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Evaluation of a bri...
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)
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- Virtanen, Suvi E. (författare)
- Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
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- Zeebari, Zangin (författare)
- Karolinska Institutet
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- Rohyo, Izla (författare)
- Dentistry Clinic Solvändan, Sörmland Health Care Region, Mariefred, Sweden
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- Galanti, Maria R. (författare)
- Karolinska Institutet
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(creator_code:org_t)
- Elsevier, 2015
- 2015
- Engelska.
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Ingår i: Preventive Medicine. - : Elsevier. - 0091-7435 .- 1096-0260. ; 70, s. 26-32
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- 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)
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