Publication
Levine J, Wolf RL, Chinn C, Edelstein BL. MySmileBuddy: An iPad-based interactive program to assess dietary risk for ECC. J Acad Nutr Diet 2012;112(10):1539-42.
Link to the abstract: https://www.doi.org/10.1016/j.jand.2012.06.010 Link to the full paper: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556790/pdf/nihms404006.pdf
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This describes the diet recall widget component as it relates to early childhood caries.
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Lumsden C, Wolf R, Contento I, Basch C, Zybert P, Koch P, Edelstein B. Feasibility, Acceptability, and Short-term behavioral impact of the MySmileBuddy intervention for ECC. J Health Care Poor Underserved. 2019;301(1):59-69. Link to the abstract: https://pubmed.ncbi.nlm.nih.gov/30827969/ Link to the full paper: https://www.doi.org/10.1353/hpu.2019.0007
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This report of the original MSB pilot showed it to be feasibly delivered in a busy clinic, acceptable to the target population, and impactful in changing caries risk through behavior change short term.
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Lumsden C, Andrews H, Leu C-S, Edelstein B. Changes in knowledge and beliefs of community health workers following an oral health intervention training program. Link to the abstract: https://pubmed.ncbi.nlm.nih.gov/30806193/ Link to the full paper: https://www.tandfonline.com/doi/pdf/10.1080/10852352.2018.1547309?casa_token=m7Vx9BOnuT8AAAAA:uDUOeDfp9grx3IoLWIySZU6fSxPG81YofEIKz9BXJGTSNHCAErgGtt0CO46oLarBLZKl3A7KtZ0yf5HE DOI: https://doi.org/10.1080/10852352.2018.1547309
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This promotes the engagement of community health workers as MySmileBuddy coaches and shows that their brief training was effective and acceptable to CHWs.
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Lumsden CL, Edelstein BL, Basch CE, Wolf RL, Koch PA, McKeague I, Leu C-S, Andrews H. Protocol for a family-centered behavioral intervention to reduce ECC: the MySmileBuddy program efficacy trial. BMC Oral Health 2021; 21(1):246. Link to the abstract: https://pubmed.ncbi.nlm.nih.gov/33962602/ Link to the full paper: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8103669/pdf/12903_2021_Article_1582.pdf DOI: https://www.doi.org/10.1186/s12903-021-01582-4
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​This contains the MySmileBuddy conceptual model and study model and describes the planned RCT that was cancelled due to Covid.​
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Hirsch GB, Edelstein BL, Frosh M, Anselmo T. A simulation Model for Designing Effective Interventions in Early Childhood Caries. Prev Chronic Dis 2012;11_0219. Link to the full paper: https://www.cdc.gov/pcd/issues/2012/pdf/11_0219.pdf DOI: http://dx.doi.org/10.5888/pcd9.110219
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This Colorado state-wide study of young children models the return on investment of multiple approaches to managing caries in young children finding that “interventions targeting the highest-risk children provide the greatest return on investment, and combined interventions that target ECC at several stages of its natural history have the greatest potential for cavity reduction.”
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Edelstein BL, Hirsch G, Frosh M, Kumar J. Reducing early childhood caries in a Medicaid population: a systems model analysis. J Am Dent Assoc 2015; 146(4):224-32. Link to the abstract: https://www.doi.org/10.1016/j.adaj.2014.12.024 Link to the full paper: https://pubmed.ncbi.nlm.nih.gov/25819653/
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This NYS Medicaid population study of young children models ROI find that “Using Medicaid and health department dollars to deliver ECC preventive and management interventions holds strong promise to improve children's oral health while reducing state dental expenditures in Medicaid.
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Lumsden CL, Edelstein BL, Leu C-S, Zhang J, Levine J, Andrews H. Behavioral Outcomes of a Pragmatic Early Childhood Caries Management Trial. J Dent Res Clin & Trans Res. 2023 Aug 9:23800844231189483. Link to the abstract: https://pubmed.ncbi.nlm.nih.gov/37553996/ Link to the full paper: https://pubmed.ncbi.nlm.nih.gov/37553996/
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​This report of our Medicaid Innovation Trial with 1130 children shows “significant behavioral changes” validating that MySmileBuddy “yielded an important salutary impact.
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Lumsden CL, Edelstein BL, Leu CS, Zhang J, Rubin MS, Andrews H. Change in parental knowledge and beliefs about early childhood dental caries following a pragmatic community-based trial. J Public Health Dent. 2024 Apr 29. doi: 10.1111/jphd.12620. Epub ahead of print. PMID: 38684426. Link to the abstract: https://pubmed.ncbi.nlm.nih.gov/38684426/ Link to the full paper: https://pubmed.ncbi.nlm.nih.gov/38684426/
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​This report of our Medicaid Innovation Trial (subset of 977 families) showed that MySmileBuddy Program enhanced parental knowledge and beliefs about caries and explored important hypothesized mediators in eliciting healthful behavior change among parents of high-risk children.
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An additional paper in review:
Edelstein BL, Basch CE, Wolf RL, Koch PA, Zybert P, Levine J, Trent R, Estrada I, Custodio Lumsden CL, Andrews HF, Kunzel C. Chronic Disease Management of Early Childhood Caries: View of US Pediatric Dentists. In revision August 2024.
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Web Citations
CDC’s Office of Health Promotion and Disease Prevention reported on MySmileBuddy at https://health.gov/news/202007/leveraging-technology-reach-risk-families-preventing-and-managing-early-childhood-tooth-decay-new-york-city.
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BioMedX statement on MySmileBuddy is at http://columbiabiomedx.com/mysmilebuddy.
NY State Department of Health statement on MySmileBuddy’s attention to social determinants is at
https://www.health.ny.gov/health_care/medicaid/redesign/sdh/tech/edelstein.htm.
A MySmileBuddy webinar for the 2016 American Dental Association Foundation Caries Symposium is available at https://issuu.com/oralhealthamerica/docs/11-17-16webinarcustodiolumsden.