Effectiveness of Social Media and Applications on Frequency of Tooth Brushing in Children and Adolescents: A Systematic Review and Meta-analysis

Document Type : Review article & Meta-analysis

Authors

1 Assistant Professor, Department of Pediatric Dentistry, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Dentist, Mashhad, Iran

Abstract

Introduction: Regarding the growth of social networks and health-related applications in mobiles, this study aimed to evaluate the effectiveness of these networks and applications on the frequency of tooth brushing in children and adolescents.
Materials and Methods: Randomized clinical trials that have studied the effect of social media and health-related mobile applications on the frequency of tooth brushing in children and adolescents were searched in PubMed, Web of Science, Cochrane Library, Scopus, Embase database with a specific searching strategy and the data from the related articles were transferred to Endnote software. Subsequently, the duplicated articles were removed and the full texts of extracted articles were studied after the review of the titles and abstracts. The quality of articles was appraised using the ROB2tool. The results were analyzed and reported as Standardized Mean Differences (SMD) using STATA14 software after the extraction of quantitative data and calculation of changes of means and standard deviations. Eventually, the quality of evidence was evaluated using the GRADE tool. 
Results: Based on the inclusion criteria three articles were included in the study, two of which were identified with a low risk of bias and there were some concerns regarding the risk of bias in the third article. The used interventions included the “social media” in two studies and “application” in one study. Two articles reported frequency of brushing per day and one reported it per month. The SMD of daily brushing frequency was not significant (P=0.57); however, the increase of monthly brushing frequency was significant (p < 0.001). The overall quality of the evidence of daily brushing frequency was evaluated as high based on the GRADE tool.
Conclusion: Based on the obtained results, social media and applications were not effective in increasing daily tooth brushing frequency in children and adolescents. Regarding the dearth of studies and contradictory results on this subject, there is a need for further studies.

