Implementing Tobacco Control in Dental Practice

The recruitment status of this study is unknown because the information has not been verified recently.

Verified July 2006 by National Institute on Drug Abuse (NIDA).
Recruitment status was Active, not recruiting

Sponsor:

Information provided by:

National Institute on Drug Abuse (NIDA)

ClinicalTrials.gov Identifier:

NCT00297700

First received: February 24, 2006

Last updated: July 13, 2006

Last verified: July 2006

History of Changes

Purpose

Our goal is to test a dentist-hygienist team intervention to help dental patients quit smoking and determine if it can be effectively and cost-effectively implemented and sustained.

Staff in half of the HMO's 14 large dental facilities will be trained to provide brief cessation advice and assistance and to encourage smokers to talk by phone with a tobacco counselor before they leave the dental office. Phone counselors will provide brief counseling, assess stage, and offer a full list of cessation services. The Active Referral intervention strategy is both practical and innovative, as it takes advantage of available resources; efficiently distributes intervention activities between dentists, hygienists, and counseling specialists; and could be delivered in individual, small, or large dental practices. This intervention is provided as part of routine care to all patients seen for annual dental and periodontal exams.Consented patients will receive a short phone survey shortly after the exam to assess smoking status, satisfaction with delivery of support services,and satisfaction with intervention. Consented patients in treatment and control facilities will be surveyed by phone at one year to re-assess smoking status and satisfaction with services.

Condition	Intervention	Phase
Smoking	Behavioral: Active referral	Phase 3

Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Factorial Assignment Masking: Single Blind Primary Purpose: Treatment
Official Title:	Implementing Tobacco Control in Dental Practice

Resource links provided by NLM:

MedlinePlus related topics: Smoking

U.S. FDA Resources

Further study details as provided by National Institute on Drug Abuse (NIDA):

Primary Outcome Measures:

Tobacco-cessation rates (30-day point prevalence) at one year.

Secondary Outcome Measures:

Process measures (e.g., 5As, and referrals)
Stage of change progression
Program costs

Estimated Enrollment:	2800
Study Start Date:	May 2004
Estimated Study Completion Date:	April 2007

Show Detailed Description

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Kaiser Permanente (KP)member
18 years of age or older
Receiving routine primary care in KP dental offices
Tobacco user at time of routine dental visit

Exclusion Criteria:

Non-KP member
Less than 18 years or age
Non-tobacco user

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00297700

Locations

United States, Oregon
Center for Health Research
Portland, Oregon, United States, 98606

Sponsors and Collaborators

National Institute on Drug Abuse (NIDA)

Investigators

Principal Investigator:

Jack F. Hollis, Ph.D.

Kaiser Permanente Foundation Hospitals/ Center for Health Research

More Information

Publications:

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Eddy DM, David Eddy ranks the tests. Harvard Health Letters 1992; July Supplement:10-11.

Farnham PG, Haddix AC. Study design. In: Haddix AC, Teutsch, Corso PS, eds. Prevention Effectiveness. New York: Oxford University Press, 2003, pp. 11-27.

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Glasgow RE, Mullooly JP, Vogt TM, Stevens VJ, Lichtenstein E, Hollis JF, Lando HA, Severson HH, Pearson KA, Vogt MR. Biochemical validation of smoking status: pros, cons, and data from four low-intensity intervention trials. Addict Behav. 1993 Sep-Oct;18(5):511-27.

Gordon JS, Severson HH. Tobacco cessation through dental office settings. J Dent Educ. 2001 Apr;65(4):354-63.

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Hall SM, Delucchi KL, Velicer WF, Kahler CW, Ranger-Moore J, Hedeker D, Tsoh JY, Niaura R. Statistical analysis of randomized trials in tobacco treatment: longitudinal designs with dichotomous outcome. Nicotine Tob Res. 2001 Aug;3(3):193-202.

Hollis JF. Population impact of clinician efforts to reduce tobacco use. National Cancer Institute. Population Based Smoking Cessation: Proceedings of a Conference on What Works to Influence Cessation in the General Population. Smoking and Tobacco Control Monograph No. 10. Bethesda, MD: U.S. Department of Health and Human Services, National Institutes of Health, National Cancer Institute, NIH Pub. No. 00-4892, November 2000a.

Hollis JF, Bills R, Whitlock E, Stevens VJ, Mullooly J, Lichtenstein E. Implementing tobacco interventions in the real world of managed care. Tob Control. 2000;9 Suppl 1:I18-24. No abstract available.

Hollis JF, Lichtenstein E, Mount K, Vogt TM, Stevens VJ. Nurse-assisted smoking counseling in medical settings: minimizing demands on physicians. Prev Med. 1991 Jul;20(4):497-507.

Hollis JF, Vogt TM, Stevens VJ, Biglan A, Severson H, Lichtenstein E. The tobacco reduction and cancer control (TRACC) program: Team approaches to counseling in medical and dental settings. In: Burns DM, Gritz ER, eds., Tobacco and the Clinician: Interventions for Medical and Dental Practice. National Cancer Institute, Monograph 5, NIH Publication No. 94-3693, 1994.

Hollis JF, Lichtenstein E, Vogt TM, Stevens VJ, Biglan A. Nurse-assisted counseling for smokers in primary care. Ann Intern Med. 1993 Apr 1;118(7):521-5.

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Lichtenstein E, Hollis JF, Severson HH, Stevens VJ, Vogt TM, Glasgow RE, Andrews JA. Tobacco cessation interventions in health care settings: rationale, model, outcomes. Addict Behav. 1996 Nov-Dec;21(6):709-20. Review.

Lichtenstein E, Hollis J. Patient referral to a smoking cessation program: who follows through? J Fam Pract. 1992 Jun;34(6):739-44.

Bernard HR, Ryan GW. Text analysis: Qualitative and quantitative methods. In: Bernard HR, editor. Handbook of Methods in Cultural Anthropology. Walnut Creek, CA: AltaMira Press; 1998.

Little SJ, Stevens VJ, Severson HH, Lichtenstein E. Effective smokeless tobacco intervention for dental hygiene patients. J Dent Hyg. 1992 May;66(4):185-90. Review.

Little SJ, Stevens VJ. Dental hygiene's role in reducing tobacco use. A literature review and recommendations for action. J Dent Hyg. 1991 Sep;65(7):346-50. Review. No abstract available.

Martin LM, Bouquot JE, Wingo PA, Heath CW Jr. Cancer prevention in the dental practice: oral cancer screening and tobacco cessation advice. J Public Health Dent. 1996 Fall;56(6):336-40.

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ClinicalTrials.gov Identifier:	NCT00297700 History of Changes
Other Study ID Numbers:	5 RO1 DA017974
Study First Received:	February 24, 2006
Last Updated:	July 13, 2006
Health Authority:	United States: Federal Government

Keywords provided by National Institute on Drug Abuse (NIDA):

Smoking
Dental
Cessation
Prevention

Control
Quitline
5A-Model
Cost-effective

Additional relevant MeSH terms:

Smoking
Habits

ClinicalTrials.gov processed this record on May 23, 2013

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