Evidence map›Paper›PMID 35743520›Full record

ArticleJournal of clinical medicine2022

Ecological Momentary Assessment of Awake Bruxism with a Smartphone Application Requires Prior Patient Instruction for Enhanced Terminology Comprehension: A Multi-Center Study.

Laura Nykänen, Daniele Manfredini, Frank Lobbezoo, Antti Kämppi, Anna Colonna, Alessandra Zani, André Mariz Almeida, Alona Emodi-Perlman, Aslak Savolainen, Alessandro Bracci and 1 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Awake Bruxism Identification: A Specialized Assessment Tool for Children and Adolescents-A Pilot Study.International journal of environmental research and public health · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Ecological Momentary Assessment of Masseter Muscle Activity in Patients with Bruxism.International journal of environmental research and public health · 2022
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Laura NykänenDepartment of Oral and Maxillofacial Diseases, University of Helsinki, 00100 Helsinki, Finland.ORCID 0000-0001-5807-1555
Daniele ManfrediniSchool of Dentistry, Department of Biomedical Technologies, University of Siena, 53100 Siena, Italy.ORCID 0000-0002-4352-3085
Frank LobbezooDepartment of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, 1081 LA Amsterdam, The Netherlands.ORCID 0000-0001-9877-7640
Antti KämppiDepartment of Oral and Maxillofacial Diseases, University of Helsinki, 00100 Helsinki, Finland.ORCID 0000-0003-4921-4045
Anna ColonnaPostgradute School of Orthodontics, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0002-5869-2068
Alessandra ZaniSchool of Dentistry, University of Padova, 35122 Padova, Italy.
André Mariz AlmeidaCentro de Investigação Interdisciplinar Egas Moniz (CiiEM), Instituto Universitário Egas Moniz (IUEM), Quinta da Granja, Monte de Caparica, 2829-511 Caparica, Portugal.
Alona Emodi-PerlmanDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel-Aviv University, Tel-Aviv 6139001, Israel.ORCID 0000-0001-9995-125X
Aslak SavolainenDepartment of Public Health, University of Helsinki, 00014 Helsinki, Finland.
Alessandro BracciSchool of Dentistry, University of Padova, 35122 Padova, Italy.
Jari AhlbergDepartment of Oral and Maxillofacial Diseases, University of Helsinki, 00100 Helsinki, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevalence of awake bruxism (AB) has been reported as being 30%, with sleep bruxism (SB) at 9−15%. Most studies have focused on SB, emphasizing the importance of AB research. For epidemiological evaluations of AB, a smartphone application based on ecological momentary assessment (EMA) was introduced. The aims of this multi-center study were: (1) to investigate how well lay subjects comprehend the AB terminology used in the smartphone application, and (2) to find out whether professional instruction improved their comprehension. The study population consisted of lay subjects from Italy, Portugal, and Finland comprising 307 individuals (156 men, 151 women; 18−86 years). Subjects first completed a five-item questionnaire about the meanings of the five AB terms used in the smartphone application. Each question offered four answer options, with one being correct. Immediately afterwards, the meanings of the terms were instructed. Lastly, the subjects were re-tested with the same questionnaire. In Finland and Italy, the re-tested correct answer scores for the single terms were at 89−97% per term. Improved comprehension was seen across sex, education, and age groups. In the Portuguese data, no improvement was found. Significant differences were found between countries in the improved scores for all terms that were correct following the instruction (Finland, 16.3% to 72.1%; Italy, 32.3% to 83.8%; Portugal, 23.1% to 33.7%) (p < 0.001). In conclusion, standardized instruction on AB terminology prior to EMA is recommended to improve the reliability of collected data.

Indexed as

awake bruxismecological momentary assessmentmedical terminology comprehension

Identifiers

PMID35743520
PMCPMC9224902

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Registered trials

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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.