Self-care Education Research Articles

The Effect of Flipped Learning Method on Self-care of Patients with Type 2 Diabetes

Background: One of the reasons for the lack of success and desired treatment results in diabetic patients is their lack of participation in treatment. Diabetes self-care education is a key factor in the prevention and treatment of diabetes, which is effective in improving the patient’s quality of life (QoL) and cost reduction. Objectives: This study aimed to determine the effect of the flipped learning method on the self-care of patients with type-2 diabetes referred to the Diabetes Clinic of Bu-Ali Hospital in Zahedan. Methods: A semi-experimental study was conducted on 114 diabetic patients. The participants were randomly divided into intervention and control groups, and a pre-test was administered. The self-care of diabetes index (SCODI), 40 items, was completed before and after the intervention by the research samples. The flipped learning program was conducted as an intervention in five sessions for patients in the intervention group, and a post-test was administered two months after the completion of the educational intervention. The obtained data were analyzed by SPSS 26. The significance level was considered less than 0.05. Results: Two months after the flipped learning intervention, the findings showed more positive changes in the flipped learning method in increasing the patients’ self-care in the intervention group (P > 0.001). The mean score of self-care and its variations mean was significantly higher in the intervention group in the post-test than in the control group (P = 0.001). Conclusions: Implementing flipped learning positively affects increasing self-care in diabetic patients. It seems that the implementation of such programs can play an effective role in the treatment and prevention of type-2 diabetes complications.

The effect of a web-based self-care instruction on symptom experience and quality of life in living liver donors: A randomized controlled trial

ObjectiveLiving liver donors need help to manage symptom distress and improve their quality of life. This study aims to test the effectiveness of a web-based symptom self-care instruction on symptom experience and health-related quality of life of living liver donors. MethodsThis study was a randomized controlled trial. Participants were recruited from January 2019 to August 2020. Participants in the experimental group had access to a web-based symptom self-care instruction, which included text and video. The control group received routine care. The primary outcomes were symptom distress and quality of life. ResultsA total of 90 living liver donors recruited in this study were assigned randomly to the web group (n = 46) and control group (n = 44). The symptom distress was significantly negatively correlated with quality of life at each data collection time. There was an interaction effect with the participants in the web group experiencing more symptom distress at three months after surgery than the control group (B = 3.616, 95% CI: 7.163–3.990, p = 0.046). There was no significant effect on the quality of life. ConclusionPatients in the web-based self-care group had higher symptom distress than those in the control group three months after surgery, but there was no difference in quality of life. Future studies could add some interactive elements to the website and include a larger sample size. RegistrationThis study was registered at the Chinese Clinical Trial Registry (ChiCTR1900020518).

Nurses' role in the health education process against falls in parkinsonian elderly

Objective: To analyze the role of the nurse in the education and promotion of self-care in Parkinsonian elderly patients. Method: This is an integrative review study, carried out through a survey of data in the scientific bases: LILACS, SCIELO and MEDLINE. Results: Nine studies were selected for the research discussion. Discussion: Home health care is defined as providing services to patients at home. Care starts with the personal, initially through activities of daily living, such as personal hygiene, nutrition, exercise, clothing, as well as through guidelines for dressing and administering medications as needed. Care for the elderly is observed, carried out at home by relatives who normally do not receive the necessary training. Final Considerations: Nurses must implement a care system that describes all the necessary care procedures for patients, allow other team members to implement and monitor the patient's development and encourage self-care at each stage of the disease.

Construct Validity and Item Discrimination of The Diabetes Foot Self-Care Behavior Scale in Patients with Type-2 Diabetes

Background: This study was planned to test the construct validity of the Turkish version of the Diabetes Foot Self-Care Behavior Scale (DFSBS) in patients with type-2 diabetes. Method: 119 type-2 diabetic patients (57 women; 62 men) with a mean age of 53.3±4.7 years were included in this study. The forward-backward translation of the DFSBS was conducted for translation from English to Turkish according to the methodology outlined by Beaton. The World Health Organization Well-being Questionnaire-22 (WBQ-22) and Nottingham Health Profile (NHP) were administered to the participants along with the DFSBS. Results: For convergent construct validity analysis, the correlations between the DFSBS score and WBQ-22 (r=0.639, p<0.001) and NHP total score (r=-0.200, p<0.029) were calculated with the Pearson correlation coefficient. The discriminative construct validity analysis showed that there is no difference between men and women in terms of scale scores. The exploratory factor analysis results showed that 75% of the total variance is explainable by two factors. The fit between the factor structure of the Turkish version and the original version was adequate as shown by the confirmatory factor analysis. Additionally, item discriminative power analysis showed that all items were able to discriminate ‘high’ and ‘low’ responses. Conclusion: The DFSBS is a rare scale that can assess and measure diabetic foot self-care behaviors in a person-centered approach with satisfactory construct validity. This scale can be used to assess self-care behaviors, plan interventions and education programs with diabetic foot clients.

