ASSESSING THE CAPACITY FOR ORAL HYGIENE SELF-CARE

BACKGROUND Poor oral hygiene is a great public health problem worldwide. Oral health care education is a public health priority as the maintenance of oral hygiene is integral to overall health. Maintaining optimal oral hygiene among children is challenging and can be supported by using relevant motivational approaches. OBJECTIVE The primary aim of this study was to identify mobile smartphone apps that include gamification features focused on motivating children to learn, perform, and maintain optimal oral hygiene. METHODS We searched six online app stores using four search terms (“oral hygiene game,” “oral hygiene gamification,” “oral hygiene brush game,” and “oral hygiene brush gamification”). We identified gamification features, identified whether apps were consistent with evidence-based dentistry, performed a quality appraisal with the Mobile App Rating Scale user version (uMARS), and quantified behavior scores (Behavior Change score, uMARS score, and Coventry, Aberdeen, and London-Refined [CALO-RE] score) using three different instruments that measure behavior change. RESULTS Of 612 potentially relevant apps included in the analysis, 17 met the inclusion criteria. On average, apps included 6.87 (SD 4.18) out of 31 possible gamification features. The most frequently used gamification features were time pressure (16/17, 94%), virtual characters (14/17, 82%), and fantasy (13/17, 76%). The most common oral hygiene evidence-based recommendation was brushing time (2-3 minutes), which was identified in 94% (16/17) of apps. The overall mean uMARS score for app quality was high (4.30, SD 0.36), with good mean subjective quality (3.79, SD 0.71) and perceived impact (3.58, SD 0.44). Sufficient behavior change techniques based on three taxonomies were detected in each app. CONCLUSIONS The majority of the analyzed oral hygiene apps included gamification features and behavior change techniques to perform and maintain oral hygiene in children. Overall, the apps contained some educational content consistent with evidence-based dentistry and high-quality background for oral self-care in children; however, there is scope for improvement.

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Effectiveness of Oral Hygiene Instructions Given in Computer-Assisted Format versus a Self-Care Instructor

Dentistry Journal ◽

10.3390/dj6010002 ◽

2018 ◽

Vol 6 (1) ◽

pp. 2 ◽

Cited By ~ 2

Author(s):

Kristin Williams ◽

Sara Mithani ◽

Ghazal Sadeghi ◽

Leena Palomo

Keyword(s):

Oral Hygiene ◽

Self Care ◽

Computer Assisted ◽

Oral Hygiene Instructions

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GAMBARAN MENGENAI STATUS KEBERSIHAN GIGI DAN MULUT SERTA KEMANDIRIAN TOILET TRAINING PADA ANAK TUNAGRAHITA

Jurnal Ilmu Keperawatan Komunitas ◽

10.32584/jikk.v2i2.409 ◽

2019 ◽

Vol 2 (2) ◽

pp. 7

Author(s):

Gasik Prawestri ◽

Elis Hartati

Keyword(s):

Intellectual Disabilities ◽

Oral Hygiene ◽

Management Information System ◽

Research Method ◽

Self Care ◽

Sampling Technique ◽

Toilet Training ◽

Management Information ◽

Number Of Children ◽

Total Dependence

Children with intellectual disabilities are one type of disabilities that frequently occur in Indonesia. The total number of children with intellectual disabilities in Semarang based on the data of poor citizens’ management information system (SIMGAKIN) in 2012 is 667 children. The condition of children with intellectual disabilities that occurs will result in a lack of self-care in maintaining health. Self-care such as good dental and oral hygiene status and toilet training independence is needed to deal with the problems of children with intellectual disabilities. The purpose of this study is to describe the dental and oral hygiene status and toilet training independence in children with intellectual disabilities. The research method used is descriptive with the quantitative method. The sampling technique used is a total sampling of 55 respondents. Retrieving data using OHI-S inspection sheet for dental and oral hygiene status and independence questionnaire for toilet training. The results showed that the depiction of the dental and oral hygiene status of children with intellectual disabilities in the category of good is 43.6%, medium is 50.9%, and poor is 5.5%, while the toilet training independence in the category of independent is 21.8%, less independent is 50.9%, and total dependence is 27.3 %. Schools are expected to facilitate the implementation of the program to maintain and improve self-care on dental and oral hygiene and independence in toilet training.

