背景:预防性自我护理可以减少对脆弱人群造成不成比例负担的牙科疾病。个性化数字口腔自我护理行为干预提供了一个有前途的解决方案。然而,这些数字干预措施的成功取决于刷牙数据收集电子平台,以适应弱势社区的需求和偏好。
目的:本研究的目的是评估远程口腔行为评估系统(ROBAS)的可用性和可行性,已对其进行了调整,以满足社会经济上处于不利地位的少数群体的独特要求。
方法:由53名社区诊所参与者组成的队列,包括31名(58%)拉丁裔和22名(42%)黑人,没有使用电动牙刷的经验,被招募来使用ROBAS,有计划的评估在基线,2个月,和4个月。除了评估ROBAS的技术性能,收集了广泛的反馈来衡量用户的体验,观点,和整体的满足感。系统可用性量表(SUS)是评估用户满意度和可接受性的主要指标。
结果:ROBAS表现出很大程度上可靠和一致的数据收集能力。SUS得分(平均值75.6,SD14.5)反映了参与者对其他常用数字设备和技术的一定范围内的满意度。在回答有关愿意为ROBAS付款的问题的参与者中,97%(30/31)表示他们愿意以一次性付款或基于订阅的服务方式为ROBAS付费。此外,87.5%的参与者表示他们会认可它给熟人。大多数参与者对隐私没有保留;在那些表达隐私问题的人中(n=20,50%),关注的问题包括信息暴露(n=18,45%),刷牙习惯监测(n=12,30%),和信息收集(n=14,35%),尽管这些担忧与参与者的特定特征没有显著相关性.在定性方面,用户重视ROBAS监测刷牙习惯的能力,但呼吁进行改进,特别是在Wi-Fi和应用程序连接方面。系统改进建议包括增强的应用程序功能,个性化辅导,更全面的刷数据,以及添加牙线活动跟踪。
结论:该研究强调了ROBAS作为数字平台的承诺,可以轻松跟踪边缘化社区的日常口腔自我护理活动。该系统被证明是可行的,正如其对刷牙行为的稳定和准确的数据捕获所证明的那样,用户友好,这反映在强大的SUS分数和积极的用户反馈中。其吸收的影响因素包括易于学习和操作,以及提供的反馈。
BACKGROUND: Preventative self-care can reduce dental disease that disproportionately burdens vulnerable populations. Personalized digital oral self-care behavioral interventions offer a promising solution. However, the success of these digital interventions depends on toothbrushing data collection e-platforms attuned to the needs and preferences of vulnerable communities.
OBJECTIVE: The aim of this study is to assess the usability and feasibility of the Remote Oral Behaviors Assessment System (ROBAS), which has been adapted to address the unique requirements of socioeconomically disadvantaged minority individuals.
METHODS: A cohort of 53 community-clinic participants, including 31 (58%) Latino and 22 (42%) Black individuals with no prior experience using electric toothbrushes, were recruited to use ROBAS, with planned assessments at baseline, 2 months, and 4 months. Beyond evaluating ROBAS\'s technical performance, extensive feedback was gathered to gauge users\' experiences, viewpoints, and overall contentment. The System Usability Scale (SUS) served as a primary metric for assessing user satisfaction and acceptability.
RESULTS: ROBAS exhibited largely reliable and consistent data-gathering capabilities. SUS scores (mean 75.6, SD 14.5) reflected participant contentment within a range of values for other commonly used digital devices and technologies. Among participants who answered questions about willingness to pay for ROBAS, 97% (30/31) indicated that they were willing to pay for ROBAS either as a one-time payment or as a subscription-based service. Additionally, 87.5% of participants expressed that they would endorse it to acquaintances. Most participants expressed no reservations about privacy; among those who expressed privacy concerns (n=20, 50%), the concerns included exposure of information (n=18, 45%), monitoring of brushing habits (n=12, 30%), and collection of information (n=14, 35%), although these concerns did not significantly correlate with specific participant traits. In qualitative terms, users valued ROBAS\'s ability to monitor brushing habits but called for refinements, especially in Wi-Fi and application connectivity. Recommendations for system improvements encompassed enhanced app functionality, individualized coaching, more comprehensive brushing data, and the addition of flossing activity tracking.
CONCLUSIONS: The research highlights ROBAS\'s promise as a digital platform for unobtrusively tracking daily oral self-care activities in marginalized communities. The system proved to be both feasible, as evidenced by its stable and accurate data capture of brushing behaviors, and user-friendly, as reflected by strong SUS scores and positive user feedback. Influential factors for its uptake included ease of learning and operation, and the feedback provided.