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Holuszko OM, Abdulcadir J, Abbott D, Clancy J. Health Care Providers' Readiness to Adopt an Interactive 3D Web App in Consultations About Female Genital Mutilation/Cutting: Qualitative Evaluation of a Prototype. JMIR Form Res 2023; 7:e44696. [PMID: 37768712 PMCID: PMC10570893 DOI: 10.2196/44696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 07/05/2023] [Accepted: 08/07/2023] [Indexed: 09/29/2023] Open
Abstract
BACKGROUND Comprehensive and appropriate health care provision to women and girls with female genital mutilation or cutting (FGM/C) is lacking. Use of visuals in health care provider (HCP) consultations facilitates the communication of health information and its comprehension by patients. A web app featuring a 3D visualization of the genitourinary anatomy was developed to support HCPs in conferring clinical information about FGM/C to patients. OBJECTIVE The aim of this study was to explore HCP perspectives on the use of visuals in discussion about FGM/C with their patients as well as to obtain their feedback on whether an interactive 3D web app showing the genitourinary anatomy would be helpful in patient consultations about FGM/C, identifying key features that are relevant to their clinical practice. METHODS We evaluated the web app through a semistructured interview protocol with seven HCPs from various disciplines experienced in care for women and girls with FGM/C in migration-destination settings. Interviews were audio- and video-recorded for transcription, and were then analyzed thematically for contextualized data regarding HCPs' willingness to use a 3D web app visualizing anatomy in FGM/C consultations with patients. RESULTS All but one of the seven participants expressed keen interest in using this web app and its 3D visuals of anatomy in FGM/C consultations with patients. Participants shared the common contexts for the use of visuals in health care for FGM/C and the concepts they are used to support, such as to help describe a patient's genitals after FGM/C and reinforce an understanding of clitoral anatomy, to illustrate the process of defibulation, or to explain the physiological effects of FGM/C. Participants also highlighted the benefit of using visuals that patients can relate to, expressing approval for the ability to customize the vulva by FGM/C subtype, skin tone, and complexity of the visual shown in the web app. Despite critiques that the visualization may serve to perpetuate idealistic standards for how a vulva should look, participants largely agreed on the web app's perceived usefulness to clinical practice and beyond. CONCLUSIONS Evaluation of the web app developed in this study identified that digital tools with 3D models of the genitourinary anatomy that are accessible, informative, and customizable to any specific patient are likely to aid HCPs in communicating clinical information about FGM/C in consultations. Universal access to the web app may be particularly useful for HCPs with less experience in FGM/C. The app also prompts options for applications such as for personal use, in medical education, in patient medical records, or in legal settings. Further qualitative research with patients is required to confirm that adoption of the web app by HCPs in a consultation setting will indeed benefit patient care for women and girls with FGM/C.
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Affiliation(s)
- Olivia May Holuszko
- School of Simulation & Visualisation, Glasgow School of Art, Glasgow, United Kingdom
- College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom
| | - Jasmine Abdulcadir
- Department of Women, Child and Adolescent, Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Daisy Abbott
- School of Simulation & Visualisation, Glasgow School of Art, Glasgow, United Kingdom
| | - Jennifer Clancy
- School of Medicine, Dentistry and Nursing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom
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Assis MAL, Tavares LDF, Bernardino AP, Rocha BA, Abreu LG, Oliveira DD, Pithon MM, Soares RV. Information and Communications Technology in Dentistry: an informative and educational approach for patients with fixed orthodontic appliances. Dental Press J Orthod 2022; 27:e22spe3. [PMID: 35792794 PMCID: PMC9255987 DOI: 10.1590/2177-6709.27.3.e22spe3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 05/23/2022] [Indexed: 11/22/2022] Open
Abstract
Objective: To develop and make available, at no cost to the user, Information and Communications Technology (ICT) tools for Dentistry, providing dental information and advice geared toward patients undergoing orthodontic treatment with fixed appliances. Material and Methods: A Dentistry-based content that contemplated information and advice concerning orthodontic treatment with fixed appliances was elaborated. The materials, which included instructions on oral hygiene and treatment strategies when faced with possible complications, were evaluated and validated by specialists, whose assessments reached a 85% approval. From the validated content, products using four distinct ICT tools were formulated. Results: The following technological products were developed: a program for community radios, three blog posts, four educational and informative videos, and a smartphone application - using texts, as well as images and videos. These ICT tools, geared toward patients wearing fixed orthodontic appliances, were made available by internet at no cost to the user, and the number of accesses is already expressive. Conclusion: These technological-scientific tools, developed and provided freely to the population, can aid patients during their treatment with fixed orthodontic appliances, contributing to the dissemination of reliable information, and clarifying doubts that may arise during orthodontic therapy. These free ICT tools serve to facilitate access to scientific knowledge, thereby favoring social inclusion, bearing in mind that this educational and informative material was offered in a simple and accessible manner to the general population.
