VA Bedford Medical Center, Bedford, MA, USA.
BMC Oral Health. 2013 Feb 23;13:13. doi: 10.1186/1472-6831-13-13.
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.
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.
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).
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.
ClinicalTrials.gov NCT00627185.
简短的临床医生提供的建议有助于戒烟工作。本研究评估了我们的干预措施对牙科患者就诊时吸烟使用情况建议的影响，以及干预后 6 个月的戒烟率。
该干预措施是在牙科实践层面进行的集群随机试验。干预牙科诊所提供了纵向技术辅助干预，oralcancerprevention.org 包括一系列互动教育案例和动机电子邮件提示，以提醒牙医在护理点完成与指南一致的简短行为咨询。在所有牙科诊所中，向前 100 名连续患者发放了出口卡，其中吸烟者提供了联系信息，以便进行为期 6 个月的随访电话调查。
共有 564 名吸烟的牙科患者完成了为期 6 个月的随访调查。在干预组患者中，55%的患者报告接受了戒烟建议，而对照组患者中有 39%的患者报告接受了戒烟建议（p<0.01）。干预组（9%）和对照组（13%）的 6 个月吸烟戒烟率无显著差异（p=0.088）。
尽管我们增加了牙科实践中戒烟建议的比例，但本研究并未表明牙医的简短建议能增加吸烟者的长期戒烟率。
ClinicalTrials.gov NCT00627185。
