Validation and usability of a mobile phone application for epidemiological surveillance of traumatic dental injuries. Issue 1 (25th October 2018) - Zaror, Carlos
Abstract: Background/Aim: Traumatic dental injuries (TDI) are a public health problem, given their prevalence and consequences. However, their epidemiology is uncertain due to a general lack of quality data capture. The aim of this study was to evaluate the validity and usability of a mobile phone‐based application for community‐based surveillance of traumatic dental injuries. Materials and Methods: A mobile phone‐based application, Dental Trauma Tracker (DTT), was developed. This system involves a mobile application for general users to report TDIs and a Web application for researchers to generate epidemiological data. The DTT evaluation used mixed methods and was conducted in three phases: (a) validation of a trauma identification system using preselected TDI images; (b) design evaluation by experts; and (c) usability evaluation measured by the reporting of three fictitious TDI cases and using the System Usability Scale (SUS). Results: In the first phase, 182 participants participated. Most images showed over 95% accuracy, indicating that they adequately represented the type of dentoalveolar trauma being evaluated ( κ = 0.75). The design evaluation identified nine usability problems—four of them with a "High priority" to be fixed, four with "Low priority, " and one "No fix necessary." A total of 29 volunteers participated in the usability evaluation. The mean time for users to complete all of the reports was 7.8 ± 3.0 minutes. Mean SUS score was 67.4 ± 21.9 (Range: 0‐100; worst to best). The global agreement between cases registered with the gold standard was also "Substantial" ( κ = 0.71). Conclusions: This preliminary evaluation confirmed the App's usability, using a sample of potential users, as well as reporting on the results of an expert panel review of the DTT. These are the minimum requirements necessary before further expansion and widespread implementation occurs to confirm these results.