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Implementation of a smoking cessation protocol in dental practices.


- candidate number1990
- NTR NumberNTR614
- ISRCTNISRCTN19783832
- Date ISRCTN created4-apr-2006
- date ISRCTN requested24-mrt-2006
- Date Registered NTR23-feb-2006
- Secondary IDs2006-058 CMO
- Public TitleImplementation of a smoking cessation protocol in dental practices.
- Scientific TitleImplementation of a smoking cessation protocol in dental practices.
- ACRONYMTAPS
- hypothesisThe intervention increases advice giving of dental professionals, the number of patients having quit smoking and the number of quit attempts.
- Healt Condition(s) or Problem(s) studiedTobacco addiction
- Inclusion criteriaSmoking patients visiting dental practices.
- Exclusion criteriaPatients under the age of 18.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type[default]
- Studytypeintervention
- planned startdate 1-jan-2006
- planned closingdate1-nov-2008
- Target number of participants1300
- InterventionsProvision of a 4 hour central course for whole practice teams, patient-mediated monitoring and feedback of the provision of cessation advice, patient education materials and a task organisation protocol for the various members of the dental team. The dental teams in the control group deliver usual care.
- Primary outcomePatient-reported number of smoking cessation advice given by the dental team, patients' smoking status and quit attempts.
- Secondary outcomeProfessionals' attitudes towards smoking and smoking cessation support, their knowledge of health consequences of smoking tobacco (especially dental health), patients' perspectives of smoking cessation support by dentists will be measured as well as self-efficacy to provide smoking cessation support.
- Timepoints
- Trial web siteN/A
- statusplanned
- CONTACT FOR PUBLIC QUERIESPhD J.E. Jacobs
- CONTACT for SCIENTIFIC QUERIESPhD J.E. Jacobs
- Sponsor/Initiator University Medical Center St. Radboud, Center for Quality of Care Research (WOK)
- Funding
(Source(s) of Monetary or Material Support)
Pfizer
- PublicationsN/A
- Brief summarySmoking is an important risk factor for cardiovascular and respiratory diseases, but also for periodontal diseases and orofaryngal types of cancer (mouth, tongue, throat,larynx). Smoking cessation reduces the risk on orofaryngal cancers and has a positive effect on the frequency and severity of gum infections. Dentists can play a role in primary and secondary prevention of tobacco addiction. They can often directly observe if patients smoke and can easily address the issue of smoking cessation because of the direct relationship between oral health and smoking. Patients consider the direct relation between smoking and consequences for (discolouring) teeth as a good opportunity for dentists to discuss smoking. Following several international guidelines the national Dutch guidelines for the Treatment of Tobacco Addiction recommend to involve dental professionals in smoking disencouragement campaigns, to organise trainings, to develop and/or improve patient education materials and reimburse counseling activities. It is unclear how the guidelines can best be implemented in the dental practices. The present study investigates the effectiveness of a multifaceted implementation strategy targetted at the knowledge, attitudes and behaviour of the dental team members. In a randomised controlled trial (N = 2 x 30 practices, 2 x 650 patients) the effectiveness of a combination of small scale education for the whole team, patient-mediated monitoring and feedback of the provision of cessation advice, patient education materials and a task organisation protocol for the various members of the dental team will be studied compared to the usual guideline implementation strategies.
- Main changes (audit trail)
- RECORD23-feb-2006 - 11-nov-2009


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