General health promotion in general dental practice - The involvement of the dental team - Part 1: A review of the evidence of effectiveness of brief public health interventions
General health promotion in general dental practice - The involvement of the dental team - Part 1: A review of the evidence of effectiveness of brief public health interventions
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DOI：
10.1038/sj.bdj.4813731
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发表时间：
2006-06-24
影响因子：
2.6
通讯作者：
Robinson, P. G.
中科院分区：
文献类型：
--
作者：
Dyer, T. A.;Robinson, P. G.
目的回顾牙医、牙科小组和其他医护人员在七种不同的短期公共卫生干预措施中有效性的证据，这些干预措施可能有助于实现政府在癌症和循环系统疾病方面的目标。这些干预措施包括：预防吸烟、戒烟、建议饮酒、饮食咨询、建议体育锻炼、建议预防皮肤癌和监测血压。方法采用一种通用的系统方法，进行一系列文献综述，调查牙医、牙科小组和其他卫生保健工作者在每次干预中的有效性。结果除了戒烟和饮食建议外，没有研究确定牙医或牙科团队在调查干预措施中的有效性。有一些证据表明，牙医和牙科团队可以有效地戒烟。很少有证据表明饮食咨询的有效性，而且存在的证据也只是短暂的效果。有证据表明，其他医护人员可以在所有干预措施中发挥一定作用，尽管在预防皮肤癌方面的作用值得怀疑。结论：由于研究的缺乏，有最小的证据表明牙医和牙科小组在任何七种干预措施的有效性。然而，其他卫生保健工作者在大多数情况下是有效的。牙医和牙医小组参与这种简短的一般健康促进措施，可能有助于实现政府在癌症和循环系统疾病方面的目标。
Objectives To review the evidence of the effectiveness of dentists, dental teams and other healthcare workers in seven different brief public health interventions that might contribute to Government targets in cancer and circulatory disease. The interventions were: smoking prevention, smoking cessation, advice on alcohol consumption, diet counselling, advice on physical exercise, advice on skin cancer prevention and blood pressure monitoring.Method A series of literature reviews, using a generic systematic approach, were undertaken to investigate the effectiveness of dentists, dental teams and other healthcare workers in each intervention.Results Apart from smoking cessation and dietary advice, no studies were identified on the effectiveness of dentists or dental teams in the interventions investigated. There is some evidence that dentists and dental teams can be effective in smoking cessation. There is minimal evidence for effectiveness in dietary counselling, and that which exists shows only a transient effect. There is evidence that other healthcare workers can have some effect in all interventions, though the effect in preventing skin cancer is questionable.Conclusions Due to the paucity of studies undertaken, there is minimal evidence of effectiveness of dentists and dental teams in any of the seven interventions. However other healthcare workers are effective in most of them. Dentists and dental teams' involvement in such brief general health promotion interventions might contribute to Government targets on cancer and circulatory disease.