Developing a codesigned text message-based digital oral health education resource (TOOTH)

Objective Digital health technologies offer a more equitable way of providing access to health education. This study engaged consumers and clinicians from two Australian regions with a high burden of oral disease to develop a digital oral health resource called “TOOTH” tailored for adults. Methods A...

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Main Authors: Shalinie King, Lauren Adriel Church, Edel O’Hagan, Dion Candelaria, Aboli Pawar, Ashley Cooper, Rebecca Chen, Alice Gibson
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076241311730
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author Shalinie King
Lauren Adriel Church
Edel O’Hagan
Dion Candelaria
Aboli Pawar
Ashley Cooper
Rebecca Chen
Alice Gibson
author_facet Shalinie King
Lauren Adriel Church
Edel O’Hagan
Dion Candelaria
Aboli Pawar
Ashley Cooper
Rebecca Chen
Alice Gibson
author_sort Shalinie King
collection DOAJ
description Objective Digital health technologies offer a more equitable way of providing access to health education. This study engaged consumers and clinicians from two Australian regions with a high burden of oral disease to develop a digital oral health resource called “TOOTH” tailored for adults. Methods A total of three focus groups (one clinician and two consumers) were conducted to identify themes that were used to draft text message content. The study team reviewed, refined, and mapped these messages to behaviour change techniques and developed videos to support key concepts. Results Eight multidisciplinary clinicians (dentist, oral health therapist, dietician, cardiac nurse, and dental nurse), 75% female with a mean age of 48 ± 10 years, and seven consumers from a metropolitan and a regional area in New South Wales, 43% female with a mean age 62 ± 11.6 years participated in the focus groups. Key themes identified by clinicians included (1) limited support from medical and allied health teams for integrating oral health care into the healthcare system, (2) government-supported measures enable prevention, and (3) poor oral health of Australians. Consumers highlighted (1) barriers to accessing oral health care, (2) negative attitudes towards oral health, and (3) limited oral health-related knowledge. The final resource developed includes 81 text messages sequenced to ensure a gradual increase in knowledge and skill and five supporting videos. Conclusions The TOOTH resource has the potential to improve awareness and knowledge regarding oral disease prevention, enabling more equitable access to oral health education and better self-management of oral health.
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spelling doaj-art-15faea8d566348a1a01edca5e02dacef2025-01-29T11:05:16ZengSAGE PublishingDigital Health2055-20762025-01-011110.1177/20552076241311730Developing a codesigned text message-based digital oral health education resource (TOOTH)Shalinie King0Lauren Adriel Church1Edel O’Hagan2Dion Candelaria3Aboli Pawar4Ashley Cooper5Rebecca Chen6Alice Gibson7 Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Westmead, NSW, Australia The Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Surry Hills, NSW, Australia Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Westmead, NSW, Australia Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia Nutrition and Dietetics Group, Susan Wakil School of Nursing and Midwifery, The Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia Nutrition and Dietetics Group, Susan Wakil School of Nursing and Midwifery, The Charles Perkins Centre, The University of Sydney, Sydney, NSW, Australia The Sydney Dental School, Faculty of Medicine and Health, The University of Sydney, Surry Hills, NSW, Australia Leeder Centre for Health Policy, Economics and Data, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, AustraliaObjective Digital health technologies offer a more equitable way of providing access to health education. This study engaged consumers and clinicians from two Australian regions with a high burden of oral disease to develop a digital oral health resource called “TOOTH” tailored for adults. Methods A total of three focus groups (one clinician and two consumers) were conducted to identify themes that were used to draft text message content. The study team reviewed, refined, and mapped these messages to behaviour change techniques and developed videos to support key concepts. Results Eight multidisciplinary clinicians (dentist, oral health therapist, dietician, cardiac nurse, and dental nurse), 75% female with a mean age of 48 ± 10 years, and seven consumers from a metropolitan and a regional area in New South Wales, 43% female with a mean age 62 ± 11.6 years participated in the focus groups. Key themes identified by clinicians included (1) limited support from medical and allied health teams for integrating oral health care into the healthcare system, (2) government-supported measures enable prevention, and (3) poor oral health of Australians. Consumers highlighted (1) barriers to accessing oral health care, (2) negative attitudes towards oral health, and (3) limited oral health-related knowledge. The final resource developed includes 81 text messages sequenced to ensure a gradual increase in knowledge and skill and five supporting videos. Conclusions The TOOTH resource has the potential to improve awareness and knowledge regarding oral disease prevention, enabling more equitable access to oral health education and better self-management of oral health.https://doi.org/10.1177/20552076241311730
spellingShingle Shalinie King
Lauren Adriel Church
Edel O’Hagan
Dion Candelaria
Aboli Pawar
Ashley Cooper
Rebecca Chen
Alice Gibson
Developing a codesigned text message-based digital oral health education resource (TOOTH)
Digital Health
title Developing a codesigned text message-based digital oral health education resource (TOOTH)
title_full Developing a codesigned text message-based digital oral health education resource (TOOTH)
title_fullStr Developing a codesigned text message-based digital oral health education resource (TOOTH)
title_full_unstemmed Developing a codesigned text message-based digital oral health education resource (TOOTH)
title_short Developing a codesigned text message-based digital oral health education resource (TOOTH)
title_sort developing a codesigned text message based digital oral health education resource tooth
url https://doi.org/10.1177/20552076241311730
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