The effect of using a mobile application ("WhiteTeeth") on improving oral hygiene: A randomized controlled trial.

Objective: To evaluate the effectiveness of the WhiteTeeth mobile app, a theory‐based mobile health (mHealth) program for promoting oral hygiene in adolescent orthodontic patients. Methods: In this parallel randomized controlled trial, the data of 132 adolescents were collected during three orthodon...

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Publicado en:International Journal of Dental Hygiene Vol. 18; no. 1; pp. 73 - 84
Autores principales: Scheerman, Janneke F. M., Meijel, Berno, Empelen, Pepijn, Verrips, Gijsbert H. W., Loveren, Cor, Twisk, Jos W. R., Pakpour, Amir H., Braak, Matheus C. T., Kramer, Gem J. C.
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Feb2020
Acceso en línea:Ver este registro en EBSCOhost
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        10.1111/idh.12415
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        atl: The effect of using a mobile application ("WhiteTeeth") on improving oral hygiene: A randomized controlled trial.
      aug:
        au:
          Scheerman, Janneke F. M.
          Meijel, Berno
          Empelen, Pepijn
          Verrips, Gijsbert H. W.
          Loveren, Cor
          Twisk, Jos W. R.
          Pakpour, Amir H.
          Braak, Matheus C. T.
          Kramer, Gem J. C.
        affil: Inholland University of Applied Sciences, Amsterdam The Netherlands
      sug:
        subj:
          Orthodontic Care
          Oral Hygiene Evaluation
          Telehealth
          Health Promotion Methods
          Mobile Applications Utilization
          Program Evaluation
          Treatment Outcomes
          Human
          Male
          Female
          Adolescence
          Netherlands
          Randomized Controlled Trials
          Random Assignment
          Single-Blind Studies
          Questionnaires
          Descriptive Statistics
          T-Tests
          Chi Square Test
          Two-Tailed Test
          Data Analysis Software
          Confidence Intervals
          Dental Plaque
          Gingival Diseases
          Health Behavior
          Fluorides, Topical Therapeutic Use
          Mouthwashes
          Self Care
          Health Education
          Oral Health Psychosocial Factors
          Funding Source
          Clinical Assessment Tools
          Adolescent: 13-18 years
          Male
          Female
      ab: Objective: To evaluate the effectiveness of the WhiteTeeth mobile app, a theory‐based mobile health (mHealth) program for promoting oral hygiene in adolescent orthodontic patients. Methods: In this parallel randomized controlled trial, the data of 132 adolescents were collected during three orthodontic check‐ups: at baseline (T0), at 6‐week follow‐up (T1) and at 12‐week follow‐up (T2). The intervention group was given access to the WhiteTeeth app in addition to usual care (n = 67). The control group received usual care only (n = 65). The oral hygiene outcomes were the presence and the amount of dental plaque (Al‐Anezi and Harradine plaque index), and the total number of sites with gingival bleeding (Bleeding on Marginal Probing Index). Oral health behaviour and its psychosocial factors were measured through a digital questionnaire. We performed linear mixed‐model analyses to determine the intervention effects. Results: At 6‐week follow‐up, the intervention led to a significant decrease in gingival bleeding (B = −3.74; 95% CI −6.84 to −0.65) and an increase in the use of fluoride mouth rinse (B = 1.93; 95% CI 0.36 to 3.50). At 12‐week follow‐up, dental plaque accumulation (B = −11.32; 95% CI −20.57 to −2.07) and the number of sites covered with plaque (B = −6.77; 95% CI −11.67 to −1.87) had been reduced significantly more in the intervention group than in the control group. Conclusions: The results show that adolescents with fixed orthodontic appliances can be helped to improve their oral hygiene when usual care is combined with a mobile app that provides oral health education and automatic coaching. Netherlands Trial Registry Identifier: NTR6206: 20 February 2017.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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