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

项目 牙科 成比例 是 相对 口服 青少年。 智能手机 充分和传播 包括 人口 使用 预定义 有效性 作为 成功 青少年R 服务不足 预防 总结 龋齿是影响美国儿童和青少年的最常见的慢性疾病， 影响到农村和得不到充分服务的人口。学校为基础的密封剂计划 以证据为基础的策略，以预防牙科疾病。然而，青少年没有充分利用这些方案， 他们的口腔健康需求，主要是由于缺乏兴趣参与。因此，改善青少年 健康，特别是弱势群体的健康，需要了解如何最好地 重要的是，即使在低收入人群中，大多数青少年也可以获得并经常使用 这为测试基于智能手机的口腔健康宣传提供了一个很好的机会 基于智能手机的健康干预措施越来越多地在全球范围内实施， 在服务不足或低收入的青少年人群中。然而，如何最好地针对这些信息， 还有待确定。地理围栏是一种创新的智能手机通信技术 主要是由企业通过向进入一个智能手机用户发送消息来吸引他们的观众， 地理区域（geofence）。来自商业部门的证据表明， 这一方法的目标受众;然而，这一方法尚未得到广泛采用 一种健康促进工具。拟议研究小组最近的工作表明，地理围栏可以 覆盖农村地区的成年人，他们获得牙科护理的机会有限;如何使用这项技术来覆盖 电子邮件未知建议项目的总体目标是改善 青少年使用地理围栏技术，以促进学校为基础的口腔健康 程序.具体目标是：1） 不 发展参与式设计的口腔卫生服务利用 通过智能手机向农村青少年提供地理围栏触发的信息活动;（2）实施 地理围栏分布和测试口腔健康服务利用的地理围栏信息活动的功效 在社区使用混合方法，并在Escherichia Likestival模型的指导下， 信息开发和安德森模式的卫生服务使用，该项目将开发，实施， 评估针对农村服务不足社区的青少年和家长的口腔健康宣传信息 使用地理围栏技术。的 研究 成功完成拟议的 aims将推进创新的，以技术为基础的口腔健康促进战略， 青少年，他们代表了一个未充分研究的人口。结果将提供基础数据， 扩大地理围栏技术用于健康交流，以促进健康行为的改变。 该提案利用了一个独特的学术社区之间的伙伴关系， 团队和当地学区。它建立在几个社区获得的大量经验的基础上- 参与研究团队开展的研究项目。

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.