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Evaluating Child Toothbrushing Behavior Changes Associated with a Mobile Game App: A Single Arm Pre/Post Pilot Study.
Dov Jacobson1, Jesse Jacobson2, Traci Leong3
1Mr. D. Jacobson, principals, at GamesThatWork, Department of Biostatistics and Bioinformatics, Emory University, Atlanta, Ga.
A mobile game app improved children's toothbrushing duration and distribution. These positive effects on oral hygiene did not persist long-term without continued app engagement.
Area of Science:
- Pediatric Dentistry
- Digital Health
- Behavioral Science
Background:
- Childhood oral hygiene is crucial for long-term dental health.
- Traditional methods for improving children's toothbrushing habits have limitations.
- Mobile health (mHealth) applications offer novel approaches to behavioral intervention.
Purpose of the Study:
- To assess the impact of a mobile game application on toothbrushing behaviors in young children.
- To evaluate changes in toothbrushing quality, specifically duration and distribution.
- To explore the potential of gamification in pediatric oral hygiene education.
Main Methods:
- A pilot study involving 34 children aged five to six years.
- Participants used the Brush Up™ mobile game app daily for seven days.
- Toothbrushing quality was measured pre- and post-intervention using paired t tests.
Main Results:
- Significant improvements in toothbrushing duration were observed after seven days (P<0.001).
- Enhanced brushing of lingual, maxillary occlusal, and posterior buccal surfaces indicated better distribution.
- Extended use (14 days) by a subset of participants showed even greater improvements.
Conclusions:
- Mobile health game apps show promise for improving children's toothbrushing quality.
- Sustained use of the app is likely necessary for long-term habit maintenance.
- Further research is warranted to validate these findings in larger trials.
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