Interactive Health Education Research Articles

Penyuluhan dan Pemeriksaan Feses Pada Masyarakat Desa Bone Kecamatan Nekamese Sebagai Upaya Pencegahan Penyakit Tropis

Hookworm infection remains a significant health concern, particularly in rural areas like Bone Village, Nekamese District. This community service project aimed to conduct health education and stool examinations to prevent and control tropical diseases. Stool examinations were performed on 60 samples from the Bone Village community, revealing that 2 samples tested positive for hookworm eggs, indicating the presence of hookworm infection, although the prevalence was relatively low. Following this, an interactive health education session was conducted on March 24, 2024, at the village church, involving the local community. The educational materials covered the prevention and treatment of hookworm infection, the importance of personal and environmental hygiene, and how to detect early symptoms of tropical diseases. This activity successfully raised community awareness about the importance of preventing tropical diseases and was published in the online media Kupang, reaching a broader audience. The results of the community service project demonstrated that a participatory and educational approach is effective in reducing the risk of hookworm infection and improving overall community health

Supporting contraceptive self-care and reproductive empowerment with a digital health game in Barbados: Development and Pre-implementation study for What’s My Method?

Effective contraceptive education is essential to reducing unwanted pregnancy, increasing uptake of modern contraceptive methods, and thoughtfully planning desired births. New WHO and family planning organization guidelines recommend situating contraceptive education and counseling within a broader context of self-care that emphasizes individual agency and reproductive empowerment. Digital health interventions, and games for health specifically, have been validated as effective and scalable tools for self-guided and interactive health education, especially among younger tech-savvy individuals. Barbados currently supplements provider-based contraceptive counseling with analog materials (pamphlets and posters) and informational videos that play on a screen in the waiting room. This study seeks to conduct a formative evaluation of the What’s My Method? (WMM) game intervention as a tool to support contraceptive counseling and increase reproductive empowerment among childbearing persons in Barbados. We test-deployed the WMM game in Bridgetown, Barbados, conducting focus groups and sample deployments with prototypes of the WMM game among three groups of stakeholders (youth contraception ambassadors: n=8; healthcare providers: n=7; and nursing students: n=27) to determine acceptability of the intervention, efficacy of the game as a learning tool, and willingness to adopt the tool in their healthcare context. Feedback on acceptability of the game was largely positive. Constructive feedback informed modifications and improvements to the game. Assessment of contraceptive knowledge gain was complicated by several factors and resulted in modifications of the questionnaire and methodology for measurement of efficacy. Results indicate that the WMM game is well-reviewed and accepted by the target audience of childbearing people and healthcare professionals who would be deploying it. The questionnaire did not perform as intended for our target audience. This pilot testing has informed the design and outcome selection for the upcoming RCT with the final version of the game.

Parental perspectives on Children's lifestyles: A Path for school health promotion

The National School Health Program in Portugal advocates for healthy lifestyles. However, school health teams mostly focus their activities on educating children, whereas it is the families who are primarily responsible for managing children's lifestyles. Although the programme proposes interactive health education activities, such as meetings with the children's families, few parents participate in these activities. The project Gostar de Mim was created to bridge this gap by promoting healthy family lifestyles in school settings. The project used an evaluating instrument called the ‘Parents’ Booklet’ packed with information. This study assessed the usefulness of the booklet in providing health information and planning family engagement. Based on the PRECEDE-PROCEED framework (PRECEDE: Predisposing, Reinforcing, and Enabling Constructs in Educational/Environmental Diagnosis and Evaluation; PROCEED: Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development), this article focuses on the social and epidemiological assessment phases. We examined the health surveillance status of children aged 6–10 years (epidemiological phase) and description of health behaviours in different lifestyle dimensions (behavioural and environmental phase). The Parents' Booklet was used to identify parents' perspectives on their children's lifestyles. Data analysis of 568 Parents' Booklet (23 schools) use cases showed that the lifestyle priorities, in order, were ‘sleep and rest’ (95.6 %), ‘energy balance’ (100 %), ‘oral/body healthcare’ (95.6 %), ‘alcohol, tobacco/other drugs’ (73.9 %), ‘consumerism’ (91.3 %), ‘leisure-time occupation’ (91.3 %), and ‘literacy and satisfaction at school’ (86.9 %). Clearly, the Parents' Booklet was useful, as it made it possible to obtain information that allowed for participatory school health diagnosis and can guide community nursing actions that need to be developed in schools. Crucially, this tool can be useful for parents, enabling them to be more aware of their children's lifestyle via self-monitoring as well as increasing their participation in health education.

