TY - JOUR
T1 - Evaluation of a dental office tobacco cessation program
T2 - Effects on smokeless tobacco use
AU - Andrews, Judy A.
AU - Severson, Herbert H.
AU - Lichtenstein, Edward
AU - Gordon, Judith S.
AU - Barckley, Maureen F.
N1 - Funding Information:
Strong scientific evidence has linked the use of smokeless tobacco (SLT) with cancer of the oral cavity, particularly where the tobacco is kept (1,2). The use of smokeless tobacco has also been related to an increased risk of cancer of the esophagus, larynx, and stomach (3). A recent study reported that 73% of daily smokeless tobacco users had noncancerous and precancerous oral lesions when examined by a dentist or hygienist (4). Despite the known health hazards of smokeless tobacco use, few smokeless tobacco cessation programs have been developed and evaluated (5-8). This article describes a randomized trial designed to evaluate a population-based or public health intervention targeting smokeless tobacco users, as well as smokers, conducted in fee-for-service dental practices. Within the context of the hygiene visit, the hygienist gave the patient brief advice and materials regarding tobacco cessation. As reviewed elsewhere (9), the intervention was not effective in producing cessation for smokers, but produced a 1 Preparation of this manuscript was supported in part by grant #1 RO1 HL48768 from the National Heart, Lung, and Blood Institute.
PY - 1999
Y1 - 1999
N2 - We describe a randomized trial designed to evaluate the effectiveness of a smokeless tobacco cessation intervention delivered by dental hygienists as part of a patient's regularly scheduled cleaning visit. Seventy-five practices were randomized to continue their usual care (n = 25; 239 smokeless tobacco using patients enrolled) or to receive training to provide a tobacco cessation intervention (n = 50; 394 smokeless tobacco using patients enrolled). Patient reports indicated that the training program was successful in getting hygienists to implement the intervention. The intervention produced a strong effect on sustained quitting for smokeless tobacco users but had no impact on secondary outcomes, including unsuccessful quit attempts, future intent to quit using smokeless tobacco, and change in readiness to quit using. Frequency of smokeless tobacco use and receipt of specific components of the intervention, including the video and written materials, predicted sustained cessation. Since this intervention was delivered by dental hygienists as part of a patient's regularly scheduled cleaning visit, it is easily disseminable.
AB - We describe a randomized trial designed to evaluate the effectiveness of a smokeless tobacco cessation intervention delivered by dental hygienists as part of a patient's regularly scheduled cleaning visit. Seventy-five practices were randomized to continue their usual care (n = 25; 239 smokeless tobacco using patients enrolled) or to receive training to provide a tobacco cessation intervention (n = 50; 394 smokeless tobacco using patients enrolled). Patient reports indicated that the training program was successful in getting hygienists to implement the intervention. The intervention produced a strong effect on sustained quitting for smokeless tobacco users but had no impact on secondary outcomes, including unsuccessful quit attempts, future intent to quit using smokeless tobacco, and change in readiness to quit using. Frequency of smokeless tobacco use and receipt of specific components of the intervention, including the video and written materials, predicted sustained cessation. Since this intervention was delivered by dental hygienists as part of a patient's regularly scheduled cleaning visit, it is easily disseminable.
UR - http://www.scopus.com/inward/record.url?scp=0033025945&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0033025945&partnerID=8YFLogxK
U2 - 10.1007/BF02895033
DO - 10.1007/BF02895033
M3 - Article
C2 - 18425654
AN - SCOPUS:0033025945
SN - 0883-6612
VL - 21
SP - 48
EP - 53
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 1
ER -