Knowing how to help tobacco users - Dentists' familiarity and compliance with the clinical practice guideline
Knowing how to help tobacco users - Dentists' familiarity and compliance with the clinical practice guideline
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DOI：
10.14219/jada.archive.2006.0141
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发表时间：
2006-02-01
影响因子：
3.9
通讯作者：
Servos, T
中科院分区：
文献类型：
--
作者：
Hu, SH;Pallonen, U;Servos, T
背景。美国公共卫生服务赞助的临床实践指南敦促所有卫生保健提供者将戒烟咨询作为东德克萨斯州牙医临床实践的常规部分，他们对指南的依从性和依从性的障碍。一项横断面调查于2003年9月至2004年1月寄出，评估了783名牙医的人口特征、知识、态度和活动。调查的重点是对指南的熟悉程度、对建议步骤的遵守情况（包括愿意戒烟的烟草使用者的“5a”和不愿意戒烟的烟草使用者的“5r”）、感知到的障碍和花在咨询上的时间。大多数牙医不熟悉指南，通常不遵循其建议的步骤。不到20%的牙医在每位病人身上花费3分钟或更多时间进行咨询。使用指南的知识和培训与依从性和咨询时间显著相关。缺乏培训被认为是最大的障碍。德克萨斯州东部的大多数牙医都不知道临床实践指南。缺乏训练是坚持服药的主要障碍。实践意义。错过了通过简短的咨询干预改善患者健康的机会。需要采取措施提高牙医对指南的熟悉程度和遵守程度。
Background. A U.S. Public Health Service-sponsored clinical practice guideline urges all health care providers to make tobacco-use cessation counseling a routine part of clinical practices of dentists in east Texas, their adherence to the guideline and barriers to adherence.Methods. A cross-sectional survey mailed September 2003 through January 2004 assessed demographic characteristics and knowledge, attitudes and activities of 783 dentists. The survey focused on familiarity with the guideline, adherence to the recommended steps (including the "5 A's" for tobacco users willing to quit and the "5 R's" for tobacco users unwilling to quit), perceived barriers and time spent counseling.Results. Most dentists were unfamiliar with the guideline and usually did not follow its recommended steps. Less than 20 percent of dentists spent three or more minutes per patient on counseling. Knowledge of and training in using the guideline were significantly associated with adherence and time spent counseling. Lack of training was cited as the greatest barrier.Conclusions. Most dentists in east Texas are unaware of the clinical practice guideline. Lack of training is a major barrier to adherence. Practice Implications. Opportunities for improving patients' health through brief counseling interventions are missed. Measures are needed to increase dentists' familiarity with and adherence to the guideline.