Promoting hEalthy Diet and Active Lifestyle (PEDAL): a protocol for the development and feasibility study of a multicomponent intervention among primary school children in Singapore

BackgroundSetting healthy lifestyle habits during the formative years of childhood is critical as habits can track to adulthood and help prevent obesity and chronic disease risks in later life. While multicomponent interventions have been shown to be effective in changing the lifestyle behaviours of children, there is a limited understanding of the feasibility of such interventions in primary schools in Singapore. A multiphase mixed method study was conducted to develop and examine the feasibility of a theory-based multicomponent school-based intervention—Promoting hEatlthy Eating and Active Lifestyle (PEDAL).MethodsUnderpinned by Kincaid’s ideation model, the PEDAL intervention was developed to increase fruit and vegetable consumption and decrease sedentary behaviours among children. This study consists of three phases. Phase 1 details the development of PEDAL, which consists of four components: (A) a series of interactive health education lessons, (B) actionable home activities to support habit formation, (C) parental/guardian engagement, and (D) optimising the school environment. In Phase 2, components A and B of PEDAL were implemented in two public, co-educational primary schools among Primary 5 students (aged 10–12 years) in Singapore. Data was collected quantitatively using questionnaires and qualitatively using focus group discussions (FGDs) with students and teachers. The feasibility dimensions of components A and B, including recruitment capability, data collection, social validity, and practicality were examined, and ideation on healthy eating and physical activity was explored. In Phase 3, the full PEDAL intervention was pilot-tested in two other public, co-education primary schools with the same target population, using a concurrent mixed method quasi-experimental study design. Feasibility dimensions and potential effectiveness of the intervention will be assessed.DiscussionThis study will provide insights into the feasibility of PEDAL and inform its refinement. Findings from the pilot test will guide the planning of a larger-scale definitive trial.Trial registrationRegistered with ISRCTN registry (ISRCTN16114046) on 16 October 2022.

Comparison of Effects of Interactive Health Education and Self-Reading Learning on Blood Pressure Control in Hypertensive Patients: A Non-Randomised Controlled Trial

Context/Background: Hypertension is a major contributor to cardiovascular mortality and morbidity worldwide and in India. Educational interventions can create opportunities for patients to better understand their conditions and the role of therapies, as well as heighten awareness about disease progression and complications. This study was conducted to evaluate the effectiveness of an interactive health education program in comparison with self-reading learning on blood pressure control. Methodology: This study was a non-randomised controlled trial, involving 66 hypertensive patients from the eight villages in Kamjong district, Manipur. Participants were allocated to one of the two groups; intervention group (interactive health education) and control group (self-reading learning). Changes in blood pressure, Hypertension-related knowledge, attitude, lifestyle, adherence to medications and anthropometric parameters at three months post intervention from baseline were measured. Data was analysed using SPSS for Windows (Version 26.0). Results: Three months post intervention, intervention group had more knowledge and adherence and better attitude as compared to the control. There was no significant change in the proportion of participants with controlled blood pressure in both the groups. Changes in lifestyle and anthropometric parameters were not significant. Conclusions: Interactive health education is effective in terms of improvement in knowledge about hypertension, adherence to medication and attitude towards hypertension. A longer follow up might be needed to see changes in blood pressure control.

