Behaviour support in dentistry: A Delphi study to agree terminology in behaviour management.
Delphi technique
anaesthesia
anxiety management
behaviour management
behaviour sciences
dentistry
sedation
taxonomy
Journal
Community dentistry and oral epidemiology
ISSN: 1600-0528
Titre abrégé: Community Dent Oral Epidemiol
Pays: Denmark
ID NLM: 0410263
Informations de publication
Date de publication:
22 Mar 2024
22 Mar 2024
Historique:
revised:
19
01
2024
received:
11
11
2023
accepted:
15
02
2024
medline:
22
3
2024
pubmed:
22
3
2024
entrez:
22
3
2024
Statut:
aheadofprint
Résumé
Dental behaviour support (DBS) describes all specific techniques practiced to support patients in their experience of professional oral healthcare. DBS is roughly synonymous with behaviour management, which is an outdated concept. There is no agreed terminology to specify the techniques used to support patients who receive dental care. This lack of specificity may lead to imprecision in describing, understanding, teaching, evaluating and implementing behaviour support techniques in dentistry. Therefore, this e-Delphi study aimed to develop a list of agreed labels and descriptions of DBS techniques used in dentistry and sort them according to underlying principles of behaviour. Following a registered protocol, a modified e-Delphi study was applied over two rounds with a final consensus meeting. The threshold of consensus was set a priori at 75%. Agreed techniques were then categorized by four coders, according to behavioural learning theory, to sort techniques according to their mechanism of action. The panel (n = 35) agreed on 42 DBS techniques from a total of 63 candidate labels and descriptions. Complete agreement was achieved regarding all labels and descriptions, while agreement was not achieved regarding distinctiveness for 17 techniques. In exploring underlying principles of learning, it became clear that multiple and differing principles may apply depending on the specific context and procedure in which the technique may be applied. Experts agreed on what each DBS technique is, what label to use, and their description, but were less likely to agree on what distinguishes one technique from another. All techniques were describable but not comprehensively categorizable according to principles of learning. While objective consistency was not attained, greater clarity and consistency now exists. The resulting list of agreed terminology marks a significant foundation for future efforts towards understanding DBS techniques in research, education and clinical care.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Trinity College Dublin
Informations de copyright
© 2024 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd.
Références
Armfield JM, Milgrom P. A clinician guide to patients afraid of dental injections and numbness. SAAD Dig. 2011;27:33‐39.
Armfield JM, Slade GD, Spencer AJ. Cognitive vulnerability and dental fear. BMC Oral Health. 2008;8(1):2.
Maggirias J, Locker D. Psychological factors and perceptions of pain associated with dental treatment. Community Dent Oral Epidemiol. 2002;30(2):151‐159.
WHO. Political declaration of the third high‐level meeting of the General Assembly on the prevention and control of non‐communicable diseases 2021. Accessed January 19, 2024. https://apps.who.int/gb/ebwha/pdf_files/EB150/B150_7‐en.pdf
Mac Giolla Phadraig C, Griffiths C, McCallion P, McCarron M, Wride MA, Nunn JH. How dentists learn behaviour support skills for adults with intellectual developmental disorders: a qualitative analysis. Eur J Dent Educ. 2020;24(3):535‐541.
Coxon J, Hosey MT, Newton JT. Knowledge of behavioural management principles amongst specialist paediatric dental practitioners in the United Kingdom. Behav Cogn Psychother. 2017;45(2):185‐192.
Mac Giolla Phadraig C, Griffiths C, McCallion P, McCarron M, Nunn J. Communication‐based behaviour support for adults with intellectual disabilities receiving dental care: a focus group study exploring dentists' decision‐making and communication. J Intellect Disabil. 2019;23(4):526‐540.
Mac Giolla Phadraig C, Newton T, Daly B, et al. BeSiDe time to move behavior support in dentistry from an art to a science: a position paper from the BeSiDe (behavior support in dentistry) Group. Special Care Dent. 2022;42(1):28‐31.
