Tobacco Cessation Intervention: How to Communicate with Tobacco Using Patients

Abstract Tobacco use is a dental as well as a medical problem. When dental team members assist their patients in becoming tobacco free, they are eliminating a causative/contributing factor for a number of oral conditions including cancer and periodontal diseases. Studies have shown that brief tobacco use cessation interventions in the dental office can be effective in helping many patients to stop using tobacco. Interventions can be optimized through understanding the stage of change the tobacco user is in when an intervention is attempted. Only then can we use the appropriate intervention at the right time. This article discusses and demonstrates a protocol for tobacco cessation interventions that can be used in the dental office.

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Attitude of Dental Students, Interns and Practicing Dentists Towards Tobacco Use Cessation

Journal of Oral Health and Community Dentistry ◽

10.5005/johcd-5-1-15 ◽

2011 ◽

Vol 5 (1) ◽

pp. 15-18 ◽

Cited By ~ 1

Author(s):

Varun Gupta ◽

Anmol Mathur ◽

Amit Tirth ◽

TL Ravishankar ◽

Pradeep S. Tangade

Keyword(s):

Tobacco Use ◽

Tobacco Cessation ◽

Response Rate ◽

Dental Students ◽

Scope Of Practice ◽

Dental Practice ◽

Tobacco Use Cessation ◽

Dental Office ◽

Dental Setting

ABSTRACT Objective To compare dental students’, Interns’, and Practicing Dentist's attitude towards tobacco cessation promotion in dental setting. Methods The study was conducted on BDS 3rd year students, Interns and practicing dentists of Moradabad city. A 23-item written survey was administered to all the participants. Questions focused on dental students’, Interns’, and practicing dentist's attitude towards the dental professional's responsibilities and scope of practice in promotion of tobacco cessation. Results Response rate was more than 90 percent (199/220). Respondents were 52 percent males and 48 percent females. There were 47 percent dental students, 32 percent interns and 21 percent doctors. Eighty-four percent agreed that it is within the scope of dental practice to advise patients to quit using tobacco and 82 percent agreed that tobacco cessation counseling in the dental office could impact patient's quitting. Nearly one-fifth (18 percent) were slightly or not interested in receiving tobacco cessation training. Conclusion Attitudes of the participants appear to be positive regarding the dental professional's responsibility to educate patients about the risk of tobacco use. However, some have reservations about the extent to which tobacco cessation services fit within the scope of dental practice, the efficiency of such services and the patient receptiveness.

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Post creation strategies in a smoking cessation intervention based on motivational interviewing using Facebook: a mixed-methods content analysis (Preprint)

10.2196/preprints.15580 ◽

2019 ◽

Author(s):

David Pócs ◽

Tímea Óvári ◽

Csaba Hamvai ◽

Oguz Kelemen

Keyword(s):

Smoking Cessation ◽

Motivational Interviewing ◽

Tobacco Use ◽

Negative Feedback ◽

Smoking Cessation Intervention ◽

Control Group ◽

Tobacco Use Cessation ◽

Web Based ◽

Cessation Intervention ◽

Significant Difference

BACKGROUND Smoking cessation support on Facebook (FB) is a cost-effective and extensible way to reduce tobacco use among young people. Motivational interviewing (MI) is a practical counselling style in face-to-face smoking cessation support and can be useful in web-based interventions as well. OBJECTIVE This study aimed at identifying which post creation strategies based on MI could achieve positive changes in FB post characteristics and FB users’ comments. METHODS We included MI-adherent posts (N=701) which were not boosted and were targeted at tobacco users. These FB posts have been categorized into five different groups according to specific MI strategies. The control group comprised entertaining and informative posts. Primary outcomes seem to highlight how the content has stimulated interactions (engagement rate), inhibited interactions (negative feedback) or appealed to the audience of the FB page (fan-total reach ratio). The first comments received on the FB posts were evaluated and used as secondary outcomes. We applied the classification of MI approach: change talk (CT), sustain talk (ST), desire, ability, reason, need (DARN), and commitment, activation, taking steps (CAT). RESULTS FB posts which used MI strategies were associated with significantly higher engagement rate (p=.010), higher fan-total reach ratio (p<.001), and more CT (p<.001), DARN (p=.005), or CAT comments (p=.003) compared to the control group. ‘Elaborating CT’ strategies elicited considerably more CT (p<.001) and DARN comments (p=.020). ‘Affirming CT’ strategies obtained higher fan-total reach ratio (p=.011) and generated significantly more CT (p=.006) and CAT comments (p<.001). ‘Reflecting CT’ strategies received significantly higher fan-total reach ratio (p<.001). Finally, ‘relational MI’ strategies achieved significantly higher engagement rate (p<.001) compared to the control group. It should be noted that we did not find significant difference in negative feedback and the number of ST comments. CONCLUSIONS Post creation strategies based on MI stimulated interactions with FB users and generated conversation about tobacco use cessation without relevant negative feedback. Our findings suggest that MI strategies may play a remarkable role in post creation within a web-based smoking cessation intervention. In the future, these strategies could be applicable to other online platforms, such as public health websites, health blogs, mobile applications or social networking groups.

