Internet‐Based Behavioural Therapy for Adolescents With Temporomandibular Disorder Pain: A Feasibility Multicenter Randomised Controlled Trial.
Background: Temporomandibular disorder (TMD) pain in adolescents is common, has a negative impact on quality of life, and is a predictor of pain in young adulthood. A common and symptomatic treatment is occlusal appliance therapy (OAT). Internet‐based behavioural therapy (IBT) is a novel, multimodal...
| Published in: | Journal of Oral Rehabilitation Vol. 52; no. 9; pp. 1275 - 1288 |
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| Main Authors: | , , , |
| Format: | research tables/charts randomized controlled trial Journal Article |
| Published: |
Wiley-Blackwell
Sep2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188365689&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188365689 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0305182X ERZ jtl: Journal of Oral Rehabilitation issn: 0305182X maglogo: Y pubinfo: dt: Sep2025 vid: 52 iid: 9 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 188365689 184592771 188365689 188365689 10.1111/joor.13976 188365689 ppf: 1275 ppct: 13 formats: tig: atl: Internet‐Based Behavioural Therapy for Adolescents With Temporomandibular Disorder Pain: A Feasibility Multicenter Randomised Controlled Trial. aug: au: Bijelic, Tessa Nilsson, Ing‐Marie List, Thomas Ekberg, EwaCarin affil: Department of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö University, Malmö, Sweden sug: subj: Internet-Based Intervention Behavior Therapy Temporomandibular Joint Diseases Therapy Pain Management Patient Compliance Evaluation Treatment Outcomes Orthodontic Appliances Utilization Patient Centered Care Self-Management Human Funding Source Pilot Studies Multicenter Studies Randomized Controlled Trials Random Assignment Pretest-Posttest Control Group Design Comparative Studies Dental Care Sweden Adolescence Young Adult Feedback Splints Questionnaires Descriptive Statistics Male Female Scales Checklists T-Tests Chi Square Test Adolescent: 13-18 years Male Female ab: Background: Temporomandibular disorder (TMD) pain in adolescents is common, has a negative impact on quality of life, and is a predictor of pain in young adulthood. A common and symptomatic treatment is occlusal appliance therapy (OAT). Internet‐based behavioural therapy (IBT) is a novel, multimodal, and patient‐centred self‐management therapy for adolescents with TMD pain. Objective: To evaluate the adherence and effect of IBT compared to OAT in adolescents with TMD pain. Methods: Participants were recruited from public dental care and specialist clinics in orofacial pain in Sweden between January 2016 and March 2020. Screening of adolescents, 13–19 years, was performed using three questions for TMD (3Q/TMD). Eligible subjects were examined according to the DC/TMD and randomly allocated to IBT or OAT. The IBT group performed the 7‐week programme online with individualised feedback through phone after each section. The OAT group used a stabilisation splint night time for 3 months. A 3‐month questionnaire follow‐up on pain intensity, pain disability, and psychosocial outcomes was conducted. Results: In total, 52 patients were randomised to IBT and 48 to OAT. There was a low adherence to IBT with a 75% drop‐out. Positive expectations of treatment were significantly (p = 0.001) greater in the OAT group. OAT was related to better outcomes for characteristic pain intensity (p = 0.047) and pain‐related disability (p = 0.049) when compared to IBT. No significant difference within or between the groups regarding the psychosocial outcomes was observed. Conclusions: The current version of IBT was overly comprehensive for adolescents with TMD pain and needs to be revised. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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