Caoimhin Mac Giolla Phadraig, Olive Healy, Aisyah Ahmad Fisal, Carilynne Yarascavitch, Maria van Harten, June Nunn, Tim Newton, Peter Sturmey, Koula Asimakopoulou, Blánaid Daly, Marie Therese Hosey, Pedro Vitali Kammer, Alison Dougall, Andrew Geddis-Regan, Archana Pradhan, Arlette Suzy Setiawan, Bryan Kerr, Clive S. Friedman, Bryant W. Cornelius, Christopher Stirling, Siti Zaleha Hamzah, Derek Decloux, Gustavo Molina, Gunilla Klingberg, Hani Ayup, Heather Buchanan, Helena Anjou, Isabel Maura, Ilidia Reyes Bernal Fernandez, Jacobo Limeres Posse, Jennifer Hare, Jessica Francis, Johanna Norderyd, Maryani Mohamed Rohani, Neeta Prabhu, Paul F. Ashley, Paula Faria Marques, Shalini Chopra, Sharat Chandra Pani, Susanne Krämer
{"title":"Behaviour support in dentistry: A Delphi study to agree terminology in behaviour management","authors":"Caoimhin Mac Giolla Phadraig, Olive Healy, Aisyah Ahmad Fisal, Carilynne Yarascavitch, Maria van Harten, June Nunn, Tim Newton, Peter Sturmey, Koula Asimakopoulou, Blánaid Daly, Marie Therese Hosey, Pedro Vitali Kammer, Alison Dougall, Andrew Geddis-Regan, Archana Pradhan, Arlette Suzy Setiawan, Bryan Kerr, Clive S. Friedman, Bryant W. Cornelius, Christopher Stirling, Siti Zaleha Hamzah, Derek Decloux, Gustavo Molina, Gunilla Klingberg, Hani Ayup, Heather Buchanan, Helena Anjou, Isabel Maura, Ilidia Reyes Bernal Fernandez, Jacobo Limeres Posse, Jennifer Hare, Jessica Francis, Johanna Norderyd, Maryani Mohamed Rohani, Neeta Prabhu, Paul F. Ashley, Paula Faria Marques, Shalini Chopra, Sharat Chandra Pani, Susanne Krämer","doi":"10.1111/cdoe.12953","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>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 DBS is roughly synonymous with behaviour management, which is an outdated concept.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.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The panel (<i>n</i> = 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.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":10580,"journal":{"name":"Community dentistry and oral epidemiology","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cdoe.12953","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Community dentistry and oral epidemiology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/cdoe.12953","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives
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.
Methods
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.
Results
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.
Discussion
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.
期刊介绍：
The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome.
The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry.
The journal is published bimonthly.
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