ADOLESCENT SMOKING CESSATION IN DENTAL PRACTICES

描述：(申请人描述) 1995年，34.8%的青少年报告使用烟草--比1995年增加了27% 1991年。只有几项研究评估了增加烟草的干预措施 在这一人群中停止；需要研究来确定潜在的 青少年戒烟的有效策略。 申请人建议进行一项随机对照试验，以评估 添加量身定制的牙科筛查系统的有效性 牙科卫生员的激励性访谈和电话随访 (增强的系统条件)与牙科诊所筛查系统进行比较 单独(仅限于系统)，在所有青少年中增加戒烟， 14-17岁，每周至少报告吸烟情况，并防止吸烟 在数量有限的有吸烟风险的青少年中吸食。十七 属于双城管理型医疗组织的牙科诊所将 被随机分为干预条件或对照条件。牙科 所有诊所的工作人员将接受烟草系统方法的培训。 控制力。使用计算机化的牙科预约记录，所有青少年(n =6400)如期在这些诊所预约牙科， 确定并筛选合格人员。符合条件的青少年(853名吸烟者 和100名有风险的非吸烟者)赢得了一次基线电话采访， 并在他们的牙科治疗时接受强化干预，或不接受 根据他们的诊所分配进行预约。训练有素的牙科卫生员 将进行激励性采访，进行跟踪电话 打电话，提供戒烟材料，让青少年服用尼古丁 替代疗法，如果适用，并争取父母的支持，与 青少年的许可。牙科病历将摘要提供给文档工作人员 遵守反对吸烟的建议。 参与访谈的青少年将在3点进行后续访谈。 从他们预约牙医之日起12个月。采访 将评估吸烟状况，并在12个月的调查中通过唾液进行验证 可替宁，在干预和对照条件下的青少年中， 以临床为单位进行分析。其他措施 包括吸烟史、变化阶段、自我效能、社会支持 戒烟和戒烟建议。此外，还进行了成本效益分析 将进行调查，以确定传播病毒的可能性 干预，如果有效的话。

DESCRIPTION: (Applicant's Description) In 1995, 34.8% of adolescents reported use of tobacco--a 27% increase since 1991. Only a few studies have evaluated interventions to increase tobacco cessation in this population; research is needed to identify potentially effective strategies for tobacco cessation in adolescents. The applicants propose to conduct a randomized controlled trial to evaluate the effectiveness of a dental screening system with the addition of tailored motivational interviewing and telephone follow-up by a dental hygienist (enhanced systems condition) compared with a dental clinic screening system alone (systems alone), to increase tobacco cessation among all adolescents, ages 14-17, who report at least weekly tobacco use, and to prevent smoking uptake among a limited number of adolescents at risk of smoking. Seventeen dental clinics that are part of a Twin Cities managed care organization will be randomized to either the intervention or comparison condition. Dental staff in all clinics will be trained in a systems approach to tobacco control. Using computerized dental appointment records, all adolescents (n = 6400) with a scheduled dental appointment at these clinics will be identified and screened for eligibility. Eligible adolescents (853 smokers and 100 at risk non-smokers) win complete a baseline telephone interview, and receive enhanced intervention, or not, at the time of their dental appointment according to their clinic assignment. Trained dental hygienists will perform the motivational interviewing, conduct follow-up telephone calls, provide cessation materials, refer adolescents for nicotine replacement therapy, if applicable, and enlist parental support, with the adolescent's permission. Dental charts will be abstracted to document staff compliance with advice against smoking. Follow-up interviews will be conducted with participating adolescents at 3 and 12 months from the time of their dental appointment. The interviews will assess smoking status, validated during the 12 month survey by saliva cotinine, among adolescents in the intervention versus comparison condition, taking into account the clinic as the unit of analysis. Other measures include smoking history, stages of change, self-efficacy, social support for cessation and cessation advice. In addition, a cost-effectiveness analysis will be conducted to determine the potential for dissemination of the intervention, if effective.