School of Dental Sciences, Newcastle University, Newcastle Upon Tyne, UK.
Population Health Sciences Institute, Newcastle University, Newcastle Upon Tyne, UK.
Community Dent Oral Epidemiol. 2020 Oct;48(5):433-439. doi: 10.1111/cdoe.12556. Epub 2020 Jul 6.
Many factors lead to the commencement and maintenance of smoking, and better understanding of these is relevant in the management of oral health, particularly as smoking cessation advice (SCA) from the dental team is a key component of patient care. Whereas most previous research has focused on dental professionals' perceptions of providing SCA, and identified facilitators and barriers to its provision, there has been more limited research focusing on patients' perceptions of receiving SCA in the dental context. Accordingly, this study aimed to explore the views of smokers with periodontitis receiving dentist-delivered SCA.
One-to-one, semi-structured interviews were conducted with a purposive sample of 28 adults who smoked tobacco and had recently received SCA during dentist-delivered periodontal therapy. Participants were sampled to reflect a range of ages and smoking behaviours. The interview schedule was based on the Theoretical Domains Framework (TDF) to explore perceived influences on smoking behaviour. Interviews also elicited participants' views on dentist-delivered SCA. Interviews were audio-recorded, transcribed verbatim and analysed thematically, drawing on the TDF.
A broad range of perceived influences on smoking behaviour emerged from the data. Influences were allocated into seven prominent TDF domains: (i) social influences (family and friends, social pressures); (ii) social/professional role and identity (secret smoking); (iii) knowledge (experiences/perceptions of smoking cessation medications); (iv) environmental context and resources (social, home and workplace environment, cost of smoking, resentment towards authority); (v) emotions (stress management, pleasure of smoking and fear of quitting); (vi) nature of the behaviour (habitual nature, link to other behaviours, smell); and (vii) beliefs about consequences (health). With regard to views on dentist-delivered SCA, five main themes emerged: (i) opportunistic nature; (ii) personal impact and tangible prompts; (iii) positive context of cessation attempt; (iv) lack of previous support; and (v) differences between dentist-delivered SCA and other setting SCA.
Smokers with periodontitis consider that a wide range of factors influence their smoking behaviour. Dentist-delivered SCA was supported and positively received. Important aspects included the opportunistic nature, personal impact, use of tangible prompts and positive context (of the quit attempt). Future research should focus on optimizing dentist-led smoking cessation intervention based on the themes identified.
许多因素导致了吸烟的开始和持续，更好地理解这些因素对于口腔健康的管理至关重要，特别是因为牙科团队提供的戒烟建议（SCA）是患者护理的关键组成部分。尽管大多数先前的研究都集中在牙科专业人员对提供 SCA 的看法上，并确定了提供 SCA 的促进因素和障碍，但针对患者在牙科环境中接受 SCA 的看法的研究则更为有限。因此，本研究旨在探讨接受牙医提供的 SCA 的牙周炎吸烟者的观点。
对 28 名最近在牙医提供的牙周治疗期间接受 SCA 的吸烟且患有牙周炎的成年人进行了一对一的半结构化访谈。参与者是根据理论领域框架（TDF）进行抽样的，以反映不同年龄和吸烟行为的情况。访谈的时间表基于 TDF，以探讨对吸烟行为的感知影响。访谈还征集了参与者对牙医提供的 SCA 的看法。采访进行了录音，逐字转录，并根据 TDF 进行了主题分析。
从数据中出现了广泛的吸烟行为感知影响。这些影响被分配到七个突出的 TDF 领域：（i）社会影响（家庭和朋友、社会压力）；（ii）社会/专业角色和身份（秘密吸烟）；（iii）知识（戒烟药物的经验/看法）；（iv）环境背景和资源（社会、家庭和工作场所环境、吸烟成本、对权威的怨恨）；（v）情绪（压力管理、吸烟的乐趣和戒烟的恐惧）；（vi）行为的本质（习惯性、与其他行为的联系、气味）；和（vii）对后果的信念（健康）。关于对牙医提供的 SCA 的看法，出现了五个主要主题：（i）机会主义性质；（ii）个人影响和有形提示；（iii）戒烟尝试的积极背景；（iv）缺乏先前的支持；和（v）牙医提供的 SCA 与其他环境 SCA 的区别。
牙周炎吸烟者认为，许多因素影响他们的吸烟行为。牙医提供的 SCA 得到了支持和积极的回应。重要方面包括机会主义性质、个人影响、使用有形提示和积极的戒烟尝试背景。未来的研究应根据确定的主题重点优化牙医主导的戒烟干预。
