a pilot study combining individual-based smoking cessation counseling, pharmacotherapy, and dental hygiene intervention结合基于单独的戒烟咨询的初步研究中,药物治疗,口腔卫生干预.pdfVIP

Gonseth et al. BMC Public Health 2010, 10:348 /1471-2458/10/348 R E S E A R C H A R T I C L E Open Access Research article A pilot study combining individual-based smoking cessation counseling, pharmacotherapy, and dental hygiene intervention Semira Gonseth*, Marcelo Abarca, Carlos Madrid and Jacques Cornuz Abstract Background: Dentists are in a unique position to advise smokers to quit by providing effective counseling on the various aspects of tobacco-induced diseases. The present study assessed the feasibility and acceptability of integrating dentists in a medical smoking cessation intervention. Methods: Smokers willing to quit underwent an 8-week smoking cessation intervention combining individual-based counseling and nicotine replacement therapy and/or bupropion, provided by a general internist. In addition, a dentist performed a dental exam, followed by an oral hygiene treatment and gave information about chronic effects of smoking on oral health. Outcomes were acceptability, global satisfaction of the dentists intervention, and smoking abstinence at 6-month. Results: 39 adult smokers were included, and 27 (69%) completed the study. Global acceptability of the dental intervention was very high (94% yes, 6% mostly yes). Annoyances at the dental exam were described as acceptable by participants (61% yes, 23% mostly yes, 6%, mostly no, 10% no). Participants provided very positive qualitative comments about the dentist counseling, the oral exam, and the resulting motivational effect, emphasizing the feeling of oral cleanliness and health that encouraged smoking abstinence. At the end of the intervention (week 8), 17 (44%) participants reported smoking abstinence. After 6 months, 6 (15%, 95% CI 3.5 to 27.2) reported a confirmed continuous smoking abstinence. Discussion: We explored a new multi-disciplinary approach