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Factors Affecting Older Persons’ Ability to Manage Oral Hygiene: A Qualitative Study

JDR Clinical & Translational Research ◽

10.1177/2380084417709267 ◽

2017 ◽

Vol 2 (3) ◽

pp. 223-232 ◽

Cited By ~ 7

Author(s):

I. Grönbeck Lindén ◽

C. Hägglin ◽

L. Gahnberg ◽

P. Andersson

Keyword(s):

Oral Health ◽

Oral Hygiene ◽

Older Persons ◽

Self Care ◽

Occupational Therapists ◽

Elderly Persons ◽

Dental Hygienists ◽

Complex Activity ◽

Ability Index ◽

Assistant Nurses

A great challenge for the dental service is to support the growing group of elderly people with preserving good oral health throughout their lives. Limitations in the ability to manage oral hygiene and an increased number of risk factors are often reflected by poor oral health. Thus, the need for individualized support and oral health procedures based on the older person’s condition is significant. Deficiencies in the motor skills needed to manage oral hygiene are well known, but other factors that affect the ability are not well studied. The aim of the present study was to identify factors that may affect an elderly person’s ability to perform oral hygiene self-care, which is the first step to develop a more comprehensive “oral hygiene ability index.” The design of the study was qualitative. Data were collected from 4 focus group interviews with a total of 23 participants. Three of the groups consisted of dental hygienists, occupational therapists, and assistant nurses, all working with elderly persons. The fourth group was made up of elderly people (72–89 years). Content analysis was used to analyze the data. The latent content was formulated into the core category, “oral hygiene—a complex activity.” Three categories emerged: “psychological,” “environmental,” and “functional” dimensions. The psychological dimension described attitude/motivation, emotions, and cognitive factors. The environmental dimension included practical conditions and social context. The functional dimension dealt with bodily and oral function as well as the senses. In conclusion, self-care with respect to oral hygiene is a complex activity for elderly persons and includes a large number of factors. These factors should be taken into consideration when developing a future oral hygiene ability index. Knowledge Transfer Statement: Various factors may affect the ability to manage oral hygiene self-care. Impaired ability to manage oral hygiene, in combination with an increased number of risk factors, often results in deteriorating oral health and impaired quality of life in older persons. Factors necessary to manage oral hygiene were identified in a qualitative study of dental hygienists, occupational therapists, and assistant nurses, all working with elderly patients, and a group of elderly persons. The results of this study may be important for clinical oral health work with older patients and for the planning of oral health and social care interventions for the growing group of older people.

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Relationship between diabetes self-care practices and control of periodontal disease among type2 diabetes patients in Bangladesh

PLoS ONE ◽

10.1371/journal.pone.0249011 ◽

2021 ◽

Vol 16 (4) ◽

pp. e0249011

Author(s):

S. M. Mahmudul Hasan ◽

Mosiur Rahman ◽

Keiko Nakamura ◽

Yuri Tashiro ◽

Ayano Miyashita ◽

...

Keyword(s):

Type 2 Diabetes ◽

Periodontal Disease ◽

Oral Hygiene ◽

Periodontal Diseases ◽

Self Care ◽

Hygiene Practices ◽

Patients With Diabetes ◽

And Control ◽

Diabetes Patients

Introduction The prevalence of periodontal disease is high in diabetes patients worldwide, including Bangladesh. Although associations of periodontal disease outcomes and clinical determinants of diabetes have been investigated, few studies have reported on the relationship between periodontal diseases outcomes with modifiable factors, such as self-care and oral hygiene practices, in patients with diabetes. Moreover, in order to develop targeted strategies, it is also important to estimate their aggregated contribution separately from that of the established sociodemographic and diabetics related clinical determinates. Therefore, this study was performed to elucidate 1) the relationship of diabetes patients’ self-care and oral hygiene practices to periodontal disease and 2) the relative contributions of selected factors to periodontal disease outcome in type 2 diabetes patients. Methods The data were obtained from the baseline survey of a multicentre, prospective cohort study. A total of 379 adult patients with type 2 diabetes from three diabetic centres in Dhaka, Rajshahi and Barishal, received periodontal examinations using the community periodontal index (CPI) probe, glycated haemoglobin examination, other clinical examinations, and structured questionnaires. Multiple logistics regression analyses were performed to assess the associations between selected factors and prevalence of any periodontal disease and its severity. Results More than half of the participants were female (53.8%) and 66.8% of the total participants was 21–50 years old. The prevalence of any (CPI code 2+3+4; 75.7%) and severe form (CPI code 4; 35.1%) of periodontal disease were high in type 2 diabetes patients. In multivariate analysis, the odds of periodontal disease increased with unfavourable glycaemic control indicated by HbA1c ≥ 7%, and decreased by 64%, 85% and 92% with adherence to recommended diet, physical activity, and oral hygiene practices, respectively. Diabetes self-care practice explained the highest proportion of the variance (13.9%) followed by oral hygiene practices (10.9%) by modelling any periodontal disease versus no disease. Variables of diabetes conditions and oral hygiene practices explained 10.9% and 7.3% of the variance by modelling severe (CPI code 4) or moderate (CPI code 3) forms of periodontal disease versus mild form of periodontal disease. Findings also conferred that while poor diabetes control had an individually adverse association with any form of periodontal diseases and its severity, the risk of diseases was moderated by oral hygiene practices. Conclusions This study suggested that, in addition to diabetes-related clinical determinants, self-care practices, and oral hygiene practices must be taken into consideration for prevention and control of periodontal disease in patients with diabetes.

