Sharif, Mohammad Owaise;
(2021)
Enhancing adherence in the digital age.
Doctoral thesis (Ph.D), UCL (University College London).
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Abstract
Introduction: As many as 43% of patients fail to complete orthodontic treatment. Given that NHS England’s annual spend on primary care orthodontics exceeds £200 million, non-adherence to orthodontic treatment advice represents a significant and inefficient use of public resources. This thesis describes the design, development, feasibility and quality testing of the My Braces App. This App aims to improve adherence amongst patients undergoing fixed appliance orthodontic treatment. It is personalised and provides patients with written treatment information supplemented by images and videos. Aim: To develop a high-quality personalised App grounded in behaviour change theory and informed by public involvement, in order to improve adherence to orthodontic treatment advice. Methods: A systematic review was conducted to identify Behaviour Change Techniques (BCTs) to incorporate in the App. A public and professional panel was convened to obtain a consensus on ideal App content. Information from these exercises was combined to develop the App. The behaviour change wheel was the theoretical foundation for developing the App. The App contains ten BCTs including goal setting, prompts and cues. It was feasibility tested and its quality was assessed with 60 patients at different stages of orthodontic treatment at the Eastman Dental Hospital UCLH Foundation Trust. The user version of the Mobile Application Rating Scale (uMARS) was utilised. Results: Quality testing of the My Braces App gave a mean uMARS score of 4.29/5 suggesting it is above average quality. There was no statistically significant difference in uMARS score according to the stage of treatment. Conclusions: The My Braces App has been designed, developed, feasibility tested and undergone quality assessment with 60 participants. The uMARS score demonstrates that it is above average quality, it is acceptable to patients and feasible to use in an orthodontic setting. Future studies should test the effectiveness of the App by way of a randomised controlled trial.
| Type: | Thesis (Doctoral) |
|---|---|
| Qualification: | Ph.D |
| Title: | Enhancing adherence in the digital age |
| Event: | UCL (University College London) |
| Open access status: | An open access version is available from UCL Discovery |
| Language: | English |
| Additional information: | Copyright © The Author 2021. Original content in this thesis is licensed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) Licence (https://creativecommons.org/licenses/by-nc-nd/4.0/). Any third-party copyright material present remains the property of its respective owner(s) and is licensed under its existing terms. Access may initially be restricted at the author’s request. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute > EDI Craniofacial and Development Sci |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10140857 |
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