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Affiliation(s)
- Marina Araújo Leite Assis
- Pontifícia Universidade Católica de Minas Gerais, Departamento de Odontologia (Belo Horizonte/MG, Brazil)
| | - Lílian Dayse Fróes Tavares
- Pontifícia Universidade Católica de Minas Gerais, Departamento de Odontologia (Belo Horizonte/MG, Brazil)
| | - Aline Pereira Bernardino
- Pontifícia Universidade Católica de Minas Gerais, Departamento de Odontologia (Belo Horizonte/MG, Brazil)
| | - Breno Amaral Rocha
- Pontifícia Universidade Católica de Minas Gerais, Departamento de Odontologia (Belo Horizonte/MG, Brazil)
| | - Lucas Guimarães Abreu
- Universidade Federal de Minas Gerais, Departamento de Odontopediatria e Ortodontia (Belo Horizonte/MG, Brazil)
| | - Dauro Douglas Oliveira
- Pontifícia Universidade Católica de Minas Gerais, Departamento de Odontologia (Belo Horizonte/MG, Brazil)
| | - Matheus Melo Pithon
- Universidade Estadual do Sudoeste da Bahia, Departamento de Saúde I (Jequié/BA, Brazil)
| | - Rodrigo Villamarim Soares
- Pontifícia Universidade Católica de Minas Gerais, Departamento de Odontologia (Belo Horizonte/MG, Brazil)
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Zhang C, Ran L, Chai Z, Yu C, Song J. The design, development and usability testing of a smartphone-based mobile system for management of children's oral health. Health Informatics J 2022; 28:14604582221113432. [PMID: 35817593 DOI: 10.1177/14604582221113432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The aim of the study was to design and develop a mobile system for better management of children's oral health by using the internet technology. This study was followed in a three-step approach. (1) Design stage: participatory design (including patients, dentists and computer scientists) was taken in order to adapt the system to the clinical practice of dentistry; (2) Development stage: dentists and computer scientists were involved in this stage to develop the system by using internet technology; (3) Usability testing stage: the quality (MARS), usability (SUS) and satisfaction of the system were assessed by children's caregivers. The system contains patient-side app, doctor-side app and Web side program for manager. Children and their caregivers could acquire many useful services through the app, such as oral healthcare education, brushing management, dietary record, online consultation, online appointment, feedback of adverse events. The overall value of SUS was 67.75. The final quality mean score was 3.44 ± 0.95, with the highest mean score of functionality. The majority of caregivers were satisfied with the system. They expressed the system could improve the current medical services and their oral health literacy.
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Affiliation(s)
- Chao Zhang
- 12550Chongqing Medical University, Chongqing, China
| | - Longkuan Ran
- 12550Chongqing Medical University, Chongqing, China
| | - Zhaowu Chai
- 12550Chongqing Medical University, Chongqing, China
| | - Cong Yu
- 12550Chongqing Medical University, Chongqing, China
| | - Jinlin Song
- 12550Chongqing Medical University, Chongqing, China
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Ng JYM, Lim TW, Tarib N, Ho TK. Development and validation of a progressive web application to educate partial denture wearers. Health Informatics J 2022; 28:14604582211069516. [PMID: 35021022 DOI: 10.1177/14604582211069516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Effective delivery of post-insertion instructions is essential for denture care and oral health. This study aimed to develop a progressive web application (PWA) to educate patients' chairside and serve as a reference material. A need analysis was conducted before prototype development. Subsequently, the prototype was subjected to content verification, design appraisal and usability testing. The results of usability testing revealed a user task success rate of 94.4%, with an adjusted Wald 95% confidence interval of 83-100%. User satisfaction assessed using the Single Ease Questionnaire and System Usability Score reported a mean score of 6.13 (95% CI: 5.69-6.55) and 85.9 (95% CI: 82.2-89.6), respectively, indicating good usability. This study highlights the systematic approach of developing an evidence-based educational PWA to meet the usability standards for mobile applications. This PWA is useful in clinical studies to explore mobile technologies' potential in educating denture wearers, especially in the older population.
