Development of an intervention tool for precision oral self-care.pptx

A review of an article on precision oral medicine

1. Development of an intervention tool for precision oral self-care: Personalized and evidence-based practice for patients with periodontal disease Authors: Wen-Jen Chang, Shih-Yin Lo, Chen-Li Kuo, Yen-Li Wang, Hsu-Chuan Hsiao Dr Akanji

2. Table of contents 01 04 02 05 03 06 Introduction Study Objective Methodology Results Discussion Conclusion

3. Introduction 01

4. Oral self-care plays an important role in maintaining oral health and preventing the occurrence of oral diseases. The association between good oral care and good oral hygiene is well known. However, the adherence to a proper daily oral hygiene regimen generally remains poor, so the prevalence of oral diseases remains high. Periodontal disease is the most common oral disease in the population. To enhance the adherence to good oral hygiene behaviors for patients with periodontal disease, we developed a personalized and evidence-based mobile application as an intervention tool for the purpose of initiating and improving good oral self-care

5. The study aimed to systematically develop and evaluate the OSCA app to enhance oral self-care behaviors in patients with periodontal disease. Objective

6. Methodology 3

7. Identification of Issues: Experts identified common barriers to effective oral self-care among patients, emphasizing the need for improved communication and understanding of oral hygiene practices. Behavior Change Model: The capability-opportunity-motivation (COM) model was used to understand the factors influencing patients' behaviors. Phase I: Behavioral Diagnosis

8. Capability Establishment: The app provides essential knowledge and skills through accessible information, including online videos and graphical representations. Motivation Enhancement: Strategies were incorporated to boost patients' confidence in using the app and emphasize the importance of good oral hygiene. Opportunity Creation: The app includes self-monitoring features and planning tools to help patients translate motivation into action. Phase II: Intervention Function Design

9. Expert Evaluation: The beta version of OSCA underwent heuristic evaluation by experts in informatics and periodontics, leading to refinements based on their feedback. Usability Testing: A total of 87 participants completed usability tasks, with results indicating a median System Usability Scale (SUS) score of 77.5, demonstrating a favorable user experience. Phase III: Assessment of the Application

10. Results 04

11. The app's usability improved from a mean score of 4.38 Before Intervention Expert Feedback 4.62 After Intervention

12. INTERVENTION FUNCTIONS Motivation Enhancement Opportunity Creation 6.13 5.88 6.06 Capability Establishment

13. Discussion 05

14. OVERALL DOMAINS Rigorous Development and Expert Evaluation The development of the OSCA app followed a structured three-phase process involving behavioral diagnosis, intervention design using the COM-B model, and rigorous usability assessments. Expert evaluations and subsequent modifications led to significant improvements, with the final app version scoring significantly higher in usability compared to the beta version. High Usability and Favorability The OSCA app achieved a mean System Usability Scale (SUS) score of 77.8, indicating good usability. Participants rated the app highly for its intervention functions, particularly in establishing capability, enhancing motivation, and creating opportunities for oral self-care. The capability establishment functions, such as personalized advice and clear instructional materials, received especially high favorability ratings.

15. OVERALL DOMAINS Effective Motivation and Behavior Change Motivational features, including educational content, user manuals, and interactive elements like music during brushing, were integrated to enhance user engagement. Although some motivational features like applause for brushing received lower ratings, they were still appreciated by some users and contributed to overall motivation for maintaining good oral hygiene. Positive User Reception and Adoption The OSCA app was well-received by participants, with a significant proportion expressing willingness to recommend it to others. Post-usability testing, many participants requested to install the app on their smartphones, indicating its potential as a valuable tool for promoting daily oral self-care among patients with periodontal disease.

16. Conclusion 06

17. The OSCA app represents a significant advancement in personalized oral health interventions, combining evidence-based practices with user-friendly design. This innovative tool has the potential to enhance adherence to oral hygiene among patients with periodontal disease, ultimately contributing to better oral health outcomes. Further Research: Continued evaluation of the app's effectiveness in diverse populations and settings is necessary to optimize its impact on oral health behaviors. Integration with Clinical Practices: Collaborating with dental care providers to incorporate OSCA into routine patient care could enhance its utility and effectiveness.

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