Do faxed quitline referrals add value to dental office-based tobacco-use cessation interventions?
Do faxed quitline referrals add value to dental office-based tobacco-use cessation interventions?
复制标题
DOI：
10.14219/jada.archive.2010.0314
复制
发表时间：
2010-08-01
影响因子：
3.9
通讯作者：
Lichtenstein, Edward
中科院分区：
文献类型：
--
作者：
Gordon, Judith S.;Andrews, Judy A.;Lichtenstein, Edward
背景询问，建议，转介（AAR）模式的烟草使用患者的干预促进了一个简短的办公室为基础的干预加上转介到戒烟热线。然而，几乎没有证据表明这种模式是有效的。本研究的主要目的是评估两个级别的牙科诊所为基础的干预与常规护理相比，对患者的烟草使用的影响。作者将68家私人牙科诊所随机分配到三个条件之一：5个A（询问，建议，评估，协助，安排）; 3个A（AAR模型）;或常规护理，他们招募了2，160名参与者。在12个月的评估中，与那些接受常规护理的人相比，两种干预条件下的参与者更有可能报告停止吸烟，这是通过9个月的长期戒烟来衡量的（3%对2%; F-1，F-66 = 3.97，P < .10）和12个月时点患病率（12%对8%; F-1，F-66 = 7.32，P < .01）。在使用5 A和3 A策略的诊所中，参与者之间没有显著差异。这项研究的结果是不确定的，是否转介到一个退出线增加价值，以简短的牙科诊所为基础的干预。接受电话咨询的患者戒烟率较高，但只有一小部分主动转介实际接受咨询。结果证实了先前的研究：培训牙科医生提供简短的戒烟建议和帮助，导致他们的行为发生变化，这些医生在帮助患者戒烟方面是有效的。
Background. The Ask, Advise, Refer (AAR) model of intervening with patients who use tobacco promotes a brief office-based intervention plus referral to a tobacco quitline. However, there is little evidence that this model is effective. The primary aim of this study was to evaluate the effects on patients' tobacco use of two levels of a dental office-based intervention compared with usual care.Methods. The, authors randomly assigned 68 private dental clinics to one of three conditions: 5 As (Ask, Advise, Assess, Assist, Arrange); 3 As (AAR model); or usual care, and they enrolled 2,160 participants.Results. At the 12-month assessment, compared with those in usual care, participants in the two intervention conditions combined were more likely to report cessation of tobacco use, as measured by nine-month prolonged abstinence (3 percent versus 2 percent; F-1,F-66 = 3.97, P < .10) and 12-month point prevalence (12 percent versus 8 percent; F-1,F-66 = 7.32, P < .01). There were no significant differences between participants in the clinics using the 5 As and 3 As strategies.Conclusions. The results of this study are inconclusive as to whether referrals to a quitline add value to brief dental office based interventions. Patients receiving telephone counseling quit tobacco use at higher rates, but only a small percentage of those proactively referred actually received counseling.Clinical Implications. The results confirm those of previous research: that training dental practitioners to provide brief tobacco-use cessation advice and assistance results in a change in their behavior, and that these practitioners are effective in helping their patients to quit using tobacco.