Keywords

References

  1. Carey R, Jenkins E, Williams P, Evans F, Horan M, Johnston M, et al. A taxonomy of modes of delivery of behaviour change interventions: development and evaluation. Eur Health Psychol 2017; 19:12-31.
  2. Badawy SM, Kuhns LM. Texting and mobile phone app interventions for improving adherence to preventive behavior in adolescents: a systematic review. JMIR MHealth UHealth 2017; 5(4):e50.
  3. Toniazzo MP, Nodari D, Muniz F, Weidlich P. Effect of mHealth in improving oral hygiene: a systematic review with meta-analysis. J Clin Periodontol 2019; 46(3):297-309.
  4. Roberts DF, Foehr UG. Trends in media use. Future Child 2008; 18(1):11-37.
  5. Sharif MO, Newton T, Cunningham SJ. A systematic review to assess interventions delivered by mobile phones in improving adherence to oral hygiene advice for children and adolescents. Br Dent J 2019; 227(5):375-82.
  6. Li X, Xu ZR, Tang N, Ye C, Zhu XL, Zhou T, et al. Effect of intervention using a messaging app on compliance and duration of treatment in orthodontic patients. Clin Oral Investig 2016; 20(8):1849-59.
  7. Lotto M, Strieder AP, Aguirre PEA, Oliveira TM, Machado M, Rios D, et al. Parental-oriented educational mobile messages to aid in the control of early childhood caries in low socioeconomic children: a randomized controlled trial. J Dent 2020; 101:103456.
  8. Deleuse M, Meiffren C, Bruwier A, Maes N, Le Gall M, Charavet C. Smartphone application-assisted oral hygiene of orthodontic patients: a multicentre randomized controlled trial in adolescents. Eur J Orthod 2020; In Press.
  9. Alkadhi OH, Zahid MN, Almanea RS, Althaqeb HK, Alharbi TH, Ajwa NM. The effect of using mobile applications for improving oral hygiene in patients with orthodontic fixed appliances: a randomised controlled trial. J Orthod 2017; 44(3):157-63.
  10. Alkilzy M, Midani R, Hofer M, Splieth C. Improving toothbrushing with a smartphone app: results of a randomized controlled trial. Caries Res 2019; 53(6):628-35.
  11. Scheerman JFM, Hamilton K, Sharif MO, Lindmark U, Pakpour AH. A theory-based intervention delivered by an online social media platform to promote oral health among Iranian adolescents: a cluster randomized controlled trial. Psychol Health 2020; 35(4):449-66.
  12. Scheerman JFM, van Meijel B, van Empelen P, Verrips GHW, van Loveren C, Twisk JWR, et al. The effect of using a mobile application (“WhiteTeeth”) on improving oral hygiene: a randomized controlled trial. Int J Dent Hyg 2020; 18(1):73-83.
  13. Zotti F, Dalessandri D, Salgarello S, Piancino M, Bonetti S, Visconti L, et al. Usefulness of an app in improving oral hygiene compliance in adolescent orthodontic patients. Angle Orthod 2016; 86(1):101-7.
  14. Zotti F, Pietrobelli A, Malchiodi L, Nocini PF, Albanese M. Apps for oral hygiene in children 4 to 7 years: fun and effectiveness. J Clin Exp Dent 2019; 11(9):e795-801.
  15. Sharif MO, Alkadhimi A. Patient focused oral hygiene apps: an assessment of quality (using MARS) and knowledge content. Br Dent J 2019; 227(5):383-6.
  16. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009; 6(7):e1000097.
  17. Higgins JP, Savović J, Page MJ, Elbers RG, Sterne JA. Assessing risk of bias in a randomized trial. Cochrane handbook for systematic reviews of interventions. New York: Wiley Online Library; 2019.
  18. Schünemann HJ. Chapter 14: Completing ‘Summary of findings’ tables and grading the certainty of the evidence. Cochrane handbook for systematic reviews of interventions version. New York: Wiley Online Library; 2019.
  19. Hurling R, Claessen JP, Nicholson J, Schafer F, Tomlin CC, Lowe CF. Automated coaching to help parents increase their children's brushing frequency: an exploratory trial. Community Dent Health 2013; 30(2):88-93
  20. Schwarzer R. Modeling health behavior change: how to predict and modify the adoption and maintenance of health behaviors. Appl Psychol 2008; 57(1):1-29.
  21. Gholami M, Knoll N, Schwarzer R. A brief self-regulatory intervention increases dental flossing in adolescent girls. Int J Behav Med. 2015; 22(5):645-51.
  22. Hamilton K, Bonham M, Bishara J, Kroon J, Schwarzer R. Translating dental flossing intentions into behavior: a longitudinal investigation of the mediating effect of planning and self-efficacy on young adults. Int J Behav Med 2017; 24(3):420-7.
  23. Hamilton K, Cornish S, Kirkpatrick A, Kroon J, Schwarzer R. Parental supervision for their children's toothbrushing: Mediating effects of planning, self‐efficacy, and action control. Br J Health Psychol 2018; 23(2):387-406.
  24. Hamilton K, Orbell S, Bonham M, Kroon J, Schwarzer R. Dental flossing and automaticity: a longitudinal moderated mediation analysis. Psychol Health Med 2018; 23(5):619-27.
  25. Lhakhang P, Hamilton K, Sud N, Sud S, Kroon J, Knoll N, et al. Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients. BMC Oral Health 2016; 16(1):6.
  26. Jeminiwa R, Hohmann L, Qian J, Garza K, Hansen R, Fox BI. Impact of eHealth on medication adherence among patients with asthma: a systematic review and meta-analysis. Respir Med 2019; 149:59-68.
  27. Gabarron E, Arsand E, Wynn R. Social media use in interventions for diabetes: rapid evidence-based review. J Med Internet Res 2018; 20(8):e10303.
Journal of Mashhad Dental School
Volume 45, Issue 3
October 2021
Pages 299-308

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History

  • Receive Date: 01 March 2021
  • Revise Date: 21 April 2021
  • Accept Date: 12 June 2021

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