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Making the most of a teachable moment: A smokeless-tobacco cessation intervention in the dental office

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  • Stevens, V.J.
  • Severson, H.
  • Lichtenstein, E.
  • Little, S.J.
  • Leben, J.

Abstract

Objectives. Primary care medical clinics are good settings for smoking interventions. This study extends this strategy with a smokeless tobacco intervention delivered by dentists and dental hygienists in the course of routine dental care. Methods. Male users of moist snuff and chewing tobacco (n = 518) were identified by questionnaire in clinic waiting rooms and then randomly assigned to either usual care or intervention. The intervention included a routine oral examination with special attention to the part of the mouth in which tobacco was kept and an explanation of the health risks of using smokeless tobacco. After receiving unequivocal advice to stop using tobacco, each patient viewed a 9-minute videotape, received a self-help manual, and was briefly counseled by the dental hygienist. Results. Long- term success was defined as no smokeless tobacco use at both 3- and 12-month follow-ups, with those lust to follow-up counted as smokeless tobacco users. The intervention increased the proportion of patients who quit by about one half (12.5% vs 18.4%, P

Suggested Citation

  • Stevens, V.J. & Severson, H. & Lichtenstein, E. & Little, S.J. & Leben, J., 1995. "Making the most of a teachable moment: A smokeless-tobacco cessation intervention in the dental office," American Journal of Public Health, American Public Health Association, vol. 85(2), pages 231-235.
    • Handle: RePEc:aph:ajpbhl:1995:85:2:231-235_6
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    Cited by:

    1. Ibtisam Moafa & Ciska Hoving & Bart van den Borne & Mohammed Jafer, 2021. "Identifying Behavior Change Techniques Used in Tobacco Cessation Interventions by Oral Health Professionals and Their Relation to Intervention Effects—A Review of the Scientific Literature," IJERPH, MDPI, vol. 18(14), pages 1-9, July.
    2. Midhat Z. Jafry & Sean M. Reuven & Maggie Britton & Tzuan A. Chen & Isabel Martinez Leal & Anastasia Rogova & Bryce Kyburz & Teresa Williams & Mayuri Patel & Lorraine R. Reitzel, 2022. "Providers’ Non-Cigarette Tobacco Use Intervention Practices in Relation to Beliefs about Patients, Prioritization of and Skills for Intervention, and Referral Knowledge in Texas Healthcare Centers Pro," IJERPH, MDPI, vol. 19(21), pages 1-12, November.

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