Hagger MS. Avoiding the “déjà‐variable” phenomenon: social psychology needs more guides to constructs. Front Psychol. 2014;5:52.
Rothman AJ, Sheeran P. What is slowing us down? Six challenges to accelerating advances in health behavior change. Ann Behav Med. 2021;54(12):948‐959.
Mac Giolla Phadraig C, Kammer PV, Asimakopoulou K, et al. Labels and descriptions of dental behavior support techniques: a Scoping Review of Clinical Practice Guidelines. 2022.
Michie S, Richardson M, Johnston M, et al. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013;46(1):81‐95.
Michie S, Hastings J, Johnston M, Hankonen N, Wright AJ, West R. Developing and using ontologies in behavioural science: addressing issues raised. Wellcome Open Res. 2023;7(222):222.
Mac Giolla Phadraig C. Labels and descriptions of dental behaviour support techniques: a review and agreement among experts 2021. doi:10.17605/OSF.IO/ACKR5
Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs. 2000;32(4):1008‐1015.
Martino JP. Technological Forecasting for Decision Making. McGraw‐Hill, Inc; 1993.
Linstone HA, Turoff M. The Delphi Method. Addison‐Wesley; 1975.
Michie S, Wood CE, Johnston M, Abraham C, Francis JJ, Hardeman W. Behaviour change techniques: the development and evaluation of a taxonomic method for reporting and describing behaviour change interventions (a suite of five studies involving consensus methods, randomised controlled trials and analysis of qualitative data). Health Technol Assess. 2015;19(99):1‐188.
Powell C. The Delphi technique: myths and realities. J Adv Nurs. 2003;41(4):376‐382.
Cooper JO, Heron TE, Heward WL. Applied Behavior Analysis. Pearson UK; 2020.
American Academy of Pediatric Dentistry. Behavior Guidance for the Pediatric Dental Patient. 2020.
Campbell C, Soldani F, Busuttil‐Naudi A, Chadwick B. Update of Non‐pharmacological behaviour management guideline Clinical Guidelines in Paediatric Dentistry. 2012.
Hume K, Steinbrenner JR, Odom SL, et al. Evidence‐based practices for children, youth, and young adults with autism: third generation review. J Autism Dev Disord. 2021;51(11):4013‐4032.
Rodd H, Timms L, Noble F, Bux S, Porritt J, Marshman Z. 'Message to dentist': facilitating communication with dentally anxious children. Dent J (Basel). 2019;7(3):69.
Wilkinson H, Whittington R, Perry L, Eames C. Examining the relationship between burnout and empathy in healthcare professionals: a systematic review. Burn Res. 2017;6:18‐29.
American Psychological Association. APA dictionary APA. Accessed January 19, 2024. https://dictionary.apa.org
Heap M, Aravind KK, Hartland J. Hartland's Medical and Dental Hypnosis. Elsevier Health Sciences; 2002.
Scottish Dental Clinical Effectiveness Programme. Conscious Sedation in Dentistry ‐ SDCEP 2017 [updated 2017‐1‐131/01/2022]. Accessed January 19, 2024. https://www.sdcep.org.uk/wp‐content/uploads/2018/07/SDCEP‐Conscious‐Sedation‐Guidance.pdf
Intercollegiate advisory committee for sedation in dentistry. Standards for Conscious Sedation in the provision of Dental Care and Accreditation 2020. Accessed January 19, 2024. https://www.rcseng.ac.uk/dental‐faculties/fds/publications‐guidelines/standards‐for‐conscious‐sedation‐in‐the‐provision‐of‐dental‐care‐and‐accreditation/
American Society of Anesthesiologists. Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesi. 2019.
