关键词: application disease prevention effectiveness health education mental well-being mobile app oral disease oral hygiene periodontal periodontal health physical well-being social well-being systematic review text messages

Mesh : Humans Mobile Applications Systematic Reviews as Topic Periodontal Diseases / therapy Meta-Analysis as Topic Oral Health Telemedicine

来  源:   DOI:10.2196/50479   PDF(Pubmed)

Abstract:
BACKGROUND: Periodontal health plays a key role as a shared reference point for evaluating periodontal diseases and identifying significant treatment outcomes. Providing adequate instruction and enhancing the motivation of patients to maintain proper oral hygiene are crucial factors for successful periodontal treatment, with self-performed regular oral hygiene identified as a critical factor in improving the outcomes of treatment for periodontal diseases. Recently, mobile health (mHealth) solutions, especially mobile apps, have emerged as valuable tools for self-management in chronic diseases such as periodontal disease, providing essential health education and monitoring capabilities. However, the use of mHealth apps for periodontal health is complex owing to various interacting components such as patient behavior, socioeconomic status, and adherence to oral hygiene practices. Existing literature has indicated positive effects of mHealth on oral health behaviors, knowledge, attitude, practice, plaque index score, and gingivitis reduction. However, there has been no systematic review of mobile apps specifically targeting patients with periodontal disease. Understanding the design and impact of mHealth apps is crucial for creating high-quality apps.
OBJECTIVE: The aim of this systematic review and meta-analysis is to evaluate the effectiveness of existing mobile apps in promoting periodontal health.
METHODS: A comprehensive search strategy will be performed in multiple electronic databases (PubMed, EBSCOhost, CINAHL Plus, Dentistry & Oral Sciences, ScienceDirect, Scopus, and Cochrane Central Register of Controlled Trials) with the following keywords in the title/abstract: \"mobile application,\" \"mobile health,\" \"mHealth,\" \"telemedicine,\" \"periodontal health,\" \"periodontitis,\" and \"text message.\" Only randomized controlled trials will be included that assessed the following outcomes to measure periodontal health improvement: gingival index, bleeding index, periodontal pocket depth, and clinical attachment loss. Covidence will be used for data collection, and a PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) flowchart will be used to describe the selection process of the included, identified, and excluded studies. The Confidence in Network Meta-Analysis approach will be used for meta-analysis of the extracted data from the included studies.
RESULTS: This review will not require ethical approval since no primary data will be included. As of July 2024, a total of 83 articles retrieved from various databases have been imported to Covidence with 13 articles deemed eligible for inclusion in the review. The review is currently ongoing and is expected to be complete by the end of 2024 with the results published in early 2025.
CONCLUSIONS: This systematic review and meta-analysis will contribute to developing mobile apps with enhanced criteria to improve periodontal clinical outcomes. The review emphasizes the importance of mHealth and preventing periodontal disease, which can set the stage for informed global health care strategies.
BACKGROUND: PROSPERO CRD42022340827; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=340827.
UNASSIGNED: DERR1-10.2196/50479.
摘要:
背景:牙周健康作为评估牙周疾病和确定重要治疗结果的共同参考点起着关键作用。提供足够的指导和增强患者保持适当口腔卫生的动机是成功牙周治疗的关键因素。自我定期口腔卫生被认为是改善牙周疾病治疗结果的关键因素。最近,移动健康(mHealth)解决方案,尤其是移动应用,已经成为牙周病等慢性疾病自我管理的有价值的工具,提供基本的健康教育和监测能力。然而,由于患者行为等各种相互作用的成分,使用mHealth应用程序进行牙周健康是复杂的,社会经济地位,坚持口腔卫生习惯。现有文献表明mHealth对口腔健康行为的积极影响,知识,态度,实践,菌斑指数评分,和减少牙龈炎。然而,目前尚无专门针对牙周病患者的移动应用程序的系统评价.了解mHealth应用程序的设计和影响对于创建高质量应用程序至关重要。
目的:本系统综述和荟萃分析的目的是评估现有移动应用程序在促进牙周健康方面的有效性。
方法:将在多个电子数据库(PubMed,EBSCOhost,CINAHLPlus,牙科与口腔科学,ScienceDirect,Scopus,和Cochrane中央受控试验登记册),标题/摘要中包含以下关键字:“移动应用程序,\"\"移动健康,\“\”m健康,\"\"远程医疗,牙周健康,牙周炎,\"和\"短信。“只有随机对照试验将包括评估以下结果来衡量牙周健康改善:牙龈指数,出血指数,牙周袋深度,和临床依恋丧失。Covidence将用于数据收集,PRISMA(系统评价和荟萃分析的首选报告项目)流程图将用于描述所包含项目的选择过程,已识别,排除研究。网络荟萃分析方法的信心将用于对纳入研究的数据进行荟萃分析。
结果:本审查将不需要伦理批准,因为将不包括主要数据。截至2024年7月,从各种数据库中检索到的总共83篇文章已导入Covidence,其中13篇被认为有资格纳入审查。该审查目前正在进行中,预计将于2024年底完成,结果将于2025年初公布。
结论:本系统综述和荟萃分析将有助于开发具有增强标准的移动应用程序,以改善牙周临床结果。该综述强调了mHealth和预防牙周病的重要性,这可以为知情的全球医疗保健战略奠定基础。
背景:PROSPEROCRD420223440827;https://www.crd.约克。AC.uk/prospro/display_record.php?RecordID=340827。
DERR1-10.2196/50479。
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