Tobacco attitudes, practices, and behaviors: A survey of dentists participating in managed care
Tobacco attitudes, practices, and behaviors: A survey of dentists participating in managed care
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DOI：
10.1080/14622200500078014
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发表时间：
2005-04-01
影响因子：
4.7
通讯作者：
Sadowsky, D
中科院分区：
文献类型：
--
作者：
Albert, DA;Severson, H;Sadowsky, D
戒烟知识，态度和行为的牙医参加了一个大型的国家管理式牙科保健计划进行了评估，使用邮寄的调查。这项调查是管理的牙医招募参加评估的光盘和支持电子详细说明，以促进戒烟活动的增加。符合特定技术标准的普通牙医，拥有活跃的电子邮件帐户，至少有200名成年患者有资格参加这项研究。共有29个州的184名牙医同意参加。调查工具包括以下问题：（a）询问、建议、评估、协助和安排行为;（B）自我效能，包括戒烟知识、信心和成功;（c）各种戒烟策略的成功;（d）戒烟障碍;（e）人口统计学，包括毕业年份、性别和种族/民族。自我报告的基线烟草干预相关行为较低，28%的牙医报告说，他们向患者询问烟草或在患者的图表中记录烟草使用至少41%。对于建议行为，大约一半的牙医建议吸烟患者戒烟至少41%的时间。虽然自我报告的知识缺乏率很高，但71%的受访者表示，他们的知识缺乏不是将戒烟纳入实践的障碍或轻微障碍。调查显示，牙医并不经常将戒烟纳入他们的实践。较新的信息传递技术可以作为牙医增加戒烟活动的工具。
Tobacco cessation knowledge, attitudes, and behaviors of dentists participating in a large national managed care dental plan were assessed using a mailed survey. The survey was administered to dentists recruited to participate in an evaluation of a CD-ROM and supportive electronic detailing to promote increased tobacco cessation activities. General dentists who met specific technological criteria, had an active E-mail account, and at least 200 adult patients were eligible to participate in this study. A total of 184 dentists, located in 29 states, agreed to participate. The survey instrument included questions that addressed (a) Ask, Advise, Assess, Assist, and Arrange behaviors, (b) self-efficacy including knowledge, confidence, and success regarding tobacco cessation, (c) success of various tobacco cessation strategies, (d) barriers to tobacco cessation, and (e) demographics including year of graduation, gender, and race/ethnicity. Self-reported baseline tobacco intervention-related behaviors were low, with 28% of dentists reporting that they asked their patients about tobacco or recorded tobacco use in their patients' charts at least 41% of the time. For Advise behavior, approximately half of the dentists advised tobacco-using patients to quit at least 41% of the time. Although self-reported lack of knowledge was high, 71% of respondents indicated that their lack of knowledge was either not a barrier or a slight barrier to incorporating tobacco cessation into their practices. The survey revealed that dentists do not routinely incorporate tobacco cessation into their practices. Newer information-transfer technologies may serve as vehicles for increased smoking cessation activities by dentists.