Counselling for patients with a temporomandibular disorder: A scoping review and concept analysis

• Published in: Journal of oral rehabilitation Vol. 51; no. 11; pp. 2484 - 2497
• Main Authors: Meer, Hedwig A., Wal, Annemarie C., Hinte, Gerben, Speksnijder, Caroline M.
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01-11-2024
• Subjects: concept analysis; Counseling; counselling; Education; Humans; Mastication; Patient Education as Topic; scoping review; temporomandibular disorder; Temporomandibular joint; Temporomandibular joint disorders; Temporomandibular Joint Disorders - physiopathology; Temporomandibular Joint Disorders - psychology; Temporomandibular Joint Disorders - therapy; Thermotherapy; counselling; concept analysis; temporomandibular disorder; scoping review
• ISSN: 0305-182X; 1365-2842; 1365-2842
• DOI: 10.1111/joor.13827

Background
An integral component of comprehensive temporomandibular disorder (TMD) treatment involves what is commonly referred to in literature as patient counselling or patient education. Despite its importance, a clear definition of the concept is lacking.
Objectives
To describe the concept of counselling (i.e. what is it, what should it consist of, and when should it be given) through a concept analysis of the literature.
Eligibility Criteria
All papers that include a description of counselling or education for TMD are included.
Sources of Evidence
Literature searches were performed in the electronic databases PubMed, Cinahl, and PsycInfo.
Charting Methods
A qualitative analysis was done using the principle‐based concept analysis approach, where descriptions of counselling from the included papers were analysed by the researchers.
Results
A total of 71 articles were included. Based on the qualitative analysis of the included articles and descriptions of counselling, the following content themes were identified: (1) general information on TMD; (2) overuse of the masticatory system; (3) posture education; (4) lifestyle and psychosocial factors; (5) exercise‐ and thermotherapy; and (6) additional information and therapies.
Conclusions
A definition and framework of counselling for TMD has been provided, which can be used in the clinic, research, and educational programs.