Smoking
Conditions
Keywords
Tobacco, Smoking, Smokeless, Cessation, Public health clinic, Dental patients, 5 As, NRT, Tobacco Quit Line, Smokeless tobacco
Brief summary
The study will examine the effectiveness of public health dental practitioners using a brief office based intervention designed to help patients quit smoking or smokeless tobacco use, as compared to usual care.
Detailed description
The prevalence of tobacco use is especially high in lower socioeconomic status (SES) populations in the U.S. Community Health Centers provide comprehensive primary care services, and usually dental services, to large numbers of low-income smokers and smokeless tobacco users. The typical patient has multiple dental visits, which can be used for tobacco cessation advice and counseling by the dental office team. This study builds on a successful pilot study conducted in two public health dental clinics. This study is a randomized clinical trial in which 14 public health dental clinics in Oregon, Mississippi, and New York City were stratified by state, matched within state by racial/ethnic composition, and then randomly assigned to either the Intervention or Usual Care Control condition. In the Intervention Condition, the dental team provided a brief intervention modeled on the 5A's advocated by the Clinical Practice Guideline.
Interventions
BEHAVIORALBrief tobacco counseling
Public health dental professionals provide brief counseling during routine visits based on the Clinical Practice Guidelines 5 As (Ask, Advise, Assess, Assist, Arrange), including offering free Nicotine Replacement Therapy and referral to a Tobacco Quit Line. Pharmacologic: nicotine patch or lozenge maximum 12 week course.
Sponsors
Columbia University
University of Mississippi Medical Center
Oregon Research Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients of participating public health dental clinics * Tobacco users
Exclusion criteria
* Emergency patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is prolonged abstinence at 7.5 months following intervention. | 7.5 months |
Secondary
| Measure | Time frame |
|---|---|
| Reduction in tobacco use at 6 weeks and 7.5 months following intervention. | 6 weeks and 7.5 months |
| Number of quit attempts at 6 weeks and 7.5 months following intervention. | 6 weeks & 7.5 months |
| Increase in readiness to quit at 6 weeks & 7.5 months following intervention. | 6 weeks & 7.5 months |
Countries
United States
Outcome results
None listed