Afraid of the dentist? There's an app for that: Development and usability testing of a cognitive behavior therapy-based mobile app.

<h4>Objectives</h4>Although several brief cognitive behavior therapy (CBT)-based treatments for dental fear have proven efficacious, these interventions remain largely unavailable outside of the specialty clinics in which they were developed. Leveraging technology, we sought to increase...

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Main Authors: Kelly A Daly, Kiara A Diaz-Gutierrez, Armon Beheshtian, Richard E Heyman, Amy M Smith Slep, Mark S Wolff
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-12-01
Series:PLOS Digital Health
Online Access:https://doi.org/10.1371/journal.pdig.0000690
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author Kelly A Daly
Kiara A Diaz-Gutierrez
Armon Beheshtian
Richard E Heyman
Amy M Smith Slep
Mark S Wolff
author_facet Kelly A Daly
Kiara A Diaz-Gutierrez
Armon Beheshtian
Richard E Heyman
Amy M Smith Slep
Mark S Wolff
author_sort Kelly A Daly
collection DOAJ
description <h4>Objectives</h4>Although several brief cognitive behavior therapy (CBT)-based treatments for dental fear have proven efficacious, these interventions remain largely unavailable outside of the specialty clinics in which they were developed. Leveraging technology, we sought to increase access to treatment for individuals with dental fear through the development of a mobile application (Dental FearLess).<h4>Materials and methods</h4>To assess the resonance of our app as an avenue for dental fear treatment, we conducted a study assessing the usability, feasibility, and acceptability of the beta app. Participants with moderate to severe dental fear (N = 80) completed the app and reported on the perceived usability of the mobile interface (Systems Usability Scale, SUS; α = .82) and credibility of the intervention (Credibility and Expectancy Questionnaire, CEQ; α = .88). A sub-sample of participants naïve to the app (n = 10) completed the app during a think-aloud procedure, sharing their candid thoughts and reactions while using the app, prior to reporting on usability and credibility metrics.<h4>Results</h4>Overall usability (M = 78.5, SD = 17.7) and credibility (M = 21.7, SD = 5.5) of the beta version of the app were good. The think-aloud data further corroborated the app's acceptability, while highlighting several areas for user improvement (i.e., aesthetics, navigation, engagement).<h4>Conclusions</h4>Usability and acceptability results are promising for the viability of an accessible, feasible, self-administered intervention for dental fear. Refinements made based on user feedback have produced a clinical-trial-ready mobile application. App refinement decisions, informed by user feedback, are representative of the larger literature-that is, of the ubiquitous negotiations m-health developers must make across treatment fidelity, usability, and engagement. Implications for future research are discussed.
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spelling doaj-art-e5c51f129bea4054bc0e3d5181acfb152025-01-08T05:34:12ZengPublic Library of Science (PLoS)PLOS Digital Health2767-31702024-12-01312e000069010.1371/journal.pdig.0000690Afraid of the dentist? There's an app for that: Development and usability testing of a cognitive behavior therapy-based mobile app.Kelly A DalyKiara A Diaz-GutierrezArmon BeheshtianRichard E HeymanAmy M Smith SlepMark S Wolff<h4>Objectives</h4>Although several brief cognitive behavior therapy (CBT)-based treatments for dental fear have proven efficacious, these interventions remain largely unavailable outside of the specialty clinics in which they were developed. Leveraging technology, we sought to increase access to treatment for individuals with dental fear through the development of a mobile application (Dental FearLess).<h4>Materials and methods</h4>To assess the resonance of our app as an avenue for dental fear treatment, we conducted a study assessing the usability, feasibility, and acceptability of the beta app. Participants with moderate to severe dental fear (N = 80) completed the app and reported on the perceived usability of the mobile interface (Systems Usability Scale, SUS; α = .82) and credibility of the intervention (Credibility and Expectancy Questionnaire, CEQ; α = .88). A sub-sample of participants naïve to the app (n = 10) completed the app during a think-aloud procedure, sharing their candid thoughts and reactions while using the app, prior to reporting on usability and credibility metrics.<h4>Results</h4>Overall usability (M = 78.5, SD = 17.7) and credibility (M = 21.7, SD = 5.5) of the beta version of the app were good. The think-aloud data further corroborated the app's acceptability, while highlighting several areas for user improvement (i.e., aesthetics, navigation, engagement).<h4>Conclusions</h4>Usability and acceptability results are promising for the viability of an accessible, feasible, self-administered intervention for dental fear. Refinements made based on user feedback have produced a clinical-trial-ready mobile application. App refinement decisions, informed by user feedback, are representative of the larger literature-that is, of the ubiquitous negotiations m-health developers must make across treatment fidelity, usability, and engagement. Implications for future research are discussed.https://doi.org/10.1371/journal.pdig.0000690
spellingShingle Kelly A Daly
Kiara A Diaz-Gutierrez
Armon Beheshtian
Richard E Heyman
Amy M Smith Slep
Mark S Wolff
Afraid of the dentist? There's an app for that: Development and usability testing of a cognitive behavior therapy-based mobile app.
PLOS Digital Health
title Afraid of the dentist? There's an app for that: Development and usability testing of a cognitive behavior therapy-based mobile app.
title_full Afraid of the dentist? There's an app for that: Development and usability testing of a cognitive behavior therapy-based mobile app.
title_fullStr Afraid of the dentist? There's an app for that: Development and usability testing of a cognitive behavior therapy-based mobile app.
title_full_unstemmed Afraid of the dentist? There's an app for that: Development and usability testing of a cognitive behavior therapy-based mobile app.
title_short Afraid of the dentist? There's an app for that: Development and usability testing of a cognitive behavior therapy-based mobile app.
title_sort afraid of the dentist there s an app for that development and usability testing of a cognitive behavior therapy based mobile app
url https://doi.org/10.1371/journal.pdig.0000690
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