Oral health 4 life: Design and methods of a semi-pragmatic randomized trial to promote oral health care and smoking abstinence among tobacco quitline callers.
Oral health 4 life: Design and methods of a semi-pragmatic randomized trial to promote oral health care and smoking abstinence among tobacco quitline callers.
复制标题
DOI：
10.1016/j.cct.2017.04.003
复制
发表时间：
2017-06
影响因子：
2.2
通讯作者：
Catz SL
中科院分区：
文献类型：
--
作者：
McClure JB;Blasi PR;Cook A;Bush T;Fishman P;Nelson J;Anderson ML;Catz SL
吸烟者患口腔疾病的风险很高。因此，他们代表了人口层面的公共口腔健康促进工作的重要目标群体。虽然牙科保健专业人员经常与患者讨论吸烟问题，但尚未采取系统性措施为吸烟者提供干预措施，以改善他们对口腔保健的使用。本文详细介绍了旨在解决这一差距的大型半实用性随机临床试验的基本原理、设计和方法。参与者是通过俄勒冈州、内布拉斯加州和路易斯安那州资助的烟草戒烟热线招募的，并随机接受标准戒烟热线护理与标准护理以及集成在戒烟热线服务中的多模式口腔健康促进计划（口腔健康 4 Life）。所有参与者均接受为期 6 个月的随访，以评估干预措施对戒烟和利用专业牙科护理的影响。此外，该研究还将评估干预措施的成本，并在干预措施有效的情况下，就干预措施在经济上是否可行来向各州提供实用指导。本研究方案可能对那些有兴趣促进吸烟者口腔健康的人、有兴趣与烟草戒烟热线合作以扩展标准服务以解决吸烟者中其他高风险健康行为的人或对半实用试验设计感兴趣的人有用。
Smokers are at high risk for oral disease. As a result, they represent an important target group for population- level, public oral health promotion efforts. While dental health professionals often address smoking with their patients, no systematic efforts have been made to offer smokers an intervention to improve their use of oral health care. This paper details the rationale, design, and methods of a large, semi-pragmatic, randomized clinical trial designed to address this gap. Participants are recruited via the Oregon, Nebraska and Louisiana state-sponsored tobacco quitlines and randomized to receive standard quitline care versus standard care plus a multi- modal oral health promotion program (Oral Health 4 Life) integrated within the quitline services. All participants are followed for 6 months to assess the impact of the intervention on smoking abstinence and utilization of professional dental care. In addition, the study will assess the cost of the intervention and provide practical guidance to states on whether the intervention is financially feasible to implement, should the intervention be effective. This study protocol may be useful to others interested in promoting oral health among smokers, those interested in partnering with tobacco quitlines to extend standard services to address other high risk health behaviors among smokers, or those interested in semi-pragmatic trial design.