Knowledge and Perceptions on COVID-19 among Health and Non-health-related sectors Students of Cheikh Anta Diop University of Dakar, Senegal

Background and Aim: Since it was declared as pandemic by the World Health Organisation, COVID-19 has fastly spread throughout the world, making it a major public health challenge. Like most countries around the world, Senegal has not been on the fringes to this pandemic, which has undermined even the most robust healthcare systems. The aim of this study was to analyse the knowledge and perceptions on COVID-19 among students enrolled in health-related and non-health-related disciplines. Materials and Methods: A cross-sectional study was conducted online via Google Forms among 600 students of Cheikh Anta Diop University of Dakar. Numerical scoring was used to assess respondents' knowledge levels, while binary logistic regression allowed to analyse the determinants of the satisfactory knowledge on COVID-19. Results: The results show that the students' first information sources about COVID-19 was social networks (54%) and the media (32%). Students were aware of the severity (83%) and seriousness of the disease when they heard about it for the first time. However, students in health-related sectors knew more relatives who have been infected with COVID-19 and a high-risk perception of being infected and severity of the disease than their non-health-related colleagues. With a mean knowledge score of 14.93 ± 2.49, 64% of participants had satisfactory overall knowledge of COVID-19 and preventive measures. In addition, students' knowledge was significantly influenced by the type of faculty and the perception of the risk of being infected by COVID-19 (p < 0.05). Conclusion: These results can guide university authorities in the development of interactive health education programmes that involve medical and non-medical students through the growing One Health approach in order to share knowledge and improve the acceptability and implementation of COVID-19 control measures in the university environment.

DESIGN AND IMPLEMENTATION OF THE ACHIEVE SUCCESSFUL AGING HEALTH EDUCATION CONTROL INTERVENTION

Abstract Choice of comparison group was essential for participant recruitment and retention for the ACHIEVE Study and necessary to control for key components of the hearing intervention. The Successful Aging (SA) Health Education control intervention followed the protocol and materials developed for the 10 Keys to Healthy Aging (10Keys™), an evidence-based interactive health education program for older adults on topics relevant to chronic disease and disability prevention, previously implemented in other trials. The 10Keys contained up-to-date prevention guidelines based on the current recommendations from leading groups (e.g., United States Preventive Services Task Force, Centers for Disease Control and Prevention). To control for general levels of staff and participant time and attention, participants randomized to the SA control met individually with a 10Keys certified health educator who administered the program every 1-3 weeks, totaling four visits over ∼2-3 months. To match the contact schedule with the hearing intervention and promote retention, participants returned for booster sessions semi-annually. During COVID-19 restrictions, we delivered booster sessions by phone. Individually tailored session content included a standardized didactic education component (a 10Keys module) as well as activities, goal-setting, and optional extracurricular enrichment. To further enhance retention and perceived benefit, each session also included a 5- to 10-minute upper body extremity stretching program. We offered the SA control participants the hearing intervention and vice versa at the trial conclusion. Monthly committee calls ensured fidelity and allowed for troubleshooting any participant-related issues. Audio recordings of sessions delivered by health educators were reviewed monthly for quality control.

Effort to Control Pulmonary Tuberculosis (TB) in the Community through Tuberculosis Alert Health Cadre Training

