Smartphone-based application for EMA assessment of awake bruxism: compliance evaluation in a sample of healthy young adults

Springer Science and Business Media LLC - Tập 24 - Trang 1395-1400 - 2019
Anna Colonna1, Luca Lombardo1, Giuseppe Siciliani1, Alessandro Bracci2, Luca Guarda-Nardini3, Goran Djukic4, Daniele Manfredini1,5
1Postgraduate School of Orthodontics, University of Ferrara, Ferrara, Italy
2Department of Neuroscience, School of Dentistry, University of Padova, Padova, Italy
3Section of Dentistry and Maxillofacial Surgery, Treviso Hospital, Treviso, Italy
4Institute of Clinical Physiology, National Research Council, Pisa, Italy
5School of Dentistry, University of Siena, Siena, Italy

Tóm tắt

A smartphone-based ecological momentary assessment (EMA) strategy to collect real time data on awake bruxism (AB) has been recently introduced. The aim of this study was to assess the compliance with its use over 1 week in a sample of healthy young adults. Sixty (N = 60) healthy young adults (mean age 24.2 ± 4.1 years) used a dedicated smartphone application that sent 20 alerts at random times throughout the day. Upon alert receipt, the subjects had to report in real time their condition among five possible options: relaxed jaw muscles, teeth contact, teeth clenching, teeth grinding, and mandible bracing. Compliance rate with the app was assessed at the individual and group level in terms of percentage of answered alerts as well as number of days that were needed to reach the targeted observation period of 7 days with a compliance of at least 60%. The mean compliance recorded with the smartphone application was 67.8% of the total alerts. On average, 9.8 ± 3.2 days (range 7–19) have been necessary to achieve the targeted goal of 7 days with a minimum of 60% alerts/day. No gender differences were detected in any compliance data. Response rate was not different during weekdays or weekends. This investigation is the first attempt to assess individual compliance with EMA for reporting awake bruxism. Results suggest that a smartphone-based strategy can have interesting potential. The compliance rate reported in this study will serve as a comparison standpoint for future investigations. Based on the recent multidisciplinary focus on the study of awake bruxism, EMA has emerged as a potential approach for use in the clinical and research settings. This investigation suggests that compliance with such strategy is good, thus making it worthy of adoption for the assessment of AB and its clinical implications.

Tài liệu tham khảo

Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ et al (2013) Bruxism defined and graded: an international consensus. J Oral Rehabil 40:2–4. https://doi.org/10.1111/joor.12011 Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros A, Kato T et al (2018) International consensus on the assessment of bruxism: report of a work in progress. J Oral Rehabil 45:837–844. https://doi.org/10.1111/joor.12663 Manfredini D, Restrepo C, Diaz-Serrano K, Winocur E, Lobbezoo F (2013) Prevalence of sleep bruxism in children: a systematic review of the literature. J Oral Rehabil 40:631–642. https://doi.org/10.1111/joor.12069 Manfredini D, Winocur E, Guarda_Nardini L, Paesani D, Lobbezoo F (2013) Epidemiology of bruxism in adults: a systematic review of literature. J Orofac Pain 27:99–110. https://doi.org/10.11607/jop.921 Manfredini D, Bracci A, Djukic G (2016) BruxApp: the ecological momentary assessment of awake bruxism. Minerva Stomatol 65:252–255 Bracci A, Djukic G, Favero L, Salmaso L, Guarda-Nardini L, Manfredini D (2018) Frequency of awake bruxism behaviors in the natural environment. A seven day, multiple-point observation of real time report in healthy young adults. J Oral Rehabil 45:423–429. https://doi.org/10.1111/joor.12627 Zani A, Lobbezoo F, Bracci A, Ahlberg J, Manfredini D (2019) Ecological Momentary Assessment and Intervention principles for the study of awake bruxism behaviors, part 1: general principles and preliminary data on healthy young Italian adults. Front Neurol 10:169. https://doi.org/10.3389/fneur.2019.00169 Osiewicz MA, Lobbezoo F, Bracci A, Ahlberg J, Pytko-PolonczyK J, Manfredini D (2019) Ecological Momentary Assessment and Intervention Principles for the study of awake bruxism behaviors, part 2: development of a smartphone application for a multicenter investigation and chronological translation for the Polish version. Front Neurol 10:170. https://doi.org/10.3389/fneur.2019.00170 Runyan JD, Steinke EG (2015) Virtues, ecological momentary assessment/intervention and smartphone technology. Front Psychol 6:481. https://doi.org/10.3389/fpsyg.2015.00481 Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T et al (2014) Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache 28:6–27. https://doi.org/10.11607/jop.1151 Stone AA, Shiffman S (1999) Ecological momentary assessment (EMA) in behavioral medicine. Ann Behav Med 16:199–202. https://doi.org/10.1093/abm/16.3.199 Hufford M (2007) Special methodological challenges and opportunities in ecological momentary assessment. In: Stone A, Schiffman S, Atienzae A, Nebeling L (eds) The science of real-time data capture: self-reports in health research. Oxford University Press pp, New York, pp 54–75 Raento M, Oulasvirta A, Eagle N (2009) Smartphones: an emerging tool for social scientist. Sociol Methods Res 37:426–454. https://doi.org/10.1177/0049124108330005 Runjan JD, Steenbergh TA, Bainbridge C, Daugherty DA, Oke L, Fry BN (2013) A smartphone ecological momentary assessment/intervention “app” for collecting real-time data and promoting self-awareness. PLoS ONE 8:e71325. https://doi.org/10.1371/journal.pone.0071325 Tsomos G, Ludwig B, Grossen J, Pazera P, Gkantidis N (2014) Objective assessment of patient compliance with removable orthodontic appliances. A cross-sectional cohort study. Angle Orthod 84:56–61. https://doi.org/10.2319/042313-315.1 Charavet C, Le Gall M, Albert A, Bruwier A, Leroy S (2019) Patient compliance and orthodontic treatment efficacy of Planas functional appliances with TheraMon microsensors. Angle Orthod 89:117–122. https://doi.org/10.2319/122917-888.1 Schoot TC, Schlipf C, Glasl B, Schwarzer CL, Weber J, Ludwig B (2013) Quantification of patient compliance with Hawley retainers and removable functional appliances during the retention phase. Am J Orthod Dentofac Orthop 144:533–540. https://doi.org/10.1016/j.ajodo.2013.04.020 Arreghini A, Trigila S, Lombardo L, Siciliani G (2017) Objective assessment of compliance with intra- and extraoral removable appliances. Angle Orthod 87:88–95. https://doi.org/10.2319/020616-104.1 Klaus K, Stark P, Serbesis TSP, Pancherz H, Ruf S (2017) Excellent versus unacceptable orthodontic results: influencing factors. Eur J Orthod 39:615–621. https://doi.org/10.1093/ejo/cjx006 Bertoldi C, Venuta M, Guaraldi G, Lalla M, Guaitolini S, Generali L, Monzani D, Cortellini P, Zaffe D. Are periodontal outcomes affected by personality patterns? A 18-month follow-up study. Acta Odontol Scand 76:48–57. https://doi.org/10.1080/00016357.2017.1382714