An Online Module to Promote Self-Care and Resiliency in Nursing Students.

Because the demands of nursing education can impact the physical and mental health of nursing students, the American Association of Colleges of Nursing's revised Essentials require inclusion of self-care and resilience education in nursing curricula. This article describes the development, implementation, and evaluation of a self-care module in a new online undergraduate course. Using the REST mnemonic (relationships, exercise, soul, and transformative thinking), students developed personalized self-care plans for the semester. End-of-course evaluations revealed an increase in self-care activities. The most used activities were exercise, humor, intentional rest, and healthy eating.

Impact on Health-Related quality of life after wearing compression garment or not for six months in women with mild breast cancer-related arm lymphedema. A cross-sectional study

Background Women with mild breast cancer-related arm lymphedema (BCRAL) mostly receive treatment with compression garments and instructions in self-care to prevent the progression of lymphedema. However, wearing a compression garment may be experienced as negative and may affect health-related quality of life (HRQOL) more than the lymphedema itself. The aim of this study was to investigate if there is a difference in lymphedema-specific HRQOL, between women with mild BCRAL wearing compression garments or not for 6 months. Material and methods Participants with mild BCRAL (Lymphedema relative volume <10%) rated their HRQOL by the Lymphedema Quality of Life Inventory (LyQLI), 6 months after diagnosis and being randomized to compression group (CG) or non-compression group (NCG). Both groups received self-care instructions, and the CG was treated with a standard compression garment, compression class 1. Data from 51 women (30 in the CG and 21 in the NCG), were analyzed. Results Both the CG and the NCG experienced a low negative impact on HRQOL in physical, psychosocial, and practical domains (score <1). However, the CG experienced a higher negative impact on median HRQOL in the practical domain compared to the NCG, 0.23/0.08 respectively, (p = 0.026). In the specific items, more participants in the CG reported a negative impact on HRQOL compared to the NCG in employment activities 23%/0%, (p = 0.032), embarrassment by lymphedema/compression garments 33%/5%, (p = 0.017), feeling discomfort/embarrassment while doing sports and hobbies 30%/5%, (p = 0.034) and having to answer questions about the lymphedema 27%/0% (p = 0.015). Conclusion Overall, the lymphedema-specific HRQOL was high after 6 months in women with mild lymphedema, with only a minor difference between the groups. Some women may however perceive practical and emotional issues with the compression garment. These aspects should be considered in patient education and when planning/evaluating treatment. Trial registration: ISRCTN51918431

Sleep and sleep knowledge among social work students: Implications for mental health and self-care education

ABSTRACT Obtaining good quality sleep is crucial to mental health. Social work students might be particularly vulnerable to mental health challenges and insufficient sleep, which can have important implications for self-care education. Examining social work students’ sleep characteristics (i.e. sleep duration and sleep quality) and health knowledge gaps can provide an important context for promoting healthy sleep among social work students. Nonetheless, the empirical literature lacks such data. The purpose of this study was to employ a sample of undergraduate and graduate social work students to: 1. assess sleep duration and sleep quality; 2. quantitatively and qualitatively examine knowledge about sleep and healthy sleep behaviors; and 3. identify sleep health knowledge gaps. Twenty-five social work students completed validated assessments and participated in a semi-structured focus group. Quantitative and qualitative data highlight poor sleep duration, poor sleep quality, and sleep health knowledge gaps among this population. Data also reveal that while students recognize the importance of sleep, they have difficulty obtaining adequate sleep due to various contextual constraints. These data support the importance of including sleep health in self-care education among social work students and highlight sleep health knowledge gaps that could be integrated into self-care education.

Automatic inference of hypoglycemia causes in type 1 diabetes: a feasibility study.

