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  1. Fulltext. Making the most of a teachable moment : a smokeless-tobacco cessation intervention in the dental office.

    Article - En anglais

    Fulltext.

    Objectives

    Primary care medical clinics are good settings for smoking interventions.

    This study extends this strategy with a smokeless tobacco intervention delivered by dentists and dental hydienists in the course of routine dental care.

    Methods

    Male users of moist snuff and chewing tobacco (n=518) were identified by questionnaire in clinic waiting rooms and then randomly assigned to either usual care or intervention.

    The intervention included a routine oral examination with special attention to the part of the mouth in which tobacco was kept and an explanation of the health risks of using smokeless tobacco.

    After receiving unequivocal advice to stop using tobacco, each patients viewed a 9-minute videotape, received a self-help manual, and was briefly counseled by the dental hygienist.

    Results

    Long-term success was defined as no smokeless tobacco use at both 3-and 12-month follow-ups, with those lost to follow-up counted as smokeless tobacco users.

    The intervention increased the proportion of patients who quit by about one half (12.5% vs 18.4%, P<. 05).

    Conclusions

    These results demonstrate the efficacy of a brief dental office intervention for the general population of smokeless tobacco users.

    Mots-clés Pascal : Programme sanitaire, Education sanitaire, Dentiste, Homme, Tabac sans fumée, Sevrage toxique, Evaluation, Oregon, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Sanitary program, Health education, Dentist, Human, Smokeless tobacco, Poison withdrawal, Evaluation, Oregon, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0249821

    Code Inist : 002B30A03B. Création : 01/03/1996.