Experiences of dental behaviour support techniques: A qualitative systematic review

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Community dentistry and oral epidemiology Pub Date : 2024-04-28 DOI:10.1111/cdoe.12969

Andrew Geddis-Regan, Aisyah Binti Ahmad Fisal, James Bird, Isabel Fleischmann, Caoimhin Mac Giolla Phadraig

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Abstract

Background

Little is known about patients' or carers' reported experiences of dental care provided using dental behaviour support (DBS) techniques. Qualitative literature can provide unique insight into these experiences.

Aim

To explore and synthesize qualitative literature related to patient experience of dental behaviour support.

Methods

A PROSPERO-registered systematic review of qualitative articles was undertaken. Studies were identified through MEDLINE, Embase and PsycINFO. Abstracts were screened by two reviewers and data were extracted to summarize the qualitative findings included within them. A thematic summary approach was used to synthesize the qualitative data identified.

Results

Twenty-three studies were included. Studies primarily explored experiences of dental care of children by speaking to their parents (n = 16), particularly regarding paediatric dental general anaesthesia (DGA) (n = 8). Studies of adults' experiences of DBS (n = 7) covered a range of techniques. Nine studies explored broader dental care experiences and did not study specific DBS approaches. A thematic synthesis identified five themes applicable across the studies identified: Trust and the therapeutic alliance supporting effective care delivery; considered information sharing often alleviated anticipatory anxiety; control and autonomy-reduced anxieties; variations in the perceived treatment successes and failures of DBS techniques; and DBS techniques produced longer positive and negative impacts on patients beyond direct care provision.

Conclusion

Qualitative research has been under-utilized in research on DBS techniques. Care experiences of most DBS techniques outside of paediatric DGA are poorly understood. Building trust with patients and enabling autonomy appear to support positive patient-reported experiences of care.

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牙科行为支持技术的经验：定性系统回顾

背景对患者或护理者报告的使用牙科行为支持（DBS）技术进行牙科治疗的经历知之甚少。目的探索并综合与患者牙科行为支持体验相关的定性文献。方法对定性文章进行了PROSPERO注册的系统性综述。研究通过MEDLINE、Embase和PsycINFO进行识别，由两名审稿人进行筛选，并提取数据以总结其中的定性研究结果。结果共纳入 23 项研究。这些研究主要通过与儿童家长的交谈来探讨儿童牙科护理的经验（16 项），尤其是关于儿科牙科全身麻醉（DGA）的经验（8 项）。关于成人牙科全身麻醉经历的研究（7 项）涵盖了一系列技术。九项研究探讨了更广泛的牙科护理经验，并未研究特定的 DBS 方法。专题综合确定了适用于所有已确定研究的五个主题：信任和治疗联盟支持有效的护理服务；考虑到信息共享通常会减轻预期焦虑；控制和自主减少了焦虑；DBS 技术的治疗成功和失败的感知存在差异；DBS 技术对患者产生的积极和消极影响超出了直接护理服务的范围。除儿科 DGA 外，人们对大多数 DBS 技术的护理经验知之甚少。与患者建立信任并赋予患者自主权似乎有助于患者获得积极的护理体验。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

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.