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Evaluation of a brief counseling for tobacco cessation in dental clinics among Swedish smokers and snus users: A cluster randomized controlled trial (the FRITT study)
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.ORCID iD: 0000-0003-2733-4441
Dentistry Clinic Solvändan, Sörmland Health Care Region, Mariefred, Sweden.
Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
2015 (English)In: Preventive Medicine, ISSN 0091-7435, E-ISSN 1096-0260, Vol. 70, p. 26-32Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study is to assess the effectiveness of a very brief structured counseling for tobacco cessation in dentistry clinics.

Method: A cluster randomized trial was conducted in Sweden in 2012-2013.

Twenty-seven dentistry clinics in two Swedish counties were randomized to provide either a structured brief advice based on the 5 A's model or usual care. Participants were 467 patients currently using tobacco daily (225 in the intervention group and 242 in usual care), of which 97% were retained at follow-up, six months after enrolment. Study outcomes were: 7-day abstinence (primary outcome); 3-month sustained abstinence; 50% reduction of the amount tobacco used; quit attempts lasting at least 24 h.

Results: Compared to usual care, brief counseling was not associated to statistically significant increase in the proportion abstinent from tobacco use after 6. months. However, there was a statistically significant association with reduction of tobacco consumption (OR = 2.07 95% CI 1.28-3.35). Changes in the expected direction for all outcomes were more frequent in the intervention than in the usual care group, and larger among exclusive snus users than among smokers.

Conclusions: Very brief and structured counseling in dentistry may achieve positive behavioral modifications among tobacco users, with significant reduction of tobacco consumption, particularly among smokeless tobacco users.

Place, publisher, year, edition, pages
Elsevier, 2015. Vol. 70, p. 26-32
Keywords [en]
Counseling, Dental care, Randomized controlled trial, Tobacco use cessation, adult, aged, Article, cluster analysis, controlled study, dental clinic, dentistry, female, follow up, human, major clinical study, male, multicenter study, patient counseling, smokeless tobacco, smoking cessation, Sweden, Swedish citizen, tobacco consumption, abstinence, intervention study, smoking, tobacco, adolescent, middle aged, procedures, statistics and numerical data, time, treatment outcome, young adult, Dental Clinics, Humans, Outcome and Process Assessment (Health Care), Time Factors, Tobacco Products, Tobacco, Smokeless
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:hj:diva-39968DOI: 10.1016/j.ypmed.2014.11.005ISI: 000349938900006PubMedID: 25445335Scopus ID: 2-s2.0-84912062524OAI: oai:DiVA.org:hj-39968DiVA, id: diva2:1214955
Available from: 2018-06-07 Created: 2018-06-07 Last updated: 2018-06-07Bibliographically approved

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Zeebari, Zangin

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