Accepted for/Published in: JMIR Perioperative Medicine
Date Submitted: Jul 7, 2021
Open Peer Review Period: Jul 7, 2021 - Sep 1, 2021
Date Accepted: Dec 15, 2021
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Development and testing of ‘ExoDont’ - an innovative app for postoperative care of patients after tooth extraction
ABSTRACT
Background:
Post-operative period is crucial for the initiation of healing and prevention of complications after any surgical procedure. Due to the factors such as compliance, comprehension, retention of instructions, and other unaccounted factors, the objectives of post-operative care become unsuccessful at times. Therefore an android-based mHealth app “ExoDont” was developed to ensure a smooth post-operative period for the patients after a dental extraction. “ExoDont” app delivers reminders for post-operative instructions and drug intake at defined intervals thus fostering self-reliance in patients for their prescribed dose of medication.
Objective:
To design, develop and validate “ExoDont” – an innovative software application for improved adherence to postoperative instructions after tooth extraction.
Methods:
Post-operative treatment protocol was developed by a team of oral and maxillofacial surgeons and general dentists, following which the clinical and technological requirements of the app were determined along with the software engineers, graphic designers and applications architect in the team. “ExoDont was developed to provide timely reminders for medication and postoperative care. The app was field-tested and validated using the uMARS scale.
Results:
The “ExoDont” software design was divided into three-level architecture comprising User Interface Application, Logical Layer, and Database layer. The software architecture consists of an android-based “ExoDont” app for patients and a web version of the Admin panel. The testing and validation of the app demonstrated the highest mean score of 4.6(0.5)for Perceived Impact and the lowest mean score of 3.5(0.8)for Engagement of the “ExoDont” app.
Conclusions:
The testing and validation of the app support the usability, functionality, and impact of the app on the users. “ExoDont” app has been designed, keeping the welfare of patients in view, in a user-friendly manner that will help patients adhere to the prescribed drug regimen and ensure easy and efficient dissemination of post-operative instructions. It can help play an instrumental role in fostering compliance within the patients and significantly decrease the complication rate after a dental extraction.
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