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Health workers’ perceptions on where and how to integrate tobacco use cessation services into tuberculosis treatment; a qualitative exploratory study in Uganda

BMC Public Health ◽

10.1186/s12889-021-11502-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Elizeus Rutebemberwa ◽

Kellen Nyamurungi ◽

Surabhi Joshi ◽

Yvonne Olando ◽

Hadii M. Mamudu ◽

...

Keyword(s):

Tobacco Use ◽

Tobacco Cessation ◽

Health Workers ◽

High Volume ◽

Health Facilities ◽

Hospital Treatment ◽

Management Support ◽

Tobacco Use Cessation ◽

Tb Treatment

Abstract Background Tobacco use is associated with exacerbation of tuberculosis (TB) and poor TB treatment outcomes. Integrating tobacco use cessation within TB treatment could improve healing among TB patients. The aim was to explore perceptions of health workers on where and how to integrate tobacco use cessation services into TB treatment programs in Uganda. Methods Between March and April 2019, nine focus group discussions (FGDs) and eight key informant interviews were conducted among health workers attending to patients with tuberculosis on a routine basis in nine facilities from the central, eastern, northern and western parts of Uganda. These facilities were high volume health centres, general hospitals and referral hospitals. The FGD sessions and interviews were tape recorded, transcribed verbatim and analysed using content analysis and the Chronic Care Model as a framework. Results Respondents highlighted that just like TB prevention starts in the community and TB treatment goes beyond health facility stay, integration of tobacco cessation should be started when people are still healthy and extended to those who have been healed as they go back to communities. There was need to coordinate with different organizations like peers, the media and TB treatment supporters. TB patients needed regular follow up and self-management support for both TB and tobacco cessation. Patients needed to be empowered to know their condition and their caretakers needed to be involved. Effective referral between primary health facilities and specialist facilities was needed. Clinical information systems should identify relevant people for proactive care and follow up. In order to achieve effective integration, the health system needed to be strengthened especially health worker training and provision of more space in some of the facilities. Conclusions Tobacco cessation activities should be provided in a continuum starting in the community before the TB patients get to hospital, during the patients’ interface with hospital treatment and be given in the community after TB patients have been discharged. This requires collaboration between those who carry out health education in communities, the TB treatment supporters and the health workers who treat patients in health facilities.

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Making the most of a teachable moment: a smokeless-tobacco cessation intervention in the dental office.

American Journal of Public Health ◽

10.2105/ajph.85.2.231 ◽

1995 ◽

Vol 85 (2) ◽

pp. 231-235 ◽

Cited By ~ 99

Author(s):

V J Stevens ◽

H Severson ◽

E Lichtenstein ◽

S J Little ◽

J Leben

Keyword(s):

Smokeless Tobacco ◽

Tobacco Cessation ◽

Teachable Moment ◽

Cessation Intervention ◽

Dental Office

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Factors Influencing Implementation of a Workplace Tobacco Cessation Intervention in India: A Qualitative Exploration

Workplace Health & Safety ◽

10.1177/2165079920952761 ◽

2020 ◽

pp. 216507992095276

Author(s):

Himanshu A. Gupte ◽

Marina D’Costa ◽

Shoba Ramanadhan ◽

Kasisomayajula Viswanath

Keyword(s):

