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Long-term effects of smartphone app-based oral-musclestrengthening training in older adults

  • Journal of Korean society of Dental Hygiene
  • Abbr : J Korean Soc Dent Hyg
  • 2026, 26(4), pp.473~482
  • DOI : 10.13065/jksdh.2026.26.4.6
  • Publisher : Korean Society of Dental Hygiene
  • Research Area : Medicine and Pharmacy > Dentistry
  • Received : May 13, 2026
  • Accepted : July 24, 2026
  • Published : August 30, 2026

Jung-Hee Kang 1 Yoon-Young Choi 2 Kyeong-Jin Lee 2 Hyun-Young Moon 2 Kyeong-Hee Lee ORD ID 2

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2신한대학교 치위생학과

Accredited

ABSTRACT

Objectives: To investigate the long-term effects of smartphone app-based oral-muscle-strengthening training in older adults. Methods: A randomized controlled trial using a pretest-posttest control group design was conducted. Older adults were randomly assigned to an experimental group or a control group. The experimental group participated in a 12-week oral-musclestrengthening program using smartphone app content from May to August 2025. Oral health, mental health, tongue strength, and pronunciation accuracy were evaluated pre- and post-intervention. Statistical analyses were performed using a per-protocol approach. Results: Post-intervention, the experimental group showed significant improvements in the Geriatric Oral Health Assessment Index (GOHAI), O’Leary index, Löe & Silness index, and anterior tongue strength (all p<0.05). Significant betweengroup differences were observed for the GOHAI (p<0.05), Löe & Silness index (p<0.05), and anterior tongue strength (p<0.01). Sleep quality also significantly improved in the experimental group (p<0.05), although between-group differences were not significant. Pronunciation accuracy improved and phonological errors decreased, but these improvements were not statistically significant. Conclusions: Smartphone app-based oral-muscle-strengthening training may effectively improve oral health and tongue strength in older adults while enhancing accessibility and adherence through continuous participation, regardless of time and place.

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