1. Self-management programmes in temporomandibular disorders
- Author
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Jimmy Steele, Karen G. Raphael, Jean-Paul Goulet, Frank Lobbezoo, Richard Ohrbach, Lene Baad-Hansen, Thomas List, Justin Durham, Eric L. Schiffman, Christopher C. Peck, Matthew Breckons, Ambrosina Michelotti, Donald R. Nixdorf, W. Story, M. Al-Baghdadi, Durham, J, Al Baghdadi, M, Baad Hansen, L, Breckons, M, Goulet, J. P, Lobbezoo, F, List, T, Michelotti, Ambrosina, Nixdorf, D. R, Peck, C. C, Raphael, K, Schiffman, E, Steele, J. G, Story, W, Ohrbach, R., ACTA, Orale Kinesiologie (ORM, ACTA), Academic Centre for Dentistry Amsterdam, and Oral Kinesiology
- Subjects
medicine.medical_specialty ,self-management ,Consensus ,Delphi Technique ,conservative management ,Alternative medicine ,Delphi method ,temporomandibular disorders ,Thermal therapy ,temporomandibular disorder ,Odontologi ,Terminology ,03 medical and health sciences ,0302 clinical medicine ,Consistency (negotiation) ,Delphi proce ,Patient Education as Topic ,Facial Pain ,Delphi technique ,self-care ,medicine ,temporomandibular joint disorders ,Humans ,General Dentistry ,Medical education ,Self-management ,Principal (computer security) ,030206 dentistry ,Temporomandibular Joint Disorders ,Exercise Therapy ,Self Care ,Dentistry ,Delphi process ,Psychology ,Construct (philosophy) ,030217 neurology & neurosurgery - Abstract
Self-management (SM) programmes are commonly used for initial treatment of patients with temporomandibular disorders (TMD). The programmes described in the literature, however, vary widely with no consistency in terminology used, components of care or their definitions. The aims of this study were therefore to construct an operationalised definition of self-management appropriate for the treatment of patients with TMD, identify the components of that self-management currently being used and create sufficiently clear and non-overlapping standardised definitions for each of those components. A four-round Delphi process with eleven international experts in the field of TMD was conducted to achieve these aims. In the first round, the participants agreed upon six principal concepts of self-management. In the remaining three rounds, consensus was achieved upon the definition and the six components of self-management. The main components identified and agreed upon by the participants to constitute the core of a SM programme for TMD were as follows: education; jaw exercises; massage; thermal therapy; dietary advice and nutrition; and parafunctional behaviour identification, monitoring and avoidance. This Delphi process has established the principal concepts of self-management, and a standardised definition has been agreed with the following components for use in clinical practice: education; self-exercise; self-massage; thermal therapy; dietary advice and nutrition; and parafunctional behaviour identification, monitoring and avoidance. The consensus-derived concepts, definitions and components of SM offer a starting point for further research to advance the evidence base for, and clinical utility of, TMD SM.
- Published
- 2016