Jennifer B. McClure, Melissa L. Anderson, Paula Blasi, Ella Thompson, and Jennifer Nelson are with the Kaiser Permanente Washington Health Research Institute, Seattle, WA. Terry Bush is with the Optum Center for Wellbeing Research, Seattle. Sheryl L. Catz is with the Betty Irene Moore School of Nursing, University of California, Davis.
Am J Public Health. 2018 May;108(5):689-695. doi: 10.2105/AJPH.2017.304279. Epub 2018 Mar 22.
To assess the effects of a novel oral health promotion program (Oral Health 4 Life; OH4L) delivered through state-funded tobacco quitlines.
Using a semipragmatic design to balance experimental control and generalizability, we randomized US quitline callers (n = 718) to standard care or standard care plus OH4L. We followed participants for 6 months to assess effects on professional dental care and smoking abstinence. We collected data between 2015 and 2017.
Participants were racially diverse (42% non-White) and socioeconomically disadvantaged. Most (71%) reported fair or poor oral health, and all were overdue for routine dental care. At 6 months, professional dental care and abstinence did not significantly differ between arms, but abstinence favored the experimental arm and was significantly higher among experimental participants at 2 months in a complete case sensitivity analysis.
OH4L was not effective for promoting dental care, but integrating oral health counseling with quitline counseling may offer some advantage for smoking cessation. Public Health Implications. We offer a model for conducting semipragmatic trials and partnering with tobacco quitlines to evaluate population-level public health interventions.
评估通过州政府资助的戒烟热线提供的新型口腔健康促进计划（Oral Health 4 Life；OH4L）的效果。
采用半务实设计来平衡实验控制和普遍性，我们将美国戒烟热线呼叫者（n=718）随机分为标准护理组或标准护理加 OH4L 组。我们随访参与者 6 个月，以评估对专业牙科护理和戒烟的效果。我们在 2015 年至 2017 年期间收集数据。
参与者的种族多样（42%为非白人）且社会经济地位较低。大多数（71%）报告口腔健康状况一般或较差，所有人都未进行常规牙科护理。6 个月时，两组之间的专业牙科护理和戒烟率没有显著差异，但在完整病例敏感性分析中，实验组的戒烟率更高，在 2 个月时具有显著优势。
OH4L 对促进牙科护理无效，但将口腔健康咨询与戒烟热线咨询相结合可能对戒烟有一定优势。公共卫生意义。我们提供了一种用于进行半务实试验和与戒烟热线合作以评估人群公共卫生干预措施的模型。