Hypoglycemia is the most common adverse consequence of treating diabetes, and is often due to suboptimal patient self-care. Behavioral interventions by health professionals and self-care education helps avoid recurrent hypoglycemic episodes by targeting problematic patient behaviors. This relies on time-consuming investigation of reasons behind the observed episodes, which involves manual interpretation of personal diabetes diaries and communication with patients. Therefore, there is a clear motivation to automate this process using a supervised machine learning paradigm. This manuscript presents a feasibility study of automatic identification of hypoglycemia causes. Reasons for 1885 hypoglycemia events were labeled by 54 participants with type 1 diabetes over a 21 months period. A broad range of possible predictors were extracted describing a hypoglycemic episode and the subject's general self-care from participants' routinely collected data on the Glucollector, their diabetes management platform. Thereafter, the possible hypoglycemia reasons were categorized for two major analysis sections - statistical analysis of relationships between the data features of self-care and hypoglycemia reasons, and classification analysis investigating the design of an automated system to determine the reason for hypoglycemia. Physical activity contributed to 45% of hypoglycemia reasons on the real world collected data. The statistical analysis provided a number of interpretable predictors of different hypoglycemia reasons based on self-care behaviors. The classification analysis showed the performance of a reasoning system in practical settings with different objectives under F1-score, recall and precision metrics. The data acquisition characterized the incidence distribution of the various hypoglycemia reasons. The analyses highlighted many interpretable predictors of the various hypoglycemia types. Also, the feasibility study presented a number of concerns valuable in the design of the decision support system for automatic hypoglycemia reason classification. Therefore, automating the identification of the causes of hypoglycemia may help objectively to target behavioral and therapeutic changes in patients' care.

Effect of Educational Intervention Based on Orem's Self-Care Theory on Health Literacy in Patients with Prostate Cancer under Chemotherapy: A Quasi-Experimental Study

Background and Objective: Prostate cancer is one of the most common cancers and the cause of death among men. Health literacy helps the maintenance and promotion of people's health through improving self-care behaviors. Therefore, this study was conducted to determine the effect of educational intervention based on Orem's self-care theory on the health literacy of patients with prostate cancer undergoing chemotherapy in Shiraz, 2019-2020. Materials and Methods: In this quasi-experimental study, 134 patients with prostate cancer and under chemotherapy were randomly divided into two control and experimental groups (n=67 each). The control group received routine training, while the experimental group received educational intervention based on Orem's self-care theory. Data was collected via the Health Literacy Questionnaire and analyzed using SPSS software (version 21). Results: The mean health literacy scores in the experimental and control groups were obtained at 97.14±13.02 and 98.41±14.99 before the intervention and 100.22±14.14 and 146.02±9.09 after the intervention, respectively. There was a significant difference between the two groups only after the intervention (P&lt;0.05). A significant improvement was also observed in the mean health literacy score of the experimental group, compared to before the intervention (P&lt;0.05). The results indicated a significant relationship between mean health literacy scores and education and resource access methods (P&lt;0.05). Conclusion: The self-care education based on Orem's theory increased health literacy in patients with prostate cancer undergoing chemotherapy. Therefore, educational intervention based on Orem's self-care theory is suggested to promote health literacy in these patients.

The effects of self-care education based on the family-centered empowerment model on functional independence and life satisfaction among community-dwelling older adults: A randomized controlled trial

The effects of self-care education based on the family-centered empowerment model on functional independence and life satisfaction among community-dwelling older adults: A randomized controlled trial

Epidemiology of Suicide in the Relief Missions in the Pre-Hospital Emergency System of Mazandaran University of Medical Sciences During 2019-2021

Background: Mazandaran Province is one of the provinces with a high suicide rate. Therefore, this study aimed to determine the epidemiology of relief missions following suicide in the pre-hospital emergency system of Mazandaran University of Medical Sciences. Materials and Methods: This descriptive study was conducted from September 2019 to 2021 in the pre-hospital emergency department of Mazandaran University of Medical Sciences. Statistical information related to the missions carried out after suicide was extracted using the data contained in the emergency national mission form recorded in Asayar software. According to the questionnaire, demographic information including age, gender, accident location, time, method of suicide, as well as mission outcome were extracted. To examine the results, frequency percentage, Mean±SD were used, and to examine the qualitative variables, the Chi-square test, and Fisher’s exact test were used. The collected data were analyzed using SPSS software, version 26 (SPSS Inc., Chicago, IL, USA). A significance level of 0.05 was considered. Results: In this study, 712(53.7%) were men and 615(46.3%) were women. The mean age of patients was 32.12±2.03 years. Fisher›s exact test revealed a statistically significant relationship between age groups and suicide methods (P=0.02). The Chi-square test was used to investigate the relationship between the suicide method and gender. According to the results of this test, a statistically significant relationship was observed between gender and suicide methods (P=0.00). The most common methods of suicide among clients were drug poisoning (32.1%), other cases (30.06%), and self-harm (20.6%), respectively. The highest frequency of suicide attempts occurred between evening and night among 497 people (37.5%) in terms of accident time. Conclusion: Young and productive age groups are among the most vulnerable groups among suicides. Men died about five times more than women after committing suicide in a pre-hospital emergency room. According to the results, more planning is required regarding mental health self-care education in families and schools, implementation of psychological counseling, diagnosis, and prompt treatment in vulnerable groups.

