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)

• 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.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

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

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)