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. 2006 Jul;3(3):A96.
Epub 2006 Jun 15.

Tobacco cessation interventions in dental networks: a practice-based evaluation of the impact of education on provider knowledge, referrals, and pharmacotherapy use

Darla Havlicek  1 , Eric Stafne, Nicolaas P Pronk
Affiliations

Tobacco cessation interventions in dental networks: a practice-based evaluation of the impact of education on provider knowledge, referrals, and pharmacotherapy use

Darla Havlicek et al. Prev Chronic Dis. 2006 Jul.

Abstract

Tobacco is a significant risk factor for oral diseases. Dental care providers have the opportunity to inform patients about the risks associated with tobacco use and refer them to tobacco cessation resources. Although dental teams usually ask their patients about their tobacco use, most do not provide tobacco cessation counseling. This project involved four staff-model dental clinics and four contracted network dental clinics. Project goals were to 1) describe current practice patterns of tobacco cessation intervention, 2) increase the use of steps for treatment, known as the 5 As, recommended by the U.S. Public Health Service, 3) increase referrals to a tobacco helpline, and 4) increase use of pharmacotherapy for tobacco dependence treatment. The project included training and program support (e.g., sharing of project data, weekly newsletters, discussion at clinic meetings). Results indicate that this approach to addressing tobacco dependence in a dental clinic setting can effectively change dental provider knowledge and action.

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Figures

Graph
Figure 1
Number of HealthPartners Dental Group members within the four intervention clinics referred by dental staff and enrolled in the HealthPartners tobacco cessation telephone course from November 2001 to June 2003 as measured by telephone helpline data. Dental staff training was held in November 2001.
Graph
Figure 2
Number of dental patients at the four HealthPartners Dental Group (HPDG) pilot clinics and 12 nonpilot clinics (control group) with a prescription written and filled for nicotine replacement therapy or bupropion from November 2001 to June 2003, as measured by pharmacy data. Dental staff training was held in November 2001.
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References

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