Evidence map›Paper›PMID 41150907›Full record

Trial reportJournal of medical Internet research2025

Effects of Mobile-Based AI-Enhanced Health Counseling on Protection Motivation, Self-Care Behaviors, and Periodontal Treatment Outcomes in Patients With Periodontitis: Randomized Controlled Trial.

You-Jie Hu, Pei-Chen Lin, Pei-Chao Lin, Chiung-Lin Huang, Chih-Chang Chen, Koichiro Matsuo, Chien-Hung Lee, Hsiao-Ling Huang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
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

8 authors.

You-Jie HuDepartment of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung, 807378, Taiwan, 886 7-3121101 ext 2159.ORCID http://orcid.org/0009-0005-8876-5220
Pei-Chen LinDepartment of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung, 807378, Taiwan, 886 7-3121101 ext 2159.ORCID http://orcid.org/0000-0002-1805-7799
Pei-Chao LinDepartment of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.ORCID http://orcid.org/0000-0002-1495-2550
Chiung-Lin HuangDivision of Periodontics, Department of Dentistry, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan.ORCID http://orcid.org/0000-0001-5609-6388
Chih-Chang ChenSchool of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.ORCID http://orcid.org/0000-0003-0575-7363
Koichiro MatsuoDepartment of Oral Health Sciences for Community Welfare, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.ORCID http://orcid.org/0000-0002-4778-1954
Chien-Hung LeeDepartment of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.ORCID http://orcid.org/0000-0002-0988-264X
Hsiao-Ling HuangDepartment of Oral Hygiene, College of Dental Medicine, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung, 807378, Taiwan, 886 7-3121101 ext 2159.ORCID http://orcid.org/0000-0002-1180-9011

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients' protection motivation (PM) and self-care behaviors are essential for sustaining oral hygiene adherence and long-term periodontal health. Objective: This study aimed to evaluate the effects of artificial intelligence (AI)-assisted dental monitoring on PM, behavioral change, and periodontal treatment outcomes. Methods: Patients with periodontitis were randomly assigned to an AI group (n=32), an AI-assisted health counseling (AIHC) group (n=33), or a control group (n=33). All participants received nonsurgical periodontal treatment and oral hygiene instruction. The AI and AIHC groups additionally received AI-based monitoring and, for the AIHC group, personalized counseling for 3 months. PM (threat and coping appraisal), self-care behavior, plaque control record, probing pocket depth, and clinical attachment level were assessed at baseline and follow-ups. Generalized estimating equations were used to analyze the follow-up effects over time, with an intention-to-treat analysis for group comparisons. Results: Significant time effects were observed for threat appraisal and coping appraisal at 6 months (adjusted mean ratio 1.07 and 1.06, respectively), with no significant group-by-time interaction. At 6 months, both AI and AIHC groups showed greater improvements in self-care behavior (AI: adjusted regression coefficient [aβ] 0.32; AIHC: aβ 0.29) and plaque control record (AI: aβ -13.28; AIHC: aβ -23.22) compared to the control group. At 3 months, the AI and AIHC groups also demonstrated greater reductions in probing pocket depth (aβ -0.43 and -0.55, respectively) and clinical attachment level (aβ -0.44 and -0.51, respectively). Conclusions: AI-assisted monitoring improved self-care behaviors, plaque control, and periodontal clinical outcomes. Although PM constructs (threat appraisal and coping appraisal) improved similarly across all groups, the greater behavioral and clinical improvements observed in the AI-assisted groups highlight the potential of AI monitoring as an effective tool to enhance periodontal care. Incorporating AI technologies into routine practice may empower patients to take a more active role in managing their oral health and support more effective, patient-centered periodontal therapy.

Indexed as

Artificial IntelligenceCounselingMotivationPeriodontitisSelf CareAdultFemaleHumansMaleMiddle AgedOral HygieneTreatment Outcomeartificial intelligencehealth behaviormotivationperiodontal diseasesquality of life

Identifiers

PMID41150907
PMCPMC12561614

What OpenQuestion holds

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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.