Tuberculosis (TB) alert health cadre training is an important thing that can be done to help control TB in the community. TB control includes increasing early detection and adherence to treatment for TB patients. To solve TB problems in the community, a synergy of roles is needed between health workers and the community, one of which is through empowering health cadres by increasing their capacity. We conducted interactive TB control health education training program that aim to improve health cadre knowledge, attitudes, and practice in early detection of TB and assistance to Drug Swallowing Supervisors/”Pengawas Menelan Obat (PMO)”. The training was provided using lecture method, two-way discussion, and demonstration for one day by internal medicine specialists, assisted by multi-professional students from medical and nursing program. A total of 36 health cadres from Sumberharjo village participated in this training. Before and after the training, cadres took pre-test and post-test. The survey results were analyzed statistically using descriptive quantitative methods for the respondent’s characteristics, whereas the score of knowledge, attitude, and practice were analyzed using nonparametric test. The median and the minimum-maximum of the pre-test score before training for knowledge was 10.5(7-13), attitude score was 15(11-15), and practice score was 15(8-15). Meanwhile, the median and the minimum-maximum post-test score after training for knowledge was 11(8-14), attitude score was 15(10-15), and practice score was 15(10-15). The results of statistic test obtained were p=0.003 for knowledge, p=0.272 for attitude, and p=0.111 for practice. It showed that there was a significant difference in the cadre's knowledge scores before and after training, but there were no significant differences in their attitudes and practice scores before and after training. Training for health cadres is recommended to increase capacity of health cadre, especially the knowledge of health cadre controlling TB in the community.

Effect of Interactive Nutrition and Health Education Intervention on Knowledge and Practices of Indian School Children and Their Parents

The purpose of the present study was to identify the effect of an interactive health and nutrition education intervention on the knowledge and practices of school children and their parents. An experimental-control pre-post study, wherein 246 students (10–12 years) and their parents, from two schools, were enrolled for the study and divided into experimental ( n = 121) and control ( n = 125) groups. The experimental group received an interactive health and nutrition intervention for 3 months, which included PPT’s and various games/activities. One month after the intervention period, post-data was collected from both groups, to identify the effect. Knowledge and practices regarding health, nutrition, and physical activity were studied. All the data were analysed using Microsoft Excel and SPSS-23 software. A significant change was observed in fruit ( p < .001), vegetable ( p < .05), and water intake ( p < .05) of experimental group children in comparison to the control group. Physical activity (moderate/vigorous) for 60 minutes or more increased by 21.5% among the intervention group. Knowledge change in health and nutrition parameters was also observed. A reduction in the parental practice of giving ultra-processed food to a child’s lunch box was also seen post-4 months among the experimental group. The interactive education package delivered to school children and parents had a positive impact on their knowledge and practices and can be used as a tool to tackle and prevent the increasing triple burden of child malnutrition in India. Long-term studies in terms of the Indian context are warranted.

Effects of WAKE.TAIWAN Healthy Lifestyle Web-Based Promotion Programs on Adults’ Awareness of Self-perceived Weight Status and Their Healthy Lifestyle Stages: Retrospective Analysis

Obesity is a major risk factor of many chronic diseases. However, current obesity control policies and actions are not sufficient to halt the pandemic. It has been documented that more than half of all adults are not able to interpret their own weight status, not to mention to practice healthy lifestyles. Social media and interactive websites can reach people on a long-term basis, which may be used as intervention vehicles to build up cognition for weight control and to promote healthy behavior practices. WAKE.TAIWAN is an ongoing web-based multifaceted healthy lifestyle promotion program with social media and interactive websites as the intervention vehicle. This study aimed to examine whether adults reached by our program would have increased awareness to their own anthropometric measures, correctly judge their body weight status, and practice healthy behaviors over time. This study adopted a quasi-experimental design with web-based questionnaire surveys. The experimental group consisted of WAKE.TAIWAN Facebook group members aged 20-65 years who have used the interactive website health education resources (n=177). The group was further stratified into 2 subgroups based on their duration of participation (E1 group: duration <1 year; E2 group: duration ≥1 year). The control group consisted of other Facebook users (n=545) in the same age range who had not been exposed to the health education materials of this project. A total of 722 people (male: n=267, 37%; and female: n=455, 63%) participated in our survey in 2019. Data were analyzed to evaluate program effectiveness using a generalized linear model. The proportion of people correctly interpreting their own weight status in the experimental group was greater than that of the control group (control group: 320/545, 58.7%; group E1: 53/88, 60%; and group E2: 64/89, 72%). The E2 experimental group was significantly better than the control group in paying attention to weight-related measures and in correctly interpreting their own weight status (odds ratio 1.73, 95% CI 1.04-2.89; P=.04). With respect to the behavioral stages of practicing healthy eating and active living, both experimental groups, E1 and E2, performed significantly better than the control group (group E1: P=.003 and P=.02; and group E2: P=.004 and P<.001, respectively). This study demonstrates that the longer the participants were exposed to our social media-based programs, the higher the proportion of them that would have the correct judgement on their weight status and fall in the higher stages of healthy lifestyle behaviors. A longitudinal follow-up survey is in place to verify these findings.

