Trial reportPloS one2020
Monetary incentives for improving smartphone-measured oral hygiene behaviors in young children: A randomized pilot trial.
Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03862443 (Influence of Financial Incentives on Oral Disease Management in Young Children), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Influence of Financial Incentives on Oral Disease Management in Young Children: A Randomized Pilot Trial
Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Effectiveness of interventions on improving early-life dental care utilization: a systematic review and meta-analysis.Quintessence international (Berlin, Germany : 1985) · 2024Pooled it
- Digital Dentistry in Clinical Practice: A Scoping Review of Current Capabilities and Future Directions.International dental journal · 2026Article
- Innovations in oral hygiene tools: a mini review on recent developments.Frontiers in dental medicine · 2024Review
- Among Artificial Intelligence/Machine Learning Methods, Automated Gradient-Boosting Models Accurately Score Intraoral Plaque in Non-Standardized Images.Journal of the California Dental Association · 2024Article
- Calibration and reliability testing of a novel asynchronous photographic plaque scoring system in young children.Journal of public health dentistry · 2023Article
- Article
- Impacts on Context Aware Systems in Evidence-Based Health Informatics: A Review.Healthcare (Basel, Switzerland) · 2022Review
- Unexpected benefits of and lessons learned from shifting to virtual focus group discussions in the BEECON trial.BMC research notes · 2022Article
- Family monetary incentives as a value-based care model for oral hygiene: rationale and design of the BEhavioral EConomics for Oral health iNnovation (BEECON) trial.Journal of public health dentistry · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors at 3 institutions in 1 country.
Funding
Abstract
aimsTo assess feasibility, acceptability, and early efficacy of monetary incentive-based interventions on fostering oral hygiene in young children measured with a Bluetooth-enabled toothbrush and smartphone application.
designA stratified, parallel-group, three-arm individually randomized controlled pilot trial.
settingTwo Los Angeles area Early Head Start (EHS) sites.
participants36 parent-child dyads enrolled in an EHS home visit program for 0-3 year olds.
interventionsEligible dyads, within strata and permuted blocks, were randomized in equal allocation to one of three groups: waitlist (delayed monetary incentive) control group, fixed monetary incentive package, or lottery monetary incentive package. The intervention lasted 8 weeks. OUTCOMES: Primary outcomes were a) toothbrushing performance: mean number of Bluetooth-recorded half-day episodes per week when the child's teeth were brushed, and b) dental visit by the 2-month follow-up among children with no prior dental visit. The a priori milestone of 20% more frequent toothbrushing identified the intervention for a subsequent trial. Feasibility and acceptability measures were also assessed, including frequency of parents syncing the Bluetooth-enabled toothbrush to the smartphone application and plaque measurement from digital photographs.
findingsDigital monitoring of toothbrushing was feasible. Mean number of weekly toothbrushing episodes over 8 weeks was 3.9 in the control group, 4.1 in the fixed incentive group, and 6.0 in the lottery incentive group. The lottery group had 53% more frequent toothbrushing than the control group and 47% more frequent toothbrushing than the fixed group. Exploratory analyses showed effects concentrated among children ≤24 months. Follow-up dental visit attendance was similar across groups. iPhone 7 more reliably captured evaluable images than Photomed Cannon G16.
conclusionsTrial protocol and outcome measures were deemed feasible and acceptable. Results informed the study protocol for a fully powered trial of lottery incentives versus a delayed control using the smart toothbrush and remote digital incentive program administration.
trial registrationClinicalTrials.gov identifier NCT03862443.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.