Online Program

Text2Floss: A randomized clinical trial of an innovative option to improve oral health behavior

Wednesday, November 6, 2013 : 10:50 a.m. - 11:10 a.m.

Tony Hashemian, D.D.S., Global Oral Health Program, A.T. Still University, Arizona School of Dentistry & Oral Health, Mesa, AZ
Donna Kritz-Silverstein, PhD, Family Medicine and Public Health, University of California San Diego, La Jolla, CA
Ryan Baker, B.S., A.T. Still University, Arizona School of Dentistry & Oral Health, Mesa, AZ
Objective: Text messaging is useful for promoting numerous health-related behaviors. The Text2Floss Study examines whether a 7-day text messaging intervention improves oral health knowledge and behavior in mothers of young children. Methods: Mothers were recruited from a private practice and community clinic. Of 156 mothers enrolled, 129 randomized into TEXT (N=60) or Control groups (N=69) completed the trial. TEXT participants received text messages for 7-days asking about flossing and presenting oral health information. Oral health behaviors and knowledge were surveyed pre- and post-intervention. Results: At baseline, there were no differences between TEXT and Control mothers on knowledge and behaviors (p's>0.10). Post-intervention, TEXT mothers flossed more (p=0.01), had higher total (p=0.0006) and specific (p's<0.05) knowledge, tried to improve their child's oral health behaviors (p=0.03) and decreased their child's soda and sugary snacks (p=0.05) than Control mothers. Text messages were accepted and perceived as useful. Conclusions: Mothers who received text messages improved their own oral health behaviors and knowledge as well as their behaviors regarding their child's oral health. Text messaging represents a viable method to improve oral health behaviors and knowledge. The high acceptance of text messaging may make it useful in the prevention of oral disease. Longer studies in diverse populations are needed.

Learning Areas:

Implementation of health education strategies, interventions and programs
Other professions or practice related to public health

Learning Objectives:
Describe a clinical trial using text messaging to improve oral health behaviors. List behaviors and knowledge areas that improved via text messaging Discuss how text messaging can be useful in the prevention of oral disease.

Keyword(s): Oral Health, Technology

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None.

Qualified on the content I am responsible for because: Dr. Hashemian is known for his clinical abilities, gentle dentistry, attention to detail and leadership. He has completed hundreds of hours of continuing education in cosmetic dentistry, crown and bridge and other facets of dentistry. He also participated in the conception of the study, its design, analysis plans and interpreting the data.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
CellTrust secure messaging systems Advisory Committee/Board

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.