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Effectiveness of an App-Based Mobile Intervention for Precision Oral Self-Care in Patients with Periodontitis from Initial Therapy to Re-Evaluation

Applied Sciences ◽

10.3390/app11094229 ◽

2021 ◽

Vol 11 (9) ◽

pp. 4229

Author(s):

Wen-Jen Chang ◽

Yen-Li Wang ◽

Yen-Hsiang Chang ◽

Shih-Yin Lo

Keyword(s):

Oral Hygiene ◽

Intervention Group ◽

Self Care ◽

Initial Therapy ◽

Mobile App ◽

Oral Disease ◽

Control Group ◽

Significant Difference ◽

Mobile Intervention ◽

Oral Disease Prevention

Good oral hygiene is essential to oral health and oral disease prevention. Strengthening the adherence of patients with periodontitis to oral hygiene behaviors (OHBs) is crucial for the success of periodontal treatment. This study aims to investigate the intervention effectiveness of a novel mobile app for precision oral self-care, which was developed to help patients with periodontitis improving their oral hygiene through daily oral self-care. One-hundred and fifty eligible patients were recruited into this study and randomly allocated to the control (n = 75) or intervention group (n = 75), and their oral hygiene status (OHS) and OHBs were recorded at baseline and re-evaluation. The participants in the intervention group were required to perform daily oral self-care using our oral self-care app (OSCA) and the functional preferences and overall likeability of the OSCA were evaluated through a questionnaire survey. In total, 39 patients from the control group and 49 from the intervention group completed clinical examinations at baseline and re-evaluation. The results demonstrated that there was no significant difference in OHS improvement between the two groups. However, OHS improvement significantly differed between low-, moderate-, and high-frequency users, with frequency of use being positively correlated to the likeability of the app. Further investigation of the effectiveness of the OSCA intervention revealed that behavioral change in oral hygiene, frequency of OSCA use, and smoking affected OHS improvement. These outcomes indicate that our app-based mobile intervention may be of value for precision oral self-care in patients with periodontitis.

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The Effects of Gamification and Oral Self-Care on Oral Hygiene in Children: Systematic Search in App Stores and Evaluation of Apps

JMIR mhealth and uhealth ◽

10.2196/16365 ◽

2020 ◽

Vol 8 (7) ◽

pp. e16365

Author(s):

Nino Fijačko ◽

Lucija Gosak ◽

Leona Cilar ◽

Alenka Novšak ◽

Ruth Masterson Creber ◽

...

Keyword(s):

Public Health ◽

Behavior Change ◽

Oral Hygiene ◽

Rating Scale ◽

Self Care ◽

Public Health Problem ◽

Mobile App ◽

Evidence Based ◽

Behavior Change Techniques ◽

Evidence Based Dentistry

Background Poor oral hygiene is a great public health problem worldwide. Oral health care education is a public health priority as the maintenance of oral hygiene is integral to overall health. Maintaining optimal oral hygiene among children is challenging and can be supported by using relevant motivational approaches. Objective The primary aim of this study was to identify mobile smartphone apps that include gamification features focused on motivating children to learn, perform, and maintain optimal oral hygiene. Methods We searched six online app stores using four search terms (“oral hygiene game,” “oral hygiene gamification,” “oral hygiene brush game,” and “oral hygiene brush gamification”). We identified gamification features, identified whether apps were consistent with evidence-based dentistry, performed a quality appraisal with the Mobile App Rating Scale user version (uMARS), and quantified behavior scores (Behavior Change score, uMARS score, and Coventry, Aberdeen, and London-Refined [CALO-RE] score) using three different instruments that measure behavior change. Results Of 612 potentially relevant apps included in the analysis, 17 met the inclusion criteria. On average, apps included 6.87 (SD 4.18) out of 31 possible gamification features. The most frequently used gamification features were time pressure (16/17, 94%), virtual characters (14/17, 82%), and fantasy (13/17, 76%). The most common oral hygiene evidence-based recommendation was brushing time (2-3 minutes), which was identified in 94% (16/17) of apps. The overall mean uMARS score for app quality was high (4.30, SD 0.36), with good mean subjective quality (3.79, SD 0.71) and perceived impact (3.58, SD 0.44). Sufficient behavior change techniques based on three taxonomies were detected in each app. Conclusions The majority of the analyzed oral hygiene apps included gamification features and behavior change techniques to perform and maintain oral hygiene in children. Overall, the apps contained some educational content consistent with evidence-based dentistry and high-quality background for oral self-care in children; however, there is scope for improvement.

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