BRIEF REPORT
The 5As vs 3As plus proactive quitline referral in private practice dental offices: preliminary results
1 Oregon Research Institute, Eugene, OR, USA
2 University of Mississippi Medical Center, Jackson, MI, USA
Correspondence to:
Correspondence to:
Judith S Gordon
PhD, Oregon Research Institute, 1715 Franklin Blvd, Eugene, OR 97405, USA; judith{at}ori.org
Aims: The primary aim of our randomised control trial (RCT) was to evaluate the relative efficacy of two dental office based interventions compared to usual care. One intervention consisted of a combination of dental practitioner advice to quit and proactive telephone counselling (3As), and the other arm consisted of a dental practitioner delivered intervention based on the 5As of the Clinical Practice Guideline (5As).
Method: 2177 tobacco using patients were enrolled from 68 dental practices in Mississippi. We collected 3-month outcome data from 76% (n = 1652) of participants.
Results: Smokers in the two intervention conditions quit at a higher rate than those in usual care;
2 (1, n = 1381) = 3.10, p<0.05. Although not significant, more patients in the 5As condition quit than those in the 3As. Of patients in the 3As Condition, 50% reported being asked by their dentist or hygienists about fax referral to the quitline, and 35% were referred. Quitline counsellors contacted 143 (70%) referred participants.
Conclusion: These results suggest that there are both advantages and disadvantages to the use of quitlines as an adjunct to brief counselling provided by dental practitioners. Patients receiving quitline counselling quit at higher rates than those who did not; however, only a small percentage of patients received counselling from the quitline. Therefore, it appears that dental professionals may be most effective in helping their patients to quit by regularly providing the 5As plus proactively referring only those patients who are highly motivated to a quitline for more intensive counselling.
Abbreviations: CME, continuing medical education; RCT, randomised control trial; ST, smokeless tobacco
Keywords: smoking cessation; quitlines; dental; randomised control trial
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