Evidence map›Paper›PMID 39661616›Full record

ArticlePLOS digital health2024

Afraid of the dentist? There's an app for that: Development and usability testing of a cognitive behavior therapy-based mobile app.

Kelly A Daly, Kiara A Diaz-Gutierrez, Armon Beheshtian, Richard E Heyman, Amy M Smith Slep, Mark S Wolff

Abstract read
In one paragraph

Article in PLOS digital health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Kelly A DalyCenter for Oral Health Policy & Management, New York University College of Dentistry, New York, New York, United States of America.ORCID https://orcid.org/0000-0003-0222-0245
Kiara A Diaz-GutierrezCenter for Oral Health Policy & Management, New York University College of Dentistry, New York, New York, United States of America.
Armon BeheshtianCenter for Oral Health Policy & Management, New York University College of Dentistry, New York, New York, United States of America.
Richard E HeymanCenter for Oral Health Policy & Management, New York University College of Dentistry, New York, New York, United States of America.ORCID https://orcid.org/0000-0002-5365-0037
Amy M Smith SlepCenter for Oral Health Policy & Management, New York University College of Dentistry, New York, New York, United States of America.
Mark S WolffUniversity of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, United States of America.

Funding

A Stepped-Care Approach to Treating Dental Fear: A Sequential, Multiple Assignment, Randomized Trial For Cognitive-Behavioral Treatment via Mobile App and Evidence-Based Collaborative CareUH3DE029453 · NIDCR · NEW YORK UNIVERSITY · PI Richard Eliot Heyman, AMY Michele Smith SLEP · 2023 to 2026
$3.1M
A Stepped-Care Approach to Treating Dental Fear: A Sequential, Multiple Assignment, Randomized Trial For Cognitive-Behavioral Treatment via Mobile App and Evidence-Based Collaborative CareUG3DE029453 · NIDCR · NEW YORK UNIVERSITY · PI HEYMAN, RICHARD ELIOT, SLEP, AMY MICHELE SMITH · 2020 to 2021
$648k
NIDCR NIH HHS UG3 DE029453NIDCR NIH HHS UH3 DE029453
6 · The paper itself

Abstract

objectivesAlthough several brief cognitive behavior therapy (CBT)-based treatments for dental fear have proven efficacious, these interventions remain largely unavailable outside of the specialty clinics in which they were developed. Leveraging technology, we sought to increase access to treatment for individuals with dental fear through the development of a mobile application (Dental FearLess). MATERIALS AND

methodsTo assess the resonance of our app as an avenue for dental fear treatment, we conducted a study assessing the usability, feasibility, and acceptability of the beta app. Participants with moderate to severe dental fear (N = 80) completed the app and reported on the perceived usability of the mobile interface (Systems Usability Scale, SUS; α = .82) and credibility of the intervention (Credibility and Expectancy Questionnaire, CEQ; α = .88). A sub-sample of participants naïve to the app (n = 10) completed the app during a think-aloud procedure, sharing their candid thoughts and reactions while using the app, prior to reporting on usability and credibility metrics.

resultsOverall usability (M = 78.5, SD = 17.7) and credibility (M = 21.7, SD = 5.5) of the beta version of the app were good. The think-aloud data further corroborated the app's acceptability, while highlighting several areas for user improvement (i.e., aesthetics, navigation, engagement).

conclusionsUsability and acceptability results are promising for the viability of an accessible, feasible, self-administered intervention for dental fear. Refinements made based on user feedback have produced a clinical-trial-ready mobile application. App refinement decisions, informed by user feedback, are representative of the larger literature-that is, of the ubiquitous negotiations m-health developers must make across treatment fidelity, usability, and engagement. Implications for future research are discussed.

Identifiers

PMID39661616
PMCPMC11633963

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LicenceCC BY
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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.