Feasibility, Acceptability, and Short-term Behavioral Impact of the MySmileBuddy Intervention for Early Childhood Caries

J Health Care Poor Underserved. 2019;30(1):59-69. doi: 10.1353/hpu.2019.0007.

Abstract

Objectives: To evaluate acceptability, feasibility, and short-term behavioral impact of an early childhood caries (ECC) intervention.

Methods: Predominantly low-income Hispanic parent/child (2-6 years) dyads attending a busy pediatric dental clinic in New York City completed a single administration of the iPad-based technology-assisted education, goal-setting, and behavior change MySmileBuddy program. Self-reported behavior change was assessed via telephone survey one month post-intervention.

Results: Of 113 parent/child dyads approached, 108 (95.6%) participated and all completed MySmileBuddy in its entirety. Over 96% (n = 76) of 79 parents reached for follow-up recalled MySmileBuddy; 63.3% (n = 50) recalled their diet-and/or oral hygiene-related behavioral goal; and 79.7% (n = 79) reported taking action to initiate behavior change.

Conclusions: Findings suggest that MySmileBuddy was feasibly implemented in a busy clinic, acceptable to this high-risk population, and effectively promoted preliminary ECC-related behavior changes. Larger, long-term studies are warranted to further investigate the impact of the MySmileBuddy program.

MeSH terms

  • Child
  • Child, Preschool
  • Dental Caries / prevention & control*
  • Dental Clinics / organization & administration*
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Hispanic or Latino / psychology*
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Male
  • New York City
  • Oral Hygiene / psychology*
  • Poverty / ethnology
  • Program Evaluation
  • Risk Assessment