Skip to main content
. 2023 Dec 11;7:e49179. doi: 10.2196/49179

Table 3.

Example message updates based on participant suggestions.

Type and message Answersa Examples of participant
suggestions
Suggestions
interpretation
Revised
message
Revised answersa,b
Question and answer curiosity

“Do you have any tooth pain?”
  • If response=yes: “We are sorry to hear this. If it persists for more than a day, make an appointment with your dentist as soon as you can. In the meantime, try to rinse with salt water or apply a cold compress.”

  • If response=no: “This is good news! Often if you wait until your teeth hurt to see a dentist it’s more difficult to treat a cavity or gum disease.”

  • “never like to hear sorry to hear this.”

  • “if no starting with ‘that’s great’ sounds weird”

  • “You can say ‘Ouch! Tooth pain is never fun’”


Language that seems odd or disingenuous, like “sorry to hear this” should be avoided. N/Ac
  • If response=yes: “Tooth pain is never funb. If it persists for more than a day, make an appointment with your dentist as soon as you can. In the meantime, try to rinse with salt water or apply a cold compress.”

  • If response=no: “Glad to hear it! Often if you wait until your teeth hurt to see a dentist it’s more difficult to treat a cavity or gum disease.”


“Do you sleep well at night?”
  • If response=yes: “That’s great! Sleeping well at night is important to your health, including your dental health. Make sure to keep your stress levels low and get enough sleep each night.”

  • If response=no: “Not sleeping well at night may be a sign of sleep apnea. Sleep apnea can cause breathing from one’s mouth at night, which can lead to more plaque retention on your teeth and make you susceptible to cavities. Your dentist can prescribe sleeping devices for sleep apnea.”

  • “Better to say ‘Do you get enough sleep?’ like it’s a number rather than a feeling”

  • “yes it should be worded as how much sleep over how well”

  • “If no shouldn’t say you can get the prescription from the dentist. It almost sounds like you’re suggesting that person to get the prescription. like Q2 you should just say contact your dentist.”

Frame questions about sleep (or similar behaviors) in terms of quantity over quality. Avoid recommending courses of action that may not be generally relatable. Do you get enough sleep at night?
  • If response=yes: “That’s great! Getting enough sleep at night is important to your health, including your dental health. Make sure to keep your stress levels low to get enough sleep each night.”

  • If response=no: “Not getting enough sleep at night may be a sign of sleep apnea. Sleep apnea can cause breathing from one’s mouth at night, which can lead to more plaque retention on your teeth and make you susceptible to cavities. Check with your doctor or dentist if you continue to have problems sleeping.”


“Have you had something sugar sweetened to eat or drink today?”
  • If response=yes: “Occasional added sugar is ok when part of a balanced diet. Brush tonight to reduce the bacteria that feeds on sugar in your mouth.”

  • If response=no: “Making healthy food choices is important. A balanced diet that limits added sugar will help you achieve a healthy smile!”

  • “Maybe change the question to ‘Have you had something with added sugars to eat or drink today?’”

  • “I like ‘added sugar’ better”

  • “either sounds fine.”

  • “really liked both answers”

  • “Yeah, the suggestion is a more common way of saying it”

Questions should be worded in a common or conversational style (how people speak). Have you had something with added sugar to eat or drink today?
  • N/A

Feedback curiosity

“Brush up on your Oralytics feedback”
  • Graphical feedback provided in the app

  • “Here how you did on your oralytics”

The message should be straightforward, without using phrases such as “brush up” that not everyone may understand. Click here to view your Oralytics feedback.
  • N/A


“Learn how you brush to improve your health. Click to view.”
  • Graphical feedback provided in the app

  • [Add] “Improve oral health”

Clarify that the feedback is specifically about oral health. Learn how you brush to improve your oral health. Click to view.
  • N/A

aThese are educational statements sent by Oralytics tailored to the participant’s response to a Q&A message.

bUpdates are italicized in the “Revised message” and “Revised answers” columns.

cN/A: not applicable.