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Randomized Controlled Trial
. 2013 Feb 23:13:13.
doi: 10.1186/1472-6831-13-13.

Cluster-randomized trial of a web-assisted tobacco quality improvement intervention of subsequent patient tobacco product use: a National Dental PBRN study

Thomas K Houston  1 , Kathryn L Delaughter, Midge N Ray, Gregg H Gilbert, Jeroan J Allison, Catarina I Kiefe, Julie E Volkman; National Dental PBRN Collaborative Group
Affiliations
Randomized Controlled Trial

Cluster-randomized trial of a web-assisted tobacco quality improvement intervention of subsequent patient tobacco product use: a National Dental PBRN study

Thomas K Houston et al. BMC Oral Health. .

Abstract

Background: Brief clinician delivered advice helps in tobacco cessation efforts. This study assessed the impact of our intervention on instances of advice given to dental patients during visits on tobacco use quit rates 6 months after the intervention.

Methods: The intervention was cluster randomized trial at the dental practice level. Intervention dental practices were provided a longitudinal technology-assisted intervention, oralcancerprevention.org that included a series of interactive educational cases and motivational email cues to remind dental provides to complete guideline-concordant brief behavioral counseling at the point of care. In all dental practices, exit cards were given to the first 100 consecutive patients, in which tobacco users provided contact information for a six month follow-up telephone survey.

Results: A total of 564 tobacco using dental patients completed a six month follow-up survey. Among intervention patients, 55% reported receiving advice to quit tobacco, and 39% of control practice patients reported receiving advice to quit tobacco (p < 0.01). Six-month tobacco use quit rates were not significantly between the Intervention (9%) and Control (13%) groups, (p = 0.088).

Conclusion: Although we increased rates of cessation advice delivered in dental practices, this study shows no evidence that brief advice by dentist's increases long-term abstinence in smokers.

Trial registration: ClinicalTrials.gov NCT00627185.

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References

    1. From the Centers for Disease Control and Prevention. Prevalence of current cigarette smoking among adults and changes in prevalence of current and some day smoking--United States, 1996–2001. JAMA. 2003;289(18):2355–2356. May 14. - PubMed
    1. National Institutes of Health, state-of-the-science conference statement on tobacco Use: prevention, cessation, and control. NIH Consens State Sci Statements. 2006;23(3):1–26. - PubMed
    1. Stead LF, Bergson G, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst Rev. 2008. p. CD000165. - PubMed
    1. Shelley D, Anno J, Tseng TY. Implementing tobacco use treatment guidelines in public health dental clinics in New York City. J Dent Educ. 2011;75(4):527–533. - PubMed
    1. Albert D, Ward A, Ahluwalia K, Sadowsky D. Addressing tobacco in managed care: a survey of dentists’ knowledge, attitudes, and behaviors. Am J Public Health. 2002;92(6):997–1001. doi: 10.2105/AJPH.92.6.997. - DOI - PMC - PubMed

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