Little S J, Stevens V J, Severson H H, Lichtenstein E
J Dent Hyg. 1992 May;66(4):185-90.
This study was designed to test the effectiveness of a smokeless tobacco (ST) intervention delivered in the oral healthcare office setting. A total of 518 male ST users were identified by questionnaire in clinic waiting rooms and then randomly assigned to either a usual-care control group or a special intervention group. Dental hygienists took the primary role in delivering the intervention, which consisted of a soft-tissue examination with special attention to oral lesions, advice to quit ST, distribution of self-help materials, a short video on why and how to stop using smokeless tobacco, and encouragement to set a quit date. Follow-up assessments conducted three months after the office visit showed that a significantly greater proportion of intervention group patients had stopped using ST (32% of the intervention group participants versus 21% of control group patients, kappa 2 = 8.03, p less than .01). The intervention protocol is described in detail so that dental hygienists may adapt it for use in their practice.
本研究旨在测试在口腔保健机构环境中实施的无烟烟草（ST）干预措施的有效性。通过在诊所候诊室进行问卷调查，共识别出518名男性ST使用者，然后将他们随机分配到常规护理对照组或特殊干预组。牙科保健员在实施干预措施中起主要作用，干预措施包括软组织检查并特别关注口腔病变、劝诫戒烟、发放自助材料、播放关于为何以及如何停止使用无烟烟草的短视频，以及鼓励设定戒烟日期。在就诊后三个月进行的随访评估显示，干预组中停止使用ST的患者比例显著更高（干预组参与者的32%，对照组患者的21%，卡方 = 8.03，p < 0.01）。详细描述了干预方案，以便牙科保健员可将其调整用于自己的实践。