Abstract B030: Sustainability plan for Wellness Rx: A community-led initiative to reduce disparities and improve healthy lifestyles in an under-resourced Black community

Abstract Background: Wellness Rx is a community-academic partnership program developed through a community engagement and participatory model (CEP) framework, to improve health disparities in an under-resourced predominantly Black community. This program addresses health disparities in chronic disease and social determinants of health through interactive health education, empowerment, and neighborhood support. This program aims to increase access to resources, increase capacity and strengthen relationships with local organizations for sustainable health outcomes. Wellness Rx ran in the community for 4 years with financial and logistical support from an academic medical center. In year 5, the community participated in sustainability training to shift and transfer ownership to community members. Methods: A sustainability training program was developed and delivered to community members to allow for Wellness Rx to be community-led and self-directed. A core group of 12 community members volunteered to serve as the taskforce that would ultimately lead and direct Wellness Rx after the sustainability training. This training included Information sharing of program materials, key partnership contacts, resource lists, skills training on program implementation, volunteer management, grant writing, partnership development and leadership. Results: Since the adoption of the training program, the community has tailored the Wellness Rx to meet their needs and priorities, and encompasses topics within and outside of behavioral health. As leaders of the program, they have expanded their partnerships beyond existing networks and have secured funding for activities. Conclusion: Wellness Rx demonstrates the potential for a program to become self-directed after initial support from an academic medical center. Core components of Wellness Rx can be replicated and implemented as a power-sharing model for long-term sustainability. Citation Format: Manisha Salinas, Monica Albertie. Sustainability plan for Wellness Rx: A community-led initiative to reduce disparities and improve healthy lifestyles in an under-resourced Black community [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr B030.

Practical Exploration of Two-way Interactive Mental Health Education for Freshmen

Practical Exploration of Two-way Interactive Mental Health Education for Freshmen

Development and Validation of Brief Education Program on Learning Disability in Children for Pre-School Teachers

Introduction: Learning disability (LD) in children is very common, yet it is often missed by many educators. Aim: We developed a brief education program on learning disability (LD) in children and validated its corresponding assessment tool (Knowledge and Attitude on Learning Disability Questionnaire (KALDQ) for pre-school teachers in Malaysia. Methods: Based on an extensive review, the essential educational components of a program for LD in children and relevant items for KALDQ were identified, from which a brief health educational program was designed. The face and content validity of the tools were established via expert evaluation. A subsequent pilot study was held on 57 pre-school teachers (N=57) to evaluate the feasibility of the program and to establish the construct validity and reliability of the newly developed KALDQ. Results: A 10-hour interactive health education program comprises of 4 sessions to orientate pre-school teachers on LD in children and direct them towards medical referral and rehabilitations services, as appropriate, was developed. The face and content validity for both the program and KALDQ were satisfactory. Exploratory factor analysis performed on the original 65-items questionnaire. The final KALDQ consisted of 34 knowledge-domain and 14 attitude-domain items. The reliability of the two domains was satisfactory (Knowledge-domain α=0.83, Attitude-domain α=0.60). Discussion: This study developed a brief education program on LD in children and its corresponding assessment tool. KALDQ is valid and reliable to be used to assess the effects of this newly developed program on participants’ knowledge and attitude after attending the program.

