Nonpharmacological techniques to support patients with intellectual developmental disorders to receive dental treatment: A systematic review of Behaviour Change Techniques

Caoimhin Mac Giolla Phadraig*, Koula Asimakopoulou, Blanaid Daly, Isabel Fleischmann, June Nunn

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Citations (Scopus)
130 Downloads (Pure)

Abstract

Aims
To identify the nonpharmacological patient-support techniques (nPSTs) reported, used or recommended for people with intellectual-developmental-disorders (IDD) to receive dental treatment; to identify their active ingredients and evaluate their effectiveness by adopting an existing taxonomy of behavior-change techniques (BCTs).

Methods and results
Following a protocol, a search strategy was undertaken using Medline, Embase, Cochrane Library, Scopus, Cinahl, and Psychinfo (EBSCO). Selection criteria were applied, with review and extraction in duplicate. A comprehensive list of nPSTs were identified and coded by their constituent behavior-change techniques (BCTs), where BCT-taxonomy-Version-1 criteria were satisfied. Quality assessment was undertaken and effectiveness of BCTs reported. From 915 screened articles, 23 were included. In 207 instances nPSTs were identified, representing 46 distinct nPST techniques, such as positive-reinforcement (n = 18) and tell-show-do (n = 9). Of the 207 nPST codes, 135 were coded as BCTs (65.2%). The most commonly coded BCT was demonstration of the behavior (BCT6.1; n = 25). Considering studies of interventions (n = 11), all were at moderate to critical risk of bias. No interventions or outcome measures were comparable across studies.

Conclusion
This is the first review to bring together techniques dentists use in practice and theory-driven BCTs. A significant overlap between nPSTs and BCTs was evident supporting the use of BCT taxonomy to code dental interventions. No strong evidence supporting any intervention was identified.
Original languageEnglish
Pages (from-to)10-25
Number of pages16
JournalSPECIAL CARE IN DENTISTRY
Volume40
Issue number1
Early online date21 Nov 2019
DOIs
Publication statusPublished - 1 Jan 2020

Keywords

  • behavior change technique
  • behavior management
  • dental treatment
  • intellectual disability

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