{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T21:11:28Z","timestamp":1792012288483,"version":"4.4.0"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2016,11,1]],"date-time":"2016-11-01T00:00:00Z","timestamp":1477958400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Self\u2010management (<jats:styled-content style=\"fixed-case\">SM<\/jats:styled-content>) programmes are commonly used for initial treatment of patients with temporomandibular disorders (<jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>). The programmes described in the literature, however, vary widely with no consistency in terminology used, components of care or their definitions. The aims of this study were therefore to construct an operationalised definition of self\u2010management appropriate for the treatment of patients with <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content>, identify the components of that self\u2010management currently being used and create sufficiently clear and non\u2010overlapping standardised definitions for each of those components. A four\u2010round Delphi process with eleven international experts in the field of <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> was conducted to achieve these aims. In the first round, the participants agreed upon six principal concepts of self\u2010management. In the remaining three rounds,\u00a0consensus was achieved upon the definition and the six components of self\u2010management. The\u00a0main components identified and agreed upon by the participants to constitute the core of a <jats:styled-content style=\"fixed-case\">SM<\/jats:styled-content> programme for <jats:styled-content style=\"fixed-case\">TMD<\/jats:styled-content> were as follows: education; jaw exercises; massage; thermal therapy; dietary advice and nutrition; and parafunctional behaviour identification, monitoring and avoidance. This Delphi process has established the principal concepts of self\u2010management, and a standardised definition has been agreed with the following components for use in clinical practice: education; self\u2010exercise; self\u2010massage; thermal therapy; dietary advice and nutrition; and parafunctional behaviour identification, monitoring and avoidance. The consensus\u2010derived concepts, definitions and components of <jats:styled-content style=\"fixed-case\">SM<\/jats:styled-content> offer a starting point for further research to advance the evidence base for, and clinical utility of, <jats:styled-content style=\"fixed-case\">TMD SM<\/jats:styled-content>.<\/jats:p>","DOI":"10.1111\/joor.12448","type":"journal-article","created":{"date-parts":[[2016,10,13]],"date-time":"2016-10-13T16:14:30Z","timestamp":1476375270000},"page":"929-936","source":"Crossref","is-referenced-by-count":77,"title":["Self\u2010management programmes in temporomandibular disorders: results from an international <scp>D<\/scp>elphi process"],"prefix":"10.1111","volume":"43","author":[{"given":"J.","family":"Durham","sequence":"first","affiliation":[{"name":"Centre for Oral Health Research &amp; Institute of Health and Society Newcastle\u2010upon\u2010Tyne Hospitals\u2019 NHS Foundation Trust Newcastle University Newcastle\u2010upon\u2010Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Al\u2010Baghdadi","sequence":"additional","affiliation":[{"name":"Oral Surgery Unit Al\u2010Noor Specialized Dental Care Centre Iraqi Ministry of Health Baghdad Iraq"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Baad\u2010Hansen","sequence":"additional","affiliation":[{"name":"Section\u00a0of Orofacial Pain and Jaw Function Institute of Odontology and Oral Health Aarhus University Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Breckons","sequence":"additional","affiliation":[{"name":"Institute of Health &amp; Society Newcastle University Newcastle\u2010upon\u2010Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. P.","family":"Goulet","sequence":"additional","affiliation":[{"name":"Faculty of Dental Medicine Universit\u00e9 Laval Quebec QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Lobbezoo","sequence":"additional","affiliation":[{"name":"Department of Oral Health Sciences Academic Centre for Dentistry Amsterdam (ACTA) MOVE Research Institute Amsterdam University of Amsterdam and VU University Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"List","sequence":"additional","affiliation":[{"name":"Department of Orofacial Pain and Jaw Function Scandinavian Center for Orofacial Neurosciences (SCON) Faculty of Odontology Malm\u00f6 University Malm\u00f6 Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Michelotti","sequence":"additional","affiliation":[{"name":"Section\u00a0of Orthodontics Department of Neuroscience, Reproductive and Oral Sciences University of Naples Federico II Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. 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