Labels and descriptions of dental behaviour support techniques: A scoping review of clinical practice guidelines

Mac Giolla Phadraig, Caoimhin; Kammer, Pedro Vitali; Asimakopoulou, Koula; Healy, Olive; Fleischmann, Isabel; Buchanan, Heather; Newton, Jonathon Tim; Daly, Blánaid; Posse, Jacobo Limeres; Hosey, Marie Therese; Yarascavitch, Carilynne; MacAuley, Yvonne; Stirling, Chris; Ahmad Fisal, Aisyah Binti; Nunn, June

doi:10.1111/cdoe.12890

Cited by 5 publications

(6 citation statements)

References 50 publications

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“…This suggests that the list possesses an acceptable initial coverage of DBS techniques and suggests further refinements to this list. Using the BeSiDe list, 10 the findings clearly demonstrate diversity in outcome measurement across types of intervention.…”

Section: Discussionmentioning

confidence: 92%

“…Specific examples of this broad field include music, systematic desensitization, clinical holding, and general anesthesia. 9,10 When dental teams and patients choose which DBS to use, this involves an explicit or implicit comparison between DBS techniques and their outcomes to select the best option with the patient, considering the best evidence available. As these decisions must be evidence-based, there is a need for data on the effectiveness and safety of specific DBS techniques.…”

Section: Discussionmentioning

confidence: 99%

“…In all, over 30 distinct DBS techniques were studied. In its first prospective use, 96.6% of DBS techniques were codable according to the BeSiDe prototype list, 10 suggesting good content coverage. Techniques not listed in the BeSiDe prototype list included aromatherapy and play.…”

Section: Major Findingsmentioning

confidence: 99%

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A scoping review of interventions and outcome measures in trials of dental behavior support

Mac Giolla Phadraig,

Ahmad Fisal,

Bird

et al. 2023

Special Care in Dentistry

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BackgroundDental behavior support (DBS) describes all techniques used by dental professionals to ensure that dental care is safe, effective, and acceptable. There is a need to standardize outcome measures across DBS techniques to reduce heterogeneity, limit selective reporting, promote consistency, and optimize outcomes across DBS research. A comprehensive review of existing measures is a prerequisite to understanding potential outcomes related to the area of interest.AimThis review had three aims: first, to identify the outcome measures (OMs) reported in trials of dental behavior support; second, to categorize the component DBS techniques reported within interventions according to emerging agreed terminology; and, third, to map outcome measures to intervention type.MethodsA scoping review of trials evaluating DBS techniques was undertaken from 2012 to 2022. The review was prospectively registered. Studies were identified through Medline, Embase, and PsycINFO. Study abstracts were screened by two reviewers. Data were extracted by single selector. Outcome measures were sorted according to measurement domains (physiological, behavioral, psychological, and treatment). Responses were assimilated and summed to produce a refined list of distinguishable outcome measures. Intervention types were categorized according to accepted descriptors. Frequencies were presented; associations between outcome domain and DBS type were also reported (Chi‐square test of independence).ResultsA total of 344 trials were included in the review from an initial 14,793 titles / title and abstracts screened. Most involved children (n = 215), most were from India (n = 104), involving basic dental care (n = 117). The median number of outcome measures per trial was four (range = 1–12); 1,317 individual outcomes were reported, categorized as: psychological (n = 501, 38.0%); physiological (n = 491, 37.3%), behavioral (n = 123, 9.3%) or, treatment‐related (n = 202, 15.3%). DBS interventions were split between 239 (45.7%) pharmacological and 283 (54.1%) non‐pharmacological; 96.6% of interventions mapped to accepted descriptors. A significant relationship was noted between the type of intervention and the outcome domain reported.ConclusionThe findings demonstrate massive variation in outcome measures of DBS interventions that likely lead to unnecessary heterogeneity, selective reporting, and questionable relevance in the literature. A large range of DBS interventions were mapped according to BeSiDe list. There is a need for consensus on a core outcome set across the spectrum of DBS techniques.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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A scoping review of interventions and outcome measures in trials of dental behavior support

Mac Giolla Phadraig,

Ahmad Fisal,

Bird

et al. 2023

Special Care in Dentistry

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“…This modified e‐Delphi study followed a pre‐registered protocol, 14 with one major deviation: the categorization and sorting reported here, were originally protocoled as a separate, standalone study. In the end, both strands unfurled together.…”

Section: Methodsmentioning

confidence: 99%

“…The first step in this process, a review of DBS labels and descriptions was recently published. 11 This modified e-Delphi study, as reported here, is the second step in the process. Specifically, this study aimed to develop consensus in the labels and descriptors used for DBS techniques, and, sort these techniques theoretically, according to their underlying principles of behaviour and learning.…”

mentioning

confidence: 99%

Behaviour support in dentistry: A Delphi study to agree terminology in behaviour management

Mac Giolla Phadraig,

Healy,

Fisal

et al. 2024

Comm Dent Oral Epid

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ObjectivesDental 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.MethodsFollowing 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.ResultsThe 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.DiscussionExperts 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.

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The effect of a cognitive behavioural intervention package on peripheral venous cannulation pain, fear and anxiety in Paediatric patients: A randomised controlled trial

Demir Imamoglu,

Aytekin Ozdemir

2024

Journal of Pediatric Nursing

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Labels and descriptions of dental behaviour support techniques: A scoping review of clinical practice guidelines

Cited by 5 publications

References 50 publications

A scoping review of interventions and outcome measures in trials of dental behavior support

A scoping review of interventions and outcome measures in trials of dental behavior support

Behaviour support in dentistry: A Delphi study to agree terminology in behaviour management

The effect of a cognitive behavioural intervention package on peripheral venous cannulation pain, fear and anxiety in Paediatric patients: A randomised controlled trial

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