NOVEL BEHAVIORAL INTERVENTIONS TARGETING COGNITIVE-MOTOR NEUROPLASTICITY IN OLDER ADULTS

Abstract Comparatively little is known about the ability of physical activity to improve or maintain cognitive function in older adults. Our Midwest Roybal Center uses social/behavioral theory to promote engagement in physical activity in order to improve this outcome. In 2019, we received funding to establish a Multimodal Connectomics Core that enabled investigators to examine concurrent changes in cognitive function and brain connectivity by providing access to fMRI imaging. The Connectomics Core enabled investigators for the first time to examine cognitive function and changes in brain connectivity simultaneously by providing access to fMRI imaging as well as MRI data storage and data analysis. It enabled measuring of standardized participant outcomes selected from the NIH toolbox. This Symposium describes findings from the first three completed pilots and discusses their implications for the field. The first pilot by Bronas examined effect of a 6-month home-based walking program in people chronic kidney disease on cognitive function and intervention induced neuroplasticity compared to usual care. The second pilot by Marquez adapted the Fit &amp; Strong! program to test the combined impact of physical activity and interactive health education for managing mood on cognitive function among older adults with depression. The third pilot by Bhatt examined the effectiveness of 4 weeks of exergaming combined explicit cognitive training on behavioral measures of fall-risk (physical and cognitive) and their associations with brain integrity measures. The discussant will initiate discussion based on outcomes of these pilots and future directions for developing them into larger studies or clinical translation.

Construction of interactive health education model for adolescents based on affective computing.

At present, people mainly focus on health education for adolescents. The health education of adolescents is related to future of adolescents. In youth, their emotions are easily influenced. Therefore, this manuscript constructs an interactive health education model for adolescents through affective computing. Researchers in various countries have done a lot of research on human–computer interaction, and affective computing is one of the research hotspots. This manuscript aims to study the use of affective computing to construct an interactive health education model for adolescents. It proposed an interactive emotional algorithm based on emotional computing and focuses on the ICABoost algorithm. The experimental results of this paper show that the surveyed junior high school students are divided into three grades: the first, second, and third grades. Among them, 11, 11, and 13 were mentally healthy, with a total percentage of only 18.5%; 16, 14, and 16 were moderately severe in health education, accounting for 24.3%. The percentage of severe cases was 29.6%. It can be seen that, through the investigation of this manuscript, it can be seen that today’s youth health education should be paid attention to. Only by constructing a corresponding interactive health education model for young people can we promote the comprehensive and healthy development of young people.

A behavior change wheel-based interactive pictorial health education program for hypertensive patients with low blood pressure health literacy: study protocol for a randomized controlled trial

BackgroundThe prevalence of hypertension is increasing worldwide. Hypertension self-management usually involves the application and consideration of oral, written, or quantitative information. Hypertensive patients in China have limited high blood pressure health literacy (HBP-HL), which may lead to poorer clinical outcomes. This study aims to determine the feasibility and effectiveness of an interactive pictorial health education program based on behavior change wheel (BCW) theory and its effect on HBP-HL, self-efficacy, self-management ability, and health-related quality of life (HRQOL) in hypertensive patients with low HBP-HL.MethodsThis study is a randomized controlled trial (RCT). One of the municipal districts in Huzhou, China, will be randomly selected, and two communities with similar conditions within this district will be screened and selected. A total of 120 hypertensive patients aged 18 years and older will be recruited from these two community settings. One of the communities will be randomly allocated to an interactive pictorial health education program conducted by a comprehensive health literacy strategy that includes (i) training participants in effective health communication skills that address issues encountered in seeking medical care and (ii) the use of self-developed interactive pictorial hypertension education to improve patient understanding and behaviors versus a control group (routine community lecture health education only). The primary outcome measure is HBP-HL. Secondary outcomes are self-efficacy, self-management ability, HRQOL, social support, and improvement in blood pressure. Outcomes will be collected at 6, 9, and 12 months from trial entry.DiscussionThe strengths of this study are the establishment of a new health management program for hypertensive patients that closely combines BCW theory and health literacy. This trial has the potential to improve HBP-HL in hypertensive Chinese patients with low health literacy to improve the self-management of hypertension and help control blood pressure.Trial registrationClinical Trials.gov Protocol Registration and Results System ID NCT04327102. Prospectively registered on February 29, 2020

Increasing Health Literacy Among Residents at a Juvenile Temporary Detention Center.

