behavior with moderate standardized mean differences. As early efforts in this field to establish feasibility and initial efficacy, most studies were low to moderate in quality. Studies varied in sample size and methods of preventive behavior adherence or outcome assessment, which prohibited performing a meta-analysis.ConclusionsDespite the promising feasibility and acceptability of text messaging and mobile phone a...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Texting and Mobile Phone App Interventions for Improving Adherence to Preventive Behavior in Adolescents: A Systematic Review

Badawy¹,

Kuhns²

2017

JMIR Mhealth Uhealth

211

176

View full text Add to dashboard Cite

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“…Since numerous studies have shown that sending short message service (SMS) text messages as prompt cues is an effective way for establishing behavior changes and improving oral hygiene during fixed orthodontic treatment [48-50], the app also provided an option for setting reminders for oral health behavior tasks (including monitoring of behavior and dental plaque) and the use of the brushing timer (targeting determinants: “cues to action or habit formation”). The reminders were sent as push notifications.…”

Section: Resultsmentioning

confidence: 99%

“…IM was proven to be a suitable method for developing health promotion programs for various health issues [64-66]. In the field of orthodontics, authors did not describe the process of program development explicitly in their publications [41,42,48-50,67-71]. This limited opportunities for comparison.…”

Section: Discussionmentioning

confidence: 99%

A Mobile App (WhiteTeeth) to Promote Good Oral Health Behavior Among Dutch Adolescents with Fixed Orthodontic Appliances: Intervention Mapping Approach

Scheerman¹,

Empelen²,

Loveren³

et al. 2018

JMIR Mhealth Uhealth

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BackgroundThe insertion of fixed orthodontic appliances increases the risk of dental caries, particularly in adolescents. Caries can be prevented through good oral health behavior. To support adolescents with fixed orthodontic appliances and for promoting oral health behavior, we developed a theory- and evidence-based mHealth program, the WhiteTeeth app.ObjectiveThe objective of our paper was to describe the systematic development and content of the WhiteTeeth app.MethodsFor systematic development of the program, we used the intervention mapping (IM) approach. In this paper, we present the results of applying the first 5 steps of IM to the design of an mHealth program: (1) identifying target behaviors and determinants through problem analysis, including a literature search, a survey study, and semistructured interviews, to explore adolescent oral health behavior during orthodontic therapy; (2) defining program outcomes and objectives; (3) selecting theoretical methods and translating them into practical strategies for the program design; (4) producing the program, including a pilot test with 28 adolescents testing the acceptability and usability of the WhiteTeeth app; and (5) planning implementation and adoption.ResultsOn the basis of our literature search, we identified fluoride use and control of dental plaque levels (eg, tooth brushing and proxy brush usage) as target behaviors for preventing caries. Next, we identified important and changeable determinants of oral health behavior that fitted the theoretical concepts of the Health Action Process Approach (HAPA) theory. The HAPA theory, the self-regulation theory, and the results of the semistructured interviews were used to define the program objectives, that is, the performance and change objectives. After defining the objectives, we identified multiple behavior change techniques that could be used to achieve these objectives, such as providing oral health information and feedback, prompting self-monitoring, coaching of set actions and coping plans, and sending reminders. We translated these methods into practical strategies, such as videos and a brushing timer. Next, we combined these strategies into a single program resulting in the WhiteTeeth app (which is available on both iTunes and Google Play stores as “Witgebit”). Adolescents with fixed orthodontic appliances and dental professionals were included in the development process to increase the success of implementation. The pilot test revealed that the app users appreciated and liked the app. The WhiteTeeth app can be integrated into current orthodontic care.ConclusionsIM allowed us to identify multiple techniques that have been shown to be the most effective in initiating behavior change, but have not yet been incorporated into existing orthodontic apps. The WhiteTeeth app contains all these techniques, which makes it a unique and promising home-based app for promoting oral health in adolescents with fixed orthodontic appliances.

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“…Bowen and colleagues [14] have shown text messaging to be an effective tool for improving oral hygiene compliance in orthodontic patients.…”

Section: Introductionmentioning

confidence: 99%

Oral hygiene compliance in orthodontic patients: a randomized controlled study on the effects of a post-treatment communication

et al. 2016

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BackgroundSeveral studies have recently demonstrated that a post-treatment communication to explain the importance of an oral hygiene can improve the orthodontic patients’ compliance over a period of 66 days. The main goal of this study is to evaluate the effects of a structured follow-up communication after orthodontic appliance application on oral hygiene compliance after 30–40 days.MethodsEighty-four orthodontic participants enrolled from patients who were beginning fixed orthodontic treatment at the Orthodontic Department, Gaslini Hospital, Genova, between July and October 2014 were randomly assigned to one of three trial arms. Before the bonding, all patients underwent a session of oral hygiene aimed at obtaining an plaque index of “zero.” At the following orthodontic appointment, the plaque index was calculated for each patient in order to assess oral hygiene compliance. The first group served as control and did not receive any post-procedure communication, the second group received a structured text message giving reassurance, and the third group received a structured telephone call. Participants were blinded to group assignment and were not made aware that the text message or the telephone call was part of the study. (The research protocol was approved by the Italian Comitato Etico Regionale della Liguria-sezione 3^ c/o IRCCS-Istituto G. Gaslini 845/2014, and it is not registered in the trial’s register.)ResultsThirty patients were randomly assigned to the control group, 28 participants to the text message group, and 26 to the telephone group.Participants who received a post-treatment communication reported higher level of oral hygiene compliance than participants in the control group. The plaque index was 0.3 (interquartile range (Iqr), 0.60) and 0.75 (Iqr, 1.30), respectively, with a significant difference (P = 0.0205).ConclusionsA follow-up procedure after orthodontic treatment may be an effective tool to increase oral hygiene compliance also over a short period.

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The influence of text messaging on oral hygiene effectiveness

Cited by 71 publications

References 25 publications

Texting and Mobile Phone App Interventions for Improving Adherence to Preventive Behavior in Adolescents: A Systematic Review

Texting and Mobile Phone App Interventions for Improving Adherence to Preventive Behavior in Adolescents: A Systematic Review

A Mobile App (WhiteTeeth) to Promote Good Oral Health Behavior Among Dutch Adolescents with Fixed Orthodontic Appliances: Intervention Mapping Approach

Oral hygiene compliance in orthodontic patients: a randomized controlled study on the effects of a post-treatment communication

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