Supported self‐management in temporomandibular disorders: A systematic review of behavioural components

Abstract

AbstractAimThe aim of this narrative systematic review is to use the behaviour change techniques taxonomy to identify the most frequently used behaviour change techniques in published supported self‐management (SSM) programmes to manage temporomandibular disorder (TMD) in adult patients.Materials and methodsElectronic database and manual searches were undertaken for randomized controlled trials assessing a SSM intervention for TMD. A definition of SSM was constructed from multiple sources and used as a basis for eligibility criteria. The relevant behaviour change technique (BCT) used within each SSM intervention was identified according to the definitions of the behaviour change taxonomy (version1).ResultsTwenty randomized controlled trials were identified as eligible for inclusion in this systematic review. No study tested multiple SSM programmes or tested SSM against no treatment or placebo. There was a wide variety in the number and types of BCTs used within the SSM interventions.ConclusionsEvidence regarding SSM is limited with significant differences identified between SSM programmes. Further research is required to test differing SSM programmes and to test the intervention against no treatment. Improved reporting of methodologies and consensus on the minimum required components to be used within a SSM intervention would improve comparison between studies.