Internet delivered support for tobacco control in dental practice: randomized controlled trialQuantitative Health Sciences Publications and Presentations
UMMS AffiliationDepartment of Quantitative Health Sciences
Medical Subject HeadingsAdvertising as Topic; *Dentistry; Health Services Accessibility; Health Surveys; Humans; *Internet; Mouth Neoplasms; Patient Selection; Questionnaires; Smoking; Smoking Cessation; *Social Support; Therapy, Computer-Assisted; Treatment Outcome; User-Computer Interface
AbstractBACKGROUND: The dental visit is a unique opportunity for tobacco control. Despite evidence of effectiveness in dental settings, brief provider-delivered cessation advice is underutilized. OBJECTIVE: To evaluate an Internet-delivered intervention designed to increase implementation of brief provider advice for tobacco cessation in dental practice settings. METHODS: Dental practices (N = 190) were randomized to the intervention website or wait-list control. Pre-intervention and after 8 months of follow-up, each practice distributed exit cards (brief patient surveys assessing provider performance, completed immediately after the dental visit) to 100 patients. Based on these exit cards, we assessed: whether patients were asked about tobacco use (ASK) and, among tobacco users, whether they were advised to quit tobacco (ADVISE). All intervention practices with follow-up exit card data were analyzed as randomized regardless of whether they participated in the Internet-delivered intervention. RESULTS: Of the 190 practices randomized, 143 (75%) dental practices provided follow-up data. Intervention practices' mean performance improved post-intervention by 4% on ASK (29% baseline, adjusted odds ratio = 1.29 [95% CI 1.17-1.42]), and by 11% on ADVISE (44% baseline, OR = 1.55 [95% CI 1.28-1.87]). Control practices improved by 3% on ASK (Adj. OR 1.18 [95% CI 1.07-1.29]) and did not significantly improve in ADVISE. A significant group-by-time interaction effect indicated that intervention practices improved more over the study period than control practices for ADVISE (P = 0.042) but not for ASK. CONCLUSION: This low-intensity, easily disseminated intervention was successful in improving provider performance on advice to quit. TRIAL REGISTRATION: clinicaltrials.gov NCT00627185, http://www.webcitation.org/5c5Kugvzj.
Rights and PermissionsCitation: J Med Internet Res. 2008 Nov 4;10(5):e38. Link to article on publisher's site
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Citation InformationThomas K. Houston, Joshua S. Richman, Midge N. Ray, Jeroan J. Allison, et al.. "Internet delivered support for tobacco control in dental practice: randomized controlled trial" Vol. 10 Iss. 5 (2008) ISSN: 1438-8871 (Linking)
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