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ADOLESCENT SMOKING CESSATION IN DENTAL PRACTICES

牙科诊所中的青少年戒烟

基本信息

批准号：
6342394
负责人：
Harry Alan Lando
金额：
$ 35.3万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
财政年份：
1998
资助国家：
美国
起止时间：
1998-01-01 至 2002-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6342394
关键词：
adolescence (12-20) behavior therapy behavioral /social science research tag clinical research clinical trials dental health services dental personnel disease /disorder prevention /control human subject interview motivation nicotine replacement oral health smoking smoking cessation tobacco abuse tobacco abuse education

项目摘要

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.

描述：（申请人描述）