Health literacy is a nationwide public health concern. Low health literacy in adolescents is related to increased adolescent high-risk behaviors, which can negatively affect their overall health. A quality improvement health literacy project was developed, implemented, and evaluated in a juvenile temporary detention center. Stakeholders identified pertinent health-related topics for discussion, including female body anatomy, sexual health, consent, pornography, sex trafficking, smoking, and anger management. Toolkits and pretest/posttest questionnaires guided weekly group sessions. Youth engaged in content during each session. Group health literacy scores were examined to evaluate the program. Group comments were debriefed by facilitators after each session; 119 youth residents participated. Positive increases in health literacy and health knowledge were observed in all sessions for all groups. Interactive health education programs for incarcerated youth can improve their health literacy and health knowledge and begin a path to decrease health inequities in this vulnerable population.

Analysis of the Application Effect of Wechat Interactive Health Education in Child Health Care

Analysis of the Application Effect of Wechat Interactive Health Education in Child Health Care

Assessing a Smartphone App (AICaries) That Uses Artificial Intelligence to Detect Dental Caries in Children and Provides Interactive Oral Health Education: Protocol for a Design and Usability Testing Study.

BackgroundEarly childhood caries (ECC) is the most common chronic childhood disease, with nearly 1.8 billion new cases per year worldwide. ECC afflicts approximately 55% of low-income and minority US preschool children, resulting in harmful short- and long-term effects on health and quality of life. Clinical evidence shows that caries is reversible if detected and addressed in its early stages. However, many low-income US children often have poor access to pediatric dental services. In this underserved group, dental caries is often diagnosed at a late stage when extensive restorative treatment is needed. With more than 85% of lower-income Americans owning a smartphone, mobile health tools such as smartphone apps hold promise in achieving patient-driven early detection and risk control of ECC.ObjectiveThis study aims to use a community-based participatory research strategy to refine and test the usability of an artificial intelligence–powered smartphone app, AICaries, to be used by children’s parents/caregivers for dental caries detection in their children.MethodsOur previous work has led to the prototype of AICaries, which offers artificial intelligence–powered caries detection using photos of children’s teeth taken by the parents’ smartphones, interactive caries risk assessment, and personalized education on reducing children’s ECC risk. This AICaries study will use a two-step qualitative study design to assess the feedback and usability of the app component and app flow, and whether parents can take photos of children’s teeth on their own. Specifically, in step 1, we will conduct individual usability tests among 10 pairs of end users (parents with young children) to facilitate app module modification and fine-tuning using think aloud and instant data analysis strategies. In step 2, we will conduct unmoderated field testing for app feasibility and acceptability among 32 pairs of parents with their young children to assess the usability and acceptability of AICaries, including assessing the number/quality of teeth images taken by the parents for their children and parents’ satisfaction.ResultsThe study is funded by the National Institute of Dental and Craniofacial Research, United States. This study received institutional review board approval and launched in August 2021. Data collection and analysis are expected to conclude by March 2022 and June 2022, respectively.ConclusionsUsing AICaries, parents can use their regular smartphones to take photos of their children’s teeth and detect ECC aided by AICaries so that they can actively seek treatment for their children at an early and reversible stage of ECC. Using AICaries, parents can also obtain essential knowledge on reducing their children’s caries risk. Data from this study will support a future clinical trial that evaluates the real-world impact of using this smartphone app on early detection and prevention of ECC among low-income children.International Registered Report Identifier (IRRID)PRR1-10.2196/32921

Effect Observation of Interactive Health Education in Nursing of Ulcerative Colitis

Effect Observation of Interactive Health Education in Nursing of Ulcerative Colitis