Geofencing: mobile technology to increase the utilization of oral health services among adolescents in rural North Carolina

项目 牙科 不成比例地 是 相对的 口头的 青少年。 智能手机。 留言。 包括 人口 使用 预定义 有效性 AS 成功 青少年R 服务不足 预防 摘要 龋病是影响美国儿童和青少年的最常见的慢性病， 影响来自农村和服务不足人群的个人。校本密封剂项目 预防牙病的循证策略。然而，青少年并没有充分利用这些项目。 他们对口腔健康的需求，主要是因为缺乏参与的兴趣。因此，改善青少年 健康，特别是在弱势群体中，需要了解如何最好地接触到 重要的是，即使在低收入人口中，大多数青少年也有机会并经常使用 这为测试基于智能手机的口腔健康促进产品提供了一个很有希望的机会 基于智能手机的健康干预措施越来越多地在世界各地的环境中实施， 在服务不足或低收入的青少年人口中。然而，如何最好地将消息定向到这样的 仍有待确定。地理围栏是一种创新的智能手机通信技术 主要由企业通过向智能手机用户发送消息来吸引受众 位置或地理区域(‘地理栅栏’)。来自商界的证据表明， 这一方法能够接触到目标受众；然而，这种方法尚未被广泛采用 一种促进健康的工具。拟议的研究小组最近的研究表明，地理围栏可以 接触到农村地区的成年人，但获得牙科保健的机会有限；如何使用这项技术 解释为未知。拟议项目的总体目标是改善口腔健康。 利用地理围栏技术促进以学校为基础的口腔健康 程序。具体目标是：1) T 发展参与式设计的口腔健康服务利用 通过智能手机向农村青少年发送信息活动；以及2)实施 口腔卫生服务利用地栅栏信息活动的地栅栏分布和测试效果 在社区里。使用混合方法，并在精化可能性模型的指导下 消息开发和安德森模型用于卫生服务，该项目将开发、实施和 在服务不足的农村社区评估针对青少年和家长的口腔健康促进信息 使用土工栅栏技术。这个 研究 在此基础上圆满完成拟议的 AIMS将推进创新的、以技术为基础的口腔健康促进战略，以有效地覆盖 青少年，他们代表了研究不足的人口。研究结果将提供基础数据以供参考 推广用于健康传播的地理围栏技术，以促进健康行为的改变。 提案利用了两国之间独特的学术和社区伙伴关系 球队和当地的一个学区。它建立在几个社区获得的可观经验的基础上- 研究团队开展的参与式研究项目。

Project Dental disproportionately are relative oral adolescents. smartphones. messages. including populations used pre-defined effectiveness as successfully adolescents r underserved prevention Summary caries is the most common chronic disease affecting children and adolescents in the United States, affecting individuals from rural and underserved populations. School-based sealant programs an evidence-based strategy to prevent dental disease. Yet, these programs are underutilized by adolescents to their oral health needs, mainly due o a lack of interest to participate. Therefore, improving adolescent health, particularly among vulnerable populations, requires an understanding of how to best reach I mportantly, even in low-income populations, most adolescents have access to and regularly use This offers a promising opportunity to test smartphone-based delivery of oral health promotional Smartphone-based health interventions are increasingly implemented in settings worldwide, among underserved or low-income adolescent populations. Yet, how to best target messages to such remains to be determined. Geofencing is an innovative smartphone communications technology mainly by businesses to engage their audience by sending messages to smartphone users who enter a location or geographic area (a `geofence'). Evidence from the business sector demonstrates the of this approach to reach target audiences; however, this approach has not been widely adopted a health promotion tool. Recent work by the proposed research team indicates that geofencing can reach adults in a rural region with limited access to dental care; how to use this technology to reach emains unknown. The overall goal of the proposed project is to i mprove the oral health of adolescents by using geofencing t echnology to promote the use of a school-based oral health program. The specific aims are to: 1) t Develop participatory-designed oral health services utilization message campaign for geofence-triggered delivery by smartphone to rural adolescents.; and 2) Implement geofence distribution and test efficacy of a geofence message campaign on the utilization of oral health services in the community. Using a mixed-methods approach and guided by the Elaboration Likelihood Model for message development and Anderson Model for Health Services Use, this project will develop, implement, and evaluate oral health promotional messages targeting adolescents and parents in a rural, underserved community using geofence technology. The research based Successful completion of the proposed aims will advance innovative, technology-based oral health promotional strategies for effective reach to adolescents, who represent an understudied population. The results will provide foundational data to inform scale-up of geofencing technology for health communication to promote health behavior change. proposal leverages a unique academic-community partnership between the team and a local school district. It builds on the considerable experience gained in several community- participatory research projects conducted by the research team.