Nursing and caring problems of a patient with gastric cancer - a case study

Gastric cancer is a malignant tumor that originates from the cells of the inner layer of the organ. It is characterized by a long asymptomatic period. The incidence of gastric cancer increases after the age of 50, especially in the male population. The aim of the study was to analyze selected aspects of nursing care provided to a patient after total gastrectomy in the course of gastric cancer. Materials and methods. The study used the case study method and an individual case study of a patient diagnosed with gastric cancer. Results and conclusions. The patient has problems in the biopsychosocial sphere. The role of a nurse in caring for a sick person is comprehensive care, education and preparation for self-care, and above all mental support. Constant monitoring of the patient's health greatly helps to prevent possible complications.

A Study on the Collaborative Experiences of Faculty Members and Students Health-Oriented Transdisciplinary Process: Convergence of Science for Social Accountability

Introduction: Transdisciplinary education is necessary for the improvement of life quality and social sustainable development. The convergence of science also provides the opportunity to achieve this goal through collaborative learning and by crossing imaginary boundaries of various fields of knowledge. This study was part of a project titled "Application of artificial intelligence for developing tools for virtual education and counseling for prevention, diagnosis, treatment and self-care of cardiac patients" The aim was to share the experiences of professors and students participating in this transdisciplinary health oriented activity.&#x0D; Methods: We used a qualitative method in this study. Purposive sampling and data collection was performed through a focused group discussion session and three individual semi-structured interviews. The process of data analysis was based on the Granham and Lundman method, and the accuracy of our data was examined with Guba and Lincoln criteria.&#x0D; Results: The participants included 22 students and faculty members of various disciplines of medical sciences, engineering and art. Classes and members of qualitative analysis included "individual development" (self-directed learning, self-confidence, responsibility) and "social development" (transdisciplinary vision, academic leadership and social responsibility).&#x0D; Conclusion: Many of the themes, such as self-directed learning, self-confidence, responsibility and transdisciplinary vision, are hidden curriculum components that students learn through participating in team and problem-solving activities. Interdisciplinary activities are also effective for empowering faculty members in areas like academic leadership and creating a multidisciplinary perspective to respond to the needs of society.

Self-care educational guide for mothers with gestational diabetes mellitus: A systematic review on identifying self-care domains, approaches, and their effectiveness.

Gestational Diabetes Mellitus (GDM) is a common form of poor carbohydrate intolerance, prevalent among pregnant women and associated with unhealthy lifestyle behaviors. Given the dearth of information on self-empowerment among mothers with GDM, a self-care health education package needs to be developed to prevent related complications. This review aimed to identify self-care approaches, domains, and their effectiveness for a proper self-care educational guide package for women with GDM. A systematic review using electronic literature databases published between January 2016 and December 2022 was conducted. Web of Science, Scopus, and Ovid databases were used. This review utilized the PICO (Population, Intervention, Comparison, and Outcomes) framework to screen the retrieved articles for eligibility in which mothers with GDM, educational materials, standard practice or intervention, and effectiveness were considered the PICO, respectively. The CIPP (Context, Input, Process, Product) model served as a framework for adopting the education development model. Mixed methods appraisal tool was used for quality assessment. Data extraction and synthesis without meta-analysis were presented as evidence tables. A total of 19 articles on GDM were included in the final analysis (16 Intervention studies, two qualitative studies, and one mixed-methods study). Four broad domains emerged from the analysis: 1) information or knowledge of GDM, 2) monitoring of blood glucose levels, 3) practice of healthy lifestyles, and 4) other non-specific activities. The majority of the articles employed a face-to-face approach in executing the educational group sessions, and most studies disclosed their positive effects on GDM management. Other methods of evaluating intervention effectiveness were described as improved self-care behavior, increased satisfaction score, enhanced self-efficacy, good glucose control, and better pregnancy outcome. Knowledge or information about GDM, healthy diet, and exercise or physical activity was found to be the most applied domains of intervention. Framework domains based on the present review can be used in the future development of any interventional program for GDM women in enhancing health information reaching the targeted group in promoting self-efficacy. CRD42021229610.

