"USABILITY APPROACH TO THE DEVELOPMENT OF AN ORAL HYGIENE INSTRUCTION AND MOTIVATION MOBILE APPLICATION FOR ORTHODONTIC PATIENTS."
Keywords:
Dental Health, Oral Hygiene, Mobile Application, Technology Adoption, Usability, Orthodontic PatientsAbstract
Introduction: Several interventions to improve oral hygiene compliance, such as verbal instructions, written instructions, illustrations using catalogues, videos, telephone calls, text messages, chat groups, and oral hygiene mobile applications, have been reported in patients undergoing fixed orthodontic treatment. This study aimed to develop and validate a mobile application based on a usability engineering framework from an end user perspective. Methods: The app design has a user end for patients. The description/screens of the graphic user interface (GUI) for users include registration, sign-in, home screen, setting screen, timer screen, and user profile. The approach involves the collection of data from 25 participants who underwent fixed orthodontic appliances and were recruited to interact with the mobile application to validate its usability. The methodology was considered in the context of the mobile app using a post study system usability questionnaire, which was applied to the users after 12 weeks of interaction. Results: A mobile application called the IFEORTHOCARE mobile app was developed with a user-end that illustrates oral hygiene instruction using a validated video, reminds patients about their oral health compliance with the aid of a push button alert, and empowers patients and clinicians to monitor oral hygiene compliance using feedback support in the form of a graphical display of the daily duration of toothbrushing. The mean PSSUQ score for all participants was 2.68 out of a maximum of 7.00, indicating a high degree of performance and satisfaction. Conclusion: The IFEORTHOCARE app was developed, and its usability has received strong overall satisfaction. In addition, there was a greater reduction in biofilm accumulation with the aid of this application.
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References
Abdaljawwad, A. A. (2016). The influence of text message reminders on oral hygiene compliance in orthodontic patients. Iraqi Dental Journal, 38(1), 58-62.
Adeyemi, T., & Otuyemi, O. (2016). The pattern of malocclusion in Kano Teaching Hospital, Kano, Nigeria. West African Journal of Orthodontics, 5, 23-26.
Ajayi, E., & Azodo, C. (2014). Oral hygiene status of orthodontic patients at the University of Benin Teaching Hospital, Benin City, Nigeria. Journal of Dental Health, Oral Disorders & Therapy, 1(4), 1-4.
Al-Jewair, T. S., Suri, S., & Thompson, B. D. (2011). Predictors of adolescent compliance with oral hygiene instructions during two-arch multibracket fixed orthodontic treatment. The Angle Orthodontist, 81(3), 525-531.
Alkadhi, O. H., Zahid, M. N., Almanea, R. S., Althaqeb, H. K., Alharbi, T. H., & Bakhshaei, A. (2017). The effect of using mobile applications for improving oral hygiene in patients with orthodontic fixed appliances: A randomized controlled trial. Journal of Orthodontics, 44(3), 157-163.
Aryeetey, E. J., Benyahia, H., & Zaoui, F. (2024). Oral hygiene in the presence of orthodontic therapy. Journal of Biosciences and Medicines, 12(2), 98-110.
Asimakopoulou, K., & Daly, B. (2009). Adherence in dental settings. Dental Update, 36(10), 626-630.
Atassi, F., & Awartani, F. (2010). Oral hygiene status among orthodontic patients. Journal of Contemporary Dental Practice, 11(4), 25-32.
Baheti, M. J., & Toshniwal, N. (2014). Orthodontic apps are available at the fingertips. Progress in Orthodontics, 15(1), 36.
Boyd, R. L. (1983). Longitudinal evaluation of the effectiveness of a system for self-monitoring plaque control effectiveness in orthodontic patients. Journal of Clinical Periodontology, 10(4), 380-388.
Cozzani, M., Ragazzini, G., Delucchi, A., Mutinelli, S., Barreca, C., Rinchuse, D. J., & Piras, V. (2016). Oral hygiene compliance in orthodontic patients: A randomized controlled study of the effects of post-treatment communication. Progress in Orthodontics, 17(1), 41.
Deleuse, M., Meiffren, C., Bruwier, A., Maes, N., Le Gall, M., & Charavet, C. (2020). Smartphone application-assisted oral hygiene among orthodontic patients: A multicenter randomized controlled trial in adolescents. European Journal of Orthodontics, 42(6), 605-611.
Eppright, M., Shroff, B., Best, A. M., Sarcoma, E., & Lindauer, S. J. (2013). Influence of active reminders on oral hygiene compliance in orthodontic patients. The Angle Orthodontist, 84(2), 208-213.
Farhadifard, H., Soheilifar, S., Farhadian, M., Kokabi, H., & Bakhshaei, A. (2020). Orthodontic patients’ compliance with oral hygiene using a smartphone application (Brush DJ): A randomized clinical trial. BDJ Open, 6(1), 1-6.
Gupta, G., & Reddy, N. (2017). The world of orthodontic apps. APOS Trends in Orthodontics, 7(2), 73-79.
Harris, E. F., & Glassell, B. E. (2011). Sex differences in the uptake of orthodontic services among adolescents in the United States. American Journal of Orthodontics and Dentofacial Orthopedics, 140(4), 543-549.
