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Tobacco Cessation Via Public Health Dental Clinics

Phase 2
Completed
Conditions
Smoking
Interventions
Behavioral: Brief tobacco counseling
Registration Number
NCT00683839
Lead Sponsor
Oregon Research Institute
Brief Summary

The study will examine the effectiveness of public health dental practitioners using a brief office based intervention designed to help patients quit smoking or smokeless tobacco use, as compared to usual care.

Detailed Description

The prevalence of tobacco use is especially high in lower socioeconomic status (SES) populations in the U.S. Community Health Centers provide comprehensive primary care services, and usually dental services, to large numbers of low-income smokers and smokeless tobacco users. The typical patient has multiple dental visits, which can be used for tobacco cessation advice and counseling by the dental office team. This study builds on a successful pilot study conducted in two public health dental clinics.

This study is a randomized clinical trial in which 14 public health dental clinics in Oregon, Mississippi, and New York City were stratified by state, matched within state by racial/ethnic composition, and then randomly assigned to either the Intervention or Usual Care Control condition. In the Intervention Condition, the dental team provided a brief intervention modeled on the "5A's" advocated by the Clinical Practice Guideline.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2637
Inclusion Criteria
  • Patients of participating public health dental clinics
  • Tobacco users
Exclusion Criteria
  • Emergency patients

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2Brief tobacco counselingDental practitioners provide the following intervention: 5As plus nicotine replacement therapy The 5As consist of: Ask, Advise, Assess, Assist and Arrange.
Primary Outcome Measures
NameTimeMethod
The primary outcome is prolonged abstinence at 7.5 months following intervention.7.5 months
Secondary Outcome Measures
NameTimeMethod
Reduction in tobacco use at 6 weeks and 7.5 months following intervention.6 weeks and 7.5 months
Number of quit attempts at 6 weeks and 7.5 months following intervention.6 weeks & 7.5 months
Increase in readiness to quit at 6 weeks & 7.5 months following intervention.6 weeks & 7.5 months

Trial Locations

Locations (3)

Columbia University

🇺🇸

New York, New York, United States

Oregon Research Institute

🇺🇸

Eugene, Oregon, United States

University of Mississippi

🇺🇸

Jackson, Mississippi, United States

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