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Behaviour support in dentistry: A Delphi study to agree terminology in behaviour management
School of Dental Science Trinity College Dublin; Dublin Dental University Hospital Dublin Ireland.ORCID iD: 0000-0002-7797-1126
Trinity College Dublin Lincoln Place Dublin 2 Ireland.
Faculty of Dentistry Universiti Malaya Kuala Lumpur Malaysia.
Faculty of Dentistry University of Toronto Toronto Ontario Canada.
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2024 (English)In: Community Dentistry and Oral Epidemiology, ISSN 0301-5661, E-ISSN 1600-0528Article in journal (Refereed) Epub ahead of print
Abstract [en]

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 DBS is roughly synonymous with behaviour management, which is an outdated concept.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.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024.
Keywords [en]
Delphi technique, anaesthesia, anxiety management, behaviour management, behaviour sciences, dentistry, sedation, taxonomy
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-66512DOI: 10.1111/cdoe.12953ISI: 001189223600001PubMedID: 38516782Scopus ID: 2-s2.0-85189106821OAI: oai:DiVA.org:mau-66512DiVA, id: diva2:1847262
Available from: 2024-03-27 Created: 2024-03-27 Last updated: 2024-04-23Bibliographically approved

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Klingberg, Gunilla

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Mac Giolla Phadraig, CaoimhinNewton, TimAsimakopoulou, KoulaKlingberg, GunillaNorderyd, Johanna
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Community Dentistry and Oral Epidemiology
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