Occupational Health ◽

Tobacco Use ◽

Tobacco Cessation ◽

Face To Face ◽

Program Coordinators ◽

Cessation Intervention ◽

High Prevalence ◽

Core Components ◽

Workplace Setting ◽

Qualitative Exploration

Background: Tobacco use is projected to cause more than 8 million deaths annually worldwide by 2030 and is currently linked to 1 million annual deaths in India. Very few workplaces provide tobacco cessation as a part of occupational health in India. In this study, we examined promoters and barriers to implementing an evidence-based tobacco cessation program in a workplace setting in India. Methods: In-depth interviews were conducted with all facilitators (two program coordinators and four counselors) of a workplace tobacco cessation intervention covering implementation efforts in five organizations, including three manufacturing units and two corporate settings. Findings: The identified promoters for implementation of the program were as follows: (a) workplaces that provided access to many individuals, (b) high prevalence of tobacco use that made the intervention relevant, (c) core components (awareness sessions, face-to-face counseling and 6-months follow-up) that were adaptable, (d) engagement of the management in planning and execution of the intervention, (e) employees’ support to each other to quit tobacco, (f) training the medical unit within the workplace to provide limited advice, and (g) efforts to advocate tobacco-free policies within the setting. Barriers centered around (a) lack of ownership from the workplace management, (b) schedules of counselors not matching with employees, (c) nonavailability of employees because of workload, and (d) lack of privacy for counseling. Conclusion/Implications for Practice: This study provided practical insights into the aspects of planning, engaging, executing and the process of implementation of a tobacco cessation intervention in a workplace setting. It provided guidance for an intervention within occupational health units in similar settings.

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Integration of an evidence-based tobacco cessation program into a substance use disorders program to enhance equity of treatment access for northern, rural, and remote communities

Translational Behavioral Medicine ◽

10.1093/tbm/ibz162 ◽

2020 ◽

Vol 10 (3) ◽

pp. 555-564

Author(s):

Patricia M Smith ◽

Lisa D Seamark ◽

Katie Beck

Keyword(s):

Substance Use ◽

Behavior Change ◽

Tobacco Use ◽

Tobacco Cessation ◽

Access Point ◽

Indigenous Communities ◽

Well Being ◽

Evidence Based ◽

Treatment Access ◽

Cessation Intervention

Abstract Integrating tobacco cessation interventions into substance use disorder (SUD) programs is recommended, yet few are implemented into practice. This translational research implementation study was designed to integrate an evidence-based tobacco cessation intervention into a 2-week hospital outpatient SUD program that served a rural municipality and 33 remote Indigenous communities. Objectives included determining tobacco use prevalence, intervention uptake, and staffing resources required for intervention delivery. A series of 1-hr tobacco and health/well-being interactive education and behavior-change groups were developed for the SUD program to create a central access point to offer an evidence-based, intensive tobacco cessation intervention that included an initial counseling/planning session and nine post-SUD treatment follow-ups (weekly month 1; biweekly month 2; and 3, 6, and 12 months). Group sign-in data included age, gender, community, tobacco use, and interest in receiving tobacco cessation help. Thirty-two groups (April 2018 to February 2019) were attended by 105 people from 22 communities—56% were female, mean age = 30.9 (±7.3; 93% <45 years), 86% smoked, and 38% enrolled in the intensive tobacco cessation intervention. The age-standardized tobacco use ratio was two times higher than would be expected in the general rural population in the region. Average staff time to provide the intervention was 1.5–2.5 hr/week. Results showed that a Healthy Living group integrated into SUD programming provided a forum for tobacco education, behavior-change skills development, and access to an intensive tobacco cessation intervention for which enrollment was high yet the intervention could be delivered with only a few staff hours a week.