Huang, J., Yao, Y., Jiang, J., & Li, C. (2018). Effects of motivational methods on the oral hygiene of orthodontic patients: A systematic review and meta-analysis. Medicine, 97(47).
Huber, S. J., Vernino, A. R., & Nanda, R. S. (1987). Professional prophylaxis and its effect on the periodontium of full-banded orthodontic patients. American Journal of Orthodontics and Dentofacial Orthopedics, 91(4), 321-327.
Jejurikar, H., Nene, S., Kalia, A., Gupta, G., & Mirdehghan, N. (2014). Does text messaging reminder help in the orthodontic compliance of patients to maintain their oral hygiene. Journal of Dental Hygiene, 1-4.
Jeon, E., & Park, H.-A. (2015). Development of a smartphone application for clinical guideline-based obesity management. Healthcare Informatics Research, 21(1), 10-20.
Lagorsse, A., & Gebeile-Chauty, S. (2018). Does gender play a role in orthodontics? A literature review. Orthodontie Française, 89(2), 157-168.
Lees, A., & Rock, W. (2000). A comparison between written, verbal, and videotape oral hygiene instruction for patients with fixed appliances. British Journal of Orthodontics, 27(4), 323-328.
Lewis, J. R., & Sauro, J. (2021). Usability and user experience: Design and evaluation. In Handbook of Human Factors and Ergonomics (pp. 972-1015).
Liepa, A., Urtane, I., Richmond, S., & Dunstan, F. (2003). Orthodontic treatment needs in Latvia. European Journal of Orthodontics, 25(3), 279-284.
Little, R. A., & Spary, D. J. (2017). Effect of conventional versus figure-of-eight module ligation on mandibular incisor alignment: A randomized controlled trial. Journal of Orthodontics, 44(4), 231-240.
Lundström, F., Hamp, S.-E., & Nyman, S. (1980). Systematic plaque control in children undergoing long-term orthodontic treatment. European Journal of Orthodontics, 2(1), 27-39.
McGlynn, F. D., LeCompte, E. J., Thomas, R. G., Courts, F. J., & Melamed, B. G. (1987). Effects of behavioral self-management on oral hygiene adherence among orthodontic patients. American Journal of Orthodontics and Dentofacial Orthopedics, 91(1), 15-21.
Ndukwe, A., Utomi, I., Umeh, O., & Umeizudike, K. (2020). Oral hygiene practices and the status of orthodontic patients in a Nigerian Teaching Hospital. Nigerian Journal of Medicine, 29(3), 384-389. https://doi.org/10.4103/njm.njm_14_20
Onyeaso, C. (2004). Demand and referral patterns for orthodontic care at the University College Hospital, Ibadan, Nigeria. International Dental Journal, 54(5), 250-254.
Otuyemi, O., Umweni, A., daCosta, O., & Fatusi, O. (2000). Attitudes and perceptions of Nigerian children toward orthodontic treatment. Pediatric Dental Journal: International Journal of Japanese Society of Pediatric Dentistry, 10(1), 13-17.
Palomares, N. B., Celeste, R. K., de Oliveira, B. H., & Miguel, J. A. M. (2012). How does orthodontic treatment affect young adults’ oral health-related quality of life? American Journal of Orthodontics and Dentofacial Orthopedics, 141(6), 751-758.
Pinem, A. A., Yeskafauzan, A., Handayani, P. W., Azzahro, F., Hidayanto, A. N., & Ayuningtyas, D. (2020). Designing a health referral mobile application for high mobility end users in Indonesia. Heliyon, 6(1), e03174.
Ribeiro, V. S., Martins, A. I., Queirós, A., Silva, A. G., & Rocha, N. P. (2015). Usability evaluation of a healthcare application based on IPTV. Procedia Computer Science, 64, 635-642.
Scheerman, J. F., van Meijel, B., van Empelen, P., Verrips, G. H., van Loveren, C., Twisk, J. W., & Kramer, G. J. (2020). The effect of using a mobile application (“WhiteTeeth”) on improving oral hygiene: A randomized controlled trial. International Journal of Dental Hygiene, 18(1), 73-83.
Sohn, W., Ismail, A. I., & Tellez, M. (2004). Efficacy of educational interventions targeting primary care providers’ practice behaviors: An overview of published systematic reviews. Journal of Public Health Dentistry, 64(3), 164-172.
Vardimon, A. D., Graber, T. M., Voss, L. R., & Lenke, R. D. (1988). Clinical versus quantitative assessment of palatally impacted canines. Journal of the American Dental Association, 116(6), 700-704.
Wackerly, C. C., & Nanda, R. S. (1991). The effect of orthodontic appliances on plaque accumulation and gingivitis: A three-month longitudinal study. American Journal of Orthodontics and Dentofacial Orthopedics, 100(1), 16-22.
Warren, J. J., Bishara, S. E., Steinbock, K. L., Yonezu, T., & Nowak, A. J. (2002). Comparison of oral hygiene between treatment and posttreatment orthodontic patients. American Journal of Orthodontics and Dentofacial Orthopedics, 121(4), 372-376.