British Society for Paediatric Dentistry. Clinical Holding in the dental care of children 2016 [updated ‐1‐131/01/2022]. https://www.bspd.co.uk/Portals/0/BSPD%20clinical%20holding%20guidelines%20final%20with%20flow%20chart%20250416.pdf
American Academy of Pediatric Dentistry. Use of protective stabilization for pediatric dental patients. 2020.
Lindsley OR. From technical jargon to plain English for application. J Appl Behav Anal. 1991;24(3):449‐458.
Lerman DC. Putting the power of behavior analysis in the hands of nonbehavioral professionals: toward a blueprint for dissemination (†). J Appl Behav Anal. 2023;57(1):39‐54. doi: 10.1002/jaba.1036.
Michie S, Johnston M. Behavior change techniques. In: Gellman MD, Turner JR, eds. Encyclopedia of Behavioral Medicine. Springer New York; 2013:182‐187.
AlBhaisi IN, Kumar M, Engapuram A, et al. Effectiveness of psychological techniques in dental management for children with autism spectrum disorder: a systematic literature review. BMC Oral Health. 2022;22(1):162.
Burghardt S, Koranyi S, Magnucki G, Strauss B, Rosendahl J. Non‐pharmacological interventions for reducing mental distress in patients undergoing dental procedures: systematic review and meta‐analysis. J Dent. 2018;69:22‐31.
Goettems ML, Zborowski EJ, Costa FS, Costa VPP, Torriani DD. Nonpharmacologic intervention on the prevention of pain and anxiety during pediatric dental care: a systematic review. Acad Pediatr. 2017;17(2):110‐119.
Quek JS, Lai B, Yap AU, Hu S. Non‐pharmacological management of dental fear and anxiety in children and adolescents: an umbrella review. Eur J Paediatr Dent. 2022;23(3):230‐242.
Mac Giolla Phadraig C, Asimakopoulou K, Daly B, Fleischmann I, Nunn J. Nonpharmacological techniques to support patients with intellectual developmental disorders to receive dental treatment: a systematic review of behavior change techniques. Spec Care Dentist. 2020;40(1):10‐25.
Mac Giolla Phadraig C, Binti Ahmad Fisal A, Bird J, Kammer PV, Fleischmann I, Geddis‐Regan A. A scoping review of interventions and outcome measures in trials of dental behaviour support. Spec Care Dentist. 2023. doi: 10.1111/scd.12949.
Shabani DB, Fisher WW. Stimulus fading and differential reinforcement for the treatment of needle phobia in a youth with autism. J Appl Behav Anal. 2006;39(4):449‐452.
Conyers C, Miltenberger RG, Peterson B, et al. An evaluation of in vivo desensitization and video modeling to increase compliance with dental procedures in persons with mental retardation. J Appl Behav Anal. 2004;37(2):233‐238.
Carey RN, Connell LE, Johnston M, et al. Behavior change techniques and their mechanisms of action: a synthesis of links described in published intervention literature. Ann Behav Med. 2019;53(8):693‐707.
Roberts J, Curzon M, Koch G, Martens L. Behaviour management techniques in paediatric dentistry. Eur Arch Paediatr Dent. 2010;11:166‐174.
Campbell C, Soldani F, Busuttil‐Naudi A, Chadwick B. Update of non‐pharmacological behavioural management guideline. 2011.
Newton J. Restrictive behaviour management procedures with people with intellectual disabilities who require dental treatment. J Appl Res Intellect Disabil. 2009;22(2):118‐125.
Barrett D, Heale H. What are Delphi studies? Evid Based Nurs. 2020;23(3):68‐69.
Keeney S, Hasson F, McKenna H. Consulting the oracle: ten lessons from using the Delphi technique in nursing research. J Adv Nurs. 2006;53(2):205‐212.
O'Cathain A, Croot L, Duncan E, et al. Guidance on how to develop complex interventions to improve health and healthcare. BMJ Open. 2019;9(8):e029954.
Hoffmann TC, Glasziou PP, Boutron I, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:348.