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Sökning: WFRF:(Wickholm Seppo)

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  • Andersson, Pia, 1955-, et al. (författare)
  • Tobacco cessation activities among dental hygienists in Sweden
  • 2010
  • Ingår i: Abstracts for ISDH 2010, 1-3 July 2010, Glasgow, UK. ; , s. 190-
  • Konferensbidrag (refereegranskat)abstract
    • Objectives: The aim of the present study was to investigate current practice and perceived barriers regarding tobacco cessation activities among Swedish dental hygienists (DHs). A secondary aim was to study knowledge about the importance of tobacco cessation in relation to different oral health conditions. Methods: A questionnaire including twenty-five questions was mailed to 400 randomly selected DHs in Sweden asking them about their tobacco cessation routines and perceived barriers. Questions were also included regarding knowledge about the importance of tobacco activities in relation to different conditions: caries, gingivitis, periodontitis, and dental implants. The study was approved by the Ethics Committee at Kristianstad University, Sweden. Results: The response rate was 57% n = 229). Forty-five percent n = 103) of these had received courses in tobacco cessation during or after their dental hygienist graduation. Tobacco cessation services were given by 64% n = 146) of the DHs. To improve the work with tobacco cessation 53% n = 121) of the DHs expressed a need for written guidelines and 37% n = 84) wished for courses. Of those DHs (n = 83) who did not provide tobacco cessation advice, 69% (n = 57) reported insufficient competence, while the remaining 31% (n = 26) reported other obstacles to offering the service. Conclusions: The present study indicates that to provide tobacco cessation advice in clinical practice, DHs require theoretical knowledge and clinical experience in this topic.
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4.
  • Andersson, Pia, et al. (författare)
  • Tobacco cessation activities among dental hygienists in Sweden
  • 2010
  • Ingår i: International Journal of Dental Hygiene. - : Wiley. - 1601-5029 .- 1601-5037.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Objectives: The aim of the present study was to investigate current practice and perceived barriers regarding tobacco cessation activities among Swedish dental hygienists (DHs). A secondary aim was to study knowledge about the importance of tobacco cessation in relation to different oral health conditions. Methods: A questionnaire including twenty-five questions was mailed to 400 randomly selected DHs in Sweden asking them about their tobacco cessation routines and perceived barriers. Questions were also included regarding knowledge about the importance of tobacco activities in relation to different conditions: caries, gingivitis, periodontitis, and dental implants. The study was approved by the Ethics Committee at Kristianstad University, Sweden. Results: The response rate was 57% n = 229). Forty-five percent n = 103) of these had received courses in tobacco cessation during or after their dental hygienist graduation. Tobacco cessation services were given by 64% n = 146) of the DHs. To improve the work with tobacco cessation 53% n = 121) of the DHs expressed a need for written guidelines and 37% n = 84) wished for courses. Of those DHs (n = 83) who did not provide tobacco cessation advice, 69% (n = 57) reported insufficient competence, while the remaining 31% (n = 26) reported other obstacles to offering the service. Conclusions: The present study indicates that to provide tobacco cessation advice in clinical practice, DHs require theoretical knowledge and clinical experience in this topic.
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5.
  • Johannsen, Annsofi, et al. (författare)
  • Tobacco cessation interventions by Swedish dental hygienists : a questionnaire study
  • 2012
  • Ingår i: Swedish Dental Journal. - 0347-9994. ; 36:1, s. 45-52
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of the study was to investigate tobacco cessation interventions by Swedish dental hygienists and their perception of the importance of tobacco cessation to oral health. A questionnaire was mailed to 400 randomly selected dental hygienists (DH) in Sweden. The questions covered such topics as tobacco cessation interventions, perceived barriers, and their perception of the importance of tobacco cessation in relation to caries, gingivitis, periodontitis and dental implants. The response rate was 57%. Tobacco habits were routinely recorded by 94% of the respondents. 52% of the dental hygienists reported time constraints, 50% reported insufficient competence and 43% answered that they had lack of experience to work with tobacco cessation. All respondents perceived tobacco cessation to be an important determinant of treatment outcomes in patients with dental implants and periodontitis. Bivariate analysis showed an association between training courses in tobacco cessation and tobacco cessation interventions (OR 3.25, CI 95% 1.80-5.85). A logistic multivariate regression model disclosed two other factors significantly correlated with tobacco cessation interventions: competence (OR 2.4, 95% CI 1.16-4.85), and experience (OR 2.1, 95% CI 1.06-4.28). The analyses were adjusted for age, length of undergraduate training course, and dental care organization. The dental hygienists considered tobacco cessation to be very important in patients with periodontitis and in those with dental implants. Most of the DH in this study undertook some tobacco cessation interventions, though not extensive; the main barriers reported were lack of time, competence and experience.