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Impact of a tobacco cessation intervention on adherence to tobacco use treatment guidelines among village health workers in Vietnam

Tobacco Induced Diseases ◽

10.18332/tid/84132 ◽

2018 ◽

Vol 16 (1) ◽

Author(s):

Nam Nguyen ◽

Trang Nguyen ◽

Nina Siman ◽

Nancy VanDevanter ◽

Donna Shelley

Keyword(s):

Tobacco Use ◽

Tobacco Cessation ◽

Treatment Guidelines ◽

Health Workers ◽

Cessation Intervention ◽

Village Health Workers ◽

Village Health

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Challenges to be overcome: Current situation involving smoking cessation in Dental setting

Brazilian Dental Science ◽

10.14295/bds.2017.v20i3.1442 ◽

2017 ◽

Vol 20 (3) ◽

Author(s):

Adriana Ávila De Almeida ◽

Celso Muller Bandeira ◽

Celina Faig Lima Carta ◽

Estela Kaminagakura ◽

Janete Dias Almeida

Keyword(s):

Smoking Cessation ◽

Tobacco Use ◽

Tobacco Use Cessation ◽

Tobacco Use Disorder ◽

Mesh Terms ◽

Cochrane Reviews ◽

Dental Office ◽

New Generation ◽

And Control

<div class="WordSection1">Objective: Tobacco use is the leading cause of preventable illness in the world. The dental office represents an opportunity to approach smokers to tobacco use control. Despite this well-known statement tobacco use cessation intervention delivered by dentists remain less explored than expected. This study evaluated published articles about interventions delivered by dentists and dental healthcare professionals on smoking cessation and discusses the barriers to be overcome to achieve this goal. Material and Methods: The Medline (PubMed), Scopus, Web of Science, Cochrane Reviews, LILACS and Google Scholar databases were searched for articles published in English between January 2010 and December 2016 using the following MeSH terms keywords: tobacco use cessation, smoking cessation, tobacco use disorder and dentistry. Complementary hand searching was done checking bibliographic references for potentially articles. Results: Seventy-two publications were eligible and the results were divided into eight categories: 1) the role of dentists in tobacco use control; 2) knowledge about tobacco use treatment and interventions; 3) characteristics of the dentist’s approach to smokers; 4) barriers and facilitators; 5) future interventions for smoking cessation, 6) reimbursement for tobacco interventions, 7) surveys and 8) systematic reviews and guidelines. Conclusion: Dentists play an important role in the prevention and control of smoking. Training in tobacco use cessation has been increased in the past few decades. Teaching how to deal with smoking in undergraduate courses should be a priority for the next few years, so that a new generation of dentists will incorporate into their habitual activities a natural and efficient approach to smokers.Keywords: Dentistry; Tobacco use cessation; Tobacco use disorder. KeywordsDentistry; Smoking cessation; Tobacco use disorder.</div>

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Factors Associated with the Adoption of Tobacco Cessation Programmes in Schools

The Journal of Smoking Cessation ◽

10.1017/jsc.2015.17 ◽

2016 ◽

Vol 12 (1) ◽

pp. 55-62 ◽

Cited By ~ 1

Author(s):

Melissa A. Little ◽

Pallav Pokhrel ◽

Steve Sussman ◽

Karen J. Derefinko ◽

Zoran Bursac ◽

...

Keyword(s):

Tobacco Use ◽

Tobacco Cessation ◽

Community Organization ◽

School Level ◽

Evidence Based ◽

Tobacco Prevention ◽

Tobacco Use Cessation ◽

Cross Sectional ◽

Tobacco Use Prevention ◽

Tobacco Education

Background: Although there are now a number of evidence-based tobacco use cessation programs available for dissemination, almost all adolescent tobacco cessation research comprises efficacy and effectiveness studies. As a result, there is a need for more research to guide the scaling up of these programs.Methods: The current study utilized data from a cross-sectional sample of 205 administrators and tobacco prevention program coordinators in school districts and county offices of education throughout California, to explore factors that affect the adoption of tobacco cessation programs in schools.Results: We found that several characteristics of the community, organization and individual respondent were associated with the adoption of evidence-based tobacco cessation programs in schools, including identifying tobacco use prevention as a community priority, having school-level SUP coordinators, greater coordinator effort devoted to tobacco use prevention, having a program champion, and currently receiving TUPE funds (all ps < .05).Conclusions: Although the availability of dedicated tobacco education funds is an important factor in schools adopting tobacco cessation programs with proven effectiveness, our results suggest that strengthening education agencies' capacity to implement prevention programming, through dedicated resources and personnel, has the potential to lead to increased adoption of tobacco cessation programs.

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