ADOLESCENT SMOKING CESSATION IN DENTAL PRACTICES

牙科诊所中的青少年戒烟

• 批准号: 2643466
• 负责人: Harry Alan Lando
• 金额: $ 35.5万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-01-01 至 2001-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2643466
• 关键词: adolescence (12-20); behavior modification; 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

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：（申请人的描述） 1995 年，34.8% 的青少年报告使用烟草——自 1995 年以来增加了 27% 1991. 只有少数研究评估了增加烟草摄入量的干预措施 该人群戒烟；需要研究来确定潜在的 青少年戒烟的有效策略。 申请人提议进行随机对照试验来评估 牙科筛查系统的有效性加上定制的 牙科保健员的动机访谈和电话随访 （增强系统条件）与牙科诊所筛查系统相比 单独（单独系统），以提高所有青少年的戒烟率， 14-17 岁，每周至少报告一次吸烟情况，并预防吸烟 有限数量的有吸烟风险的青少年的吸收。 十七 属于双城管理护理组织一部分的牙科诊所将 被随机分配到干预或比较条件。 牙科 所有诊所的工作人员都将接受烟草系统方法培训 控制。 使用计算机化的牙科预约记录，所有青少年（n = 6400）在这些诊所预约牙科预约将 确定并筛选资格。 符合资格的青少年（853 名吸烟者 和 100 名处于危险中的非吸烟者）赢得完成基线电话访谈， 并在牙科治疗时接受或不接受强化干预 根据他们的诊所分配进行预约。 训练有素的牙科保健员 将进行动机访谈，进行电话跟进 致电、提供戒烟材料、向青少年推荐尼古丁 替代疗法（如果适用）并争取父母的支持 青少年的许可。 牙科图表将被抽象给文档工作人员 遵守反对吸烟的建议。 后续访谈将于下午 3 点对参与的青少年进行 自牙科预约之日起 12 个月。 采访 将评估吸烟状况，并在 12 个月的唾液调查中进行验证 可替宁，在干预与比较条件下的青少年中， 考虑到诊所作为分析单位。 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。 另外，成本效益分析 将进行以确定传播潜力 干预，如果有效的话。