Impact of Self-care Education on Self-efficacy and Quality of Life of Late Adolescents With Congenital Heart Disease

Background: Self-care of adolescents with congenital heart disease (CHD) is one of the challenges of the health care system. CHD is a common chronic disease that affects the quality of life (QoL) and self-efficacy of adolescents. This study compares the effectiveness of self-care education by face-to-face method and video clip (VC) on self-efficacy and QoL in late adolescents with CHD. Methods: This research was a non-randomized clinical trial. A total of 111 late adolescents aged 18 to 21 years with CHD referred to Rajaie Cardiovascular, Medical, and Research Center in Tehran, Iran, were recruited by convenience sampling and non-randomly assigned to either control, face-to-face (F2F), or VC groups (37 subjects in each group). The F2F group participated in two educational sessions (each lasted 35-45 minutes) with an interval of one week, and the VC group received a 90-minute video to watch at home. The study data were collected before (T1) and two months after the intervention (T2), using the Generalized Self-Efficacy (GSE) scale and World Health Organization’s Quality of Life Questionnaire (WHOQOL-BREF) and analyzed in SPSS version 19 software using the Chi-square test, Fisher test, paired t test, Scheffé test, and ANOVA. The significance level was set at P&lt;0.05. Results: Before the intervention, demographic variables, self-efficacy, and QoL were not significantly different in the three groups. The self-efficacy significantly increased in the F2F (P&lt;0.004) and VC groups (P&lt;0.031) at T2. Furthermore, QoL dimensions significantly improved in the F2F and VC groups (P&lt;0.05), except for the environment dimension (P&gt;0.05). Conclusion: Self-care education through F2F and VC significantly affects the self-efficacy and QoL of late adolescents. Such educational programs can greatly reduce the possible complications of the disease by empowering this group.

The effect of telenursing education of self-care on health-promoting behaviors in patients with multiple sclerosis during the COVID-19 pandemic: A clinical trial study.

Multiple sclerosis is associated with decrease in health-promoting behaviors (HPBs) and require appropriate nursing interventions. Telenursing can play an important role in education of patients during the COVID-19 pandemic in which face-to-face education is limited. This study aimed to investigate the effect of self-care education with telenursing approach on HPBs in patients with MS. In this clinical trial, 68 patients with MS were selected using simple random sampling from Jahrom MS Society and randomly assigned to the intervention (n=34) and control (n=34) groups. In the intervention group, educational sessions were held three days a week for six weeks. Data were collected using demographic information and Walker's Health-Promoting Lifestyle questionnaires before and immediately after the intervention. Data were analyzed by Mann-Whitney and Wilcoxon tests using SPSS software (Ver. 21). Based on the findings, immediately after the intervention, the mean score of HPBs was significantly higher (p=0.005) in the intervention group (145.38±26.66) than the control group (129.18±22.35). The means of nutrition, exercise, health responsibility, and stress management were significantly different between the intervention and control groups immediately after the intervention (p < 0.05). results this study indicated that self-care education with telenursing approach was effective on HPBs in patients with MS. It can be beneficial to employ as an educative-supportive approach in MS patients.

Using Orem’s Self-Care Model to Measure the Quality of Life of Patients With Heart Failure: A Systematic Review

Background and Objectives: Heart Failure (HF) can cause poor quality of life (QoL). Self-care can lead to desirable outcomes in health. Orem’s self-care model is one of the methods that include patients in care and emphasizes self-care. This study aims to review various studies used Orem’s self-care model to assess the QoL of HF patients. Methods: This is a systematic review study that was conducted from October to December 2021. The search was conducted in Web of Science, MagIran, Irandoc, IranMedex, Information Database Scientific (SID), Scopus, Cochran, Google Scholar and PubMed databases for related studies in both Persian and English without time limit using the keywords heart failure, self-care, Orem, and QoL in Persian and English with “AND” and “OR” operators. The Critical Appraisal Skills Programme Checklist was used to check the quality of articles. Finally, of 865837 found articles,12 eligible articles were reviewed. Results: Based on Orem’s self-care model, the QoL of patients with HF was at a moderate level. QoL was significantly associated with age, gender, number of children, level of education, occupation, living in an urban area, ejection fraction, length of hospital stay, recreational activities, self-care behaviors, self-care education, management, self-confidence, functional capacity, underlying diseases, comorbidity, depression, anxiety, and personality type D. Conclusion: Considering the positive effect of using Orem’s self-care model on the QoL of patients with HF, health care providers are recommended to use this model to improve the QoL of patients with HF.

