Institute of Clinical Dentisty, Faculty of Dentistry, University of Oslo, Oslo, Norway.
University of Oslo Library, University of Oslo, Oslo, Norway.
Clin Exp Dent Res. 2022 Aug;8(4):807-826. doi: 10.1002/cre2.548. Epub 2022 Apr 9.
Understanding the psychological mechanisms that moderate oral hygiene self-care behavior is anticipated to benefit efforts to change such behavior. Top-down self-regulatory (TSR) processes represent one group of relatively unexplored, yet potentially influential, moderating factors. This systematic scoping review aims to explore whether there is evidence that TSR processes moderate oral hygiene self-care engagement within the current literature.
CINAHL, The Cochrane Library, Embase, MEDLINE, PsycINFO, Scopus, and Web of Science databases were searched up to April 2020 for articles that compared measures of TSR processes (such as self-monitoring, inhibitory control, and task switching) to oral hygiene self-care behavior, or tested interventions that aimed to change or support TSR processes.
The search returned 6626 articles, with 25 included in the final sample. Weak evidence supported both the role of TSR processes as moderators of interdental cleaning and the value of interventions targeting self-monitoring of interdental cleaning behavior. Overall, methodological limitations rendered the findings somewhat inconclusive, with an absence of objective assessments of TSR capacity, and little focus on TSR processes as moderators of intervention effects.
The inconclusive, but reasonably promising, findings point to the value of continuing to apply TSR processes within studies of oral hygiene behavior. Exploring why interdental cleaning appears more reliant on TSR processes than toothbrushing, employing objective neuropsychological assessment, and measuring TSR constructs within interventions targeting TSR processes, are encouraged. As a scoping review, the study hopes to generate interest and serve as a starting point for further investigation.
理解调节口腔卫生自我保健行为的心理机制，预计将有助于改变这种行为。自上而下的自我调节（TSR）过程代表了一组相对未被探索但潜在有影响力的调节因素。本系统范围综述旨在探讨目前文献中是否有证据表明 TSR 过程调节口腔卫生自我保健参与。
截至 2020 年 4 月，在 CINAHL、考科兰图书馆、Embase、MEDLINE、PsycINFO、Scopus 和 Web of Science 数据库中搜索比较 TSR 过程（如自我监测、抑制控制和任务转换）措施与口腔卫生自我保健行为的文章，或测试旨在改变或支持 TSR 过程的干预措施。
搜索返回了 6626 篇文章，其中 25 篇被纳入最终样本。弱证据支持 TSR 过程作为牙间清洁的调节因素的作用，以及针对牙间清洁行为自我监测的干预措施的价值。总体而言，方法学限制使得研究结果有些不确定，缺乏对 TSR 能力的客观评估，也很少关注 TSR 过程作为干预效果的调节因素。
虽然结论不确定，但结果相当有希望，这表明在口腔卫生行为研究中继续应用 TSR 过程具有价值。鼓励在研究中探索为什么牙间清洁似乎更依赖于 TSR 过程而不是刷牙，使用客观的神经心理学评估，并在针对 TSR 过程的干预措施中测量 TSR 结构。作为一个范围综述，该研究希望引起兴趣并作为进一步研究的起点。