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6.
  • Johannsen, Annsofi, et al. (författare)
  • Tobacco cessation interventions by Swedish dental hygienists : a questionnaire study
  • 2012
  • Ingår i: Swedish Dental Journal. - : Swedish Dental Association. - 0347-9994. ; 36:1, s. 45-52
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of the study was to investigate tobacco cessation interventions by Swedish dental hygienists and their perception of the importance of tobacco cessation to oral health. A questionnaire was mailed to 400 randomly selected dental hygienists (DH) in Sweden. The questions covered such topics as tobacco cessation interventions, perceived barriers, and their perception of the importance of tobacco cessation in relation to caries, gingivitis, periodontitis and dental implants. The response rate was 57%. Tobacco habits were routinely recorded by 94% of the respondents. 52% of the dental hygienists reported time constraints, 50% reported insufficient competence and 43% answered that they had lack of experience to work with tobacco cessation. All respondents perceived tobacco cessation to be an important determinant of treatment outcomes in patients with dental implants and periodontitis. Bivariate analysis showed an association between training courses in tobacco cessation and tobacco cessation interventions (OR 3.25, CI 95% 1.80-5.85). A logistic multivariate regression model disclosed two other factors significantly correlated with tobacco cessation interventions: competence (OR 2.4, 95% CI 1.16-4.85), and experience (OR 2.1, 95% CI 1.06-4.28). The analyses were adjusted for age, length of undergraduate training course, and dental care organization. The dental hygienists considered tobacco cessation to be very important in patients with periodontitis and in those with dental implants. Most of the DH in this study undertook some tobacco cessation interventions, though not extensive; the main barriers reported were lack of time, competence and experience.
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7.
  • Ramseier, Christoph A, et al. (författare)
  • Consensus Report: 2nd European Workshop on Tobacco Use Prevention and Cessation for Oral Health Professionals.
  • 2010
  • Ingår i: International dental journal. - 0020-6539. ; 60:1, s. 3-6
  • Tidskriftsartikel (refereegranskat)abstract
    • Tobacco use has been identified as a major risk factor for oral disorders such as cancer and periodontal disease. Tobacco use cessation (TUC) is associated with the potential for reversal of precancer, enhanced outcomes following periodontal treatment, and better periodontal status compared to patients who continue to smoke. Consequently, helping tobacco users to quit has become a part of both the responsibility of oral health professionals and the general practice of dentistry. TUC should consist of behavioural support, and if accompanied by pharmacotherapy, is more likely to be successful. It is widely accepted that appropriate compensation of TUC counselling would give oral health professionals greater incentives to provide these measures. Therefore, TUC-related compensation should be made accessible to all dental professionals and be in appropriate relation to other therapeutic interventions. International and national associations for oral health professionals are urged to act as advocates to promote population, community and individual initiatives in support of tobacco use prevention and cessation (TUPAC) counselling, including integration in undergraduate and graduate dental curricula. In order to facilitate the adoption of TUPAC strategies by oral health professionals, we propose a level of care model which includes 1) basic care: brief interventions for all patients in the dental practice to identify tobacco users, assess readiness to quit, and request permission to re-address at a subsequent visit, 2) intermediate care: interventions consisting of (brief) motivational interviewing sessions to build on readiness to quit, enlist resources to support change, and to include cessation medications, and 3) advanced care: intensive interventions to develop a detailed quit plan including the use of suitable pharmacotherapy. To ensure that the delivery of effective TUC becomes part of standard care, continuing education courses and updates should be implemented and offered to all oral health professionals on a regular basis.
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