Effect of Education Using Booklet Media on Low Salt Diet Compliance and Fluid Restriction in Congestive Heart Failure Patients

Some patients with heart failure do not adequately follow self-care instructions, including a low-salt diet and fluid restriction. This study aimed to determine the effect of education using booklet media on the average score of adherence to a low-salt diet and fluid restriction in heart failure patients. This type of research is quasi-experimental, with the number of respondents as many as 76 people at the Sebelas Maret University Hospital, Surakarta. Data collection used a non-probability sampling method with a purposive sampling technique. The difference in the average score of low-salt diet adherence pretest-posttest in the intervention group used the Wilcoxon sign rank test, the mean value was -5.868 (p = 0.001), and in the control group, the mean was 0.316 with p 0.111. The difference in the average score of adherence to fluid restriction pretest-posttest in the intervention group used the paired sample test, the mean value was -7.289 (p = 0.001), and the control group used the Wilcoxon sign rank test, the mean value was -0.263 (p 0.095). This study concludes that there is an effect of education using booklet media on the average score of adherence to a low salt diet and fluid restriction in the intervention group. There was no difference in the mean score of adherence to a low-salt diet and fluid restriction in the control group. Suggestions for further research are for further researchers to test the instrument's validity for the tool to be used.

The Effect of Culturally Appropriate Self-Care Intervention on Health Literacy, Health-Related Quality of Life and Glycemic Control in Iranian Patients with Type 2 Diabetes: A Controlled Randomized Clinical Trial.

Cultural and language differences are necessary factors for diabetes management and self-care education programs in patients suffering from diabetes. This study aims to investigate the effectiveness of culture-based self-care intervention on health literacy, quality of life, and glycemic parameters in patients with type 2 diabetes. This randomized clinical trial has been carried out in selected centers in Darreh Shahr, Iran; 80 participants were randomly assigned into intervention and control groups. The intervention group received an educational program for 6 sessions twice a week, but the control group only received routine services. Data were collected using health literacy and life quality scales for diabetic patients, which were completed by both groups before, immediately after, and 3 months after the intervention; hemoglobin A1C (HbA1c) was checked before and 3 months after the intervention. SPSS software was also analyzed data using χ2, Fisher's exact, independent t, and repeated measures analysis of variance tests. There were no significant differences between the 2 groups before the study (p >0.05) goes forward. But, mean scores of health literacy (F2,40 = 5.61, p =0.007), quality of life (F2, 40 = 4.09, p =0.01), and HbA1c levels (t, 39 = 6. 91, p <0.001) have shown significant differences between the 2 groups immediately and 3 months after the intervention have been applied. Culturally appropriate intervention should be offered as a part of the nurse' care program for diabetic to control HbA1c, and improve their life quality and health literacy.

Periodontal Management in Periodontally Healthy Orthodontic Patients with Fixed Appliances: An Umbrella Review of Self-Care Instructions and Evidence-Based Recommendations.

The present umbrella review aimed to characterize periodontal self-care instructions, prescriptions, and motivational methods; evaluate the associated periodontal outcomes; and provide integrated, evidence-based recommendations for periodontal self-care in periodontally healthy orthodontic patients with fixed appliances. The presently applied study protocol was developed in advance, compliant with the PRISMA statement, and registered on PROSPERO (CRD42022367204). Systematic reviews published in English without date restrictions were electronically searched until 21 November 2022 across the PROSPERO Register and Cochrane Library, Web of Science (Core Collection), Scopus, and MED-LINE/PubMed databases. The study quality assessment was conducted through the AMSTAR 2 tool. Seventeen systematic reviews were included. Powered and manual toothbrushes showed no significant differences in biofilm accumulation, although some evidence revealed significant improvements in inflammatory, bleeding, and periodontal pocket depth values in the short term with powered toothbrushes. Chlorhexidine mouthwashes, but no gels, varnishes, or pastes, controlled better biofilm accumulation and gingival inflammation as adjuncts to toothbrushing, although only for a limited period. Organic products, such as aloe vera and chamomile, proved their antimicrobial properties, and herbal-based mouthwashes seemed comparable to CHX without its side effects. Motivational methods also showed beneficial effects on periodontal biofilm control and inflammation, while no evidence supported probiotics administration.