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Affiliation(s)
- Jade Yi Ming Ng
- Faculty of Dentistry, Department of Restorative Dentistry, 69933Universiti Kebangsaan Malaysia, Bangi, Malaysia.,Restorative Dentistry, Oral Health Division, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Tong Wah Lim
- Faculty of Dentistry, Division of Restorative Dental Sciences, 71025The University of Hong Kong, Sai Ying Pun, Hong Kong
| | - Natasya Tarib
- KPJ KL Dental Centre, KPJ Tawakkal Health Centre, Kuala Lumpur, Malaysia
| | - Ting Khee Ho
- Faculty of Dentistry, Department of Restorative Dentistry, 69933Universiti Kebangsaan Malaysia, Bangi, Malaysia
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Orthodontic patients' oral hygiene compliance by utilizing a smartphone application (Brush DJ): a randomized clinical trial. BDJ Open 2020; 6:24. [PMID: 33298841 PMCID: PMC7680123 DOI: 10.1038/s41405-020-00050-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 10/04/2020] [Accepted: 10/14/2020] [Indexed: 02/08/2023] Open
Abstract
Considering the widespread use of smartphones and their applications (apps), as well as the undeniable role of reminders and apps in behavioral interventions, this study aimed to assess the efficacy of a smartphone app (Brush DJ) for oral hygiene compliance of patients with fixed orthodontic appliances. In this randomized clinical trial, 120 patients between 15 to 25 years who had just started fixed orthodontic treatment were randomly divided into two groups (n = 60). Control patients received conventional oral hygiene instruction, while patients in the intervention group were asked to use the Brush DJ smartphone app, after receiving conventional oral hygiene instruction. The plaque index (PI) and gingival index (GI) were measured at baseline (T0), and at 4 weeks (T1), 8 weeks (T2) and 12 weeks (T3) after the onset of study. A questionnaire was given to all patients to assess the frequency and duration of tooth brushing per day, and the frequency of app usage and reminder noticing in the intervention group. Improvements in PI and GI were noted in the intervention group; while these parameters increased in the control group. Significant differences were noted in PI and GI changes between the two groups (p < 0.001). Brushing frequency and duration were positively correlated with app usage during the follow-up period. Ultimately, we believe that smartphone apps, as motivators and reminders, can greatly help in improving the orthodontic patients’ oral hygiene compliance, especially in adolescents
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Abbasgholizadeh Rahimi S, Menear M, Robitaille H, Légaré F. Are mobile health applications useful for supporting shared decision making in diagnostic and treatment decisions? Glob Health Action 2018; 10:1332259. [PMID: 28838306 PMCID: PMC5645724 DOI: 10.1080/16549716.2017.1332259] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
Mobile health (mHealth) applications intended to support shared decision making in diagnostic and treatment decisions are increasingly available. In this paper, we discuss some recent studies on mHealth applications with relevance to shared decision making. We discuss the potential advantages and disadvantages of using mHealth in shared decision making in various contexts, and suggest some directions for future research in this quickly expanding field.
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Affiliation(s)
- Samira Abbasgholizadeh Rahimi
- a Canada Research Chair in Shared Decision Making and Knowledge Translation, Population Health and Practice-Changing Research group , CHU de Québec-Université Laval, Research Centre, Saint-François-d'Assise Hospital , Quebec City , QC , Canada.,b Department of Family Medicine and Emergency Medicine, Faculty of Medicine , Université Laval , Quebec City , QC , Canada
| | - Matthew Menear
- a Canada Research Chair in Shared Decision Making and Knowledge Translation, Population Health and Practice-Changing Research group , CHU de Québec-Université Laval, Research Centre, Saint-François-d'Assise Hospital , Quebec City , QC , Canada.,b Department of Family Medicine and Emergency Medicine, Faculty of Medicine , Université Laval , Quebec City , QC , Canada
| | - Hubert Robitaille
- a Canada Research Chair in Shared Decision Making and Knowledge Translation, Population Health and Practice-Changing Research group , CHU de Québec-Université Laval, Research Centre, Saint-François-d'Assise Hospital , Quebec City , QC , Canada
| | - France Légaré
- a Canada Research Chair in Shared Decision Making and Knowledge Translation, Population Health and Practice-Changing Research group , CHU de Québec-Université Laval, Research Centre, Saint-François-d'Assise Hospital , Quebec City , QC , Canada.,b Department of Family Medicine and Emergency Medicine, Faculty of Medicine , Université Laval , Quebec City , QC , Canada
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