June 2012

Volume 29, Issue 2

A review of strategies to stimulate dental professionals to integrate smoking cessation interventions into primary care

Authors: J.P. Rosseel J.E. Jacobs A.J.M. Plasschaert R.P.T.M Grol
doi: 10.1922/CDH_2595Rosseel08


Objective: To summarise evidence regarding the effectiveness of various implementation strategies to stimulate the delivery of smoking cessation advice and support during daily dental care. Basic research design: Search of online medical and psychological databases, correspondence with authors and checking of reference lists. Only studies were selected which examined a support strategy to promote tobacco use cessation having a component to be delivered by a dentist, dental hygienist or dental assistant in the daily practice setting. Furthermore only controlled studies and systematic reviews were included. Methodological quality and outcomes were independently summarised and checked by two reviewers. Results: Eight studies met the inclusion criteria: 4 addressed strategies aimed at the dental professional and 4 addressed strategies aimed at both professional and patient. Only 4 of the studies were of a good quality. The 8 studies used combinations of implementation strategies, which made it difficult to evaluate the effectiveness of distinct components. Professional education appeared to enhance motivation for smoking cessation activities and advice giving. Organisational interventions (e.g. protocols, involvement of the whole team, referral possibilities) and incorporation of patient-oriented tools also contributed to the delivery of smoking cessation interventions. Conclusions: Multifaceted support strategies positively influence dental professionals’ knowledge of smoking and smoking cessation, their motivation to give advice and their performance. As only 4 studies were of good methodological quality, it was not possible to draw firm conclusions about specific components. Additional research is needed to unravel which strategies best stimulate the provision of smoking cessation advice and support during daily dental practice. Key words: smoking cessation interventions, implementation, barriers, facilitators, daily dental practice, supportive strategies


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Editorial - The Health and Social Care Act (2012) in England 130-130 Download
Dental Public Health in Action - The Platform for Better Oral Health in Europe Report of a New Initiative 131-133 Download
Oral health in a life-course: Birth-cohorts from 1929 to 2006 in Norway 134-143 Download
Income-related inequalities in chewing ability of Europeans aged 50 and above 144-148 Download
Effect of national recommendations on the sale of sweet products in the upper level of Finnish comprehensive schools 149-153 Download
A review of strategies to stimulate dental professionals to integrate smoking cessation interventions into primary care 154-161 Download
When Can Oral Health Education Begin? Relative effectiveness of three oral health education strategies starting pre-partum 162-167 Download
Anterior Tooth Crowding and Prevalence of Dental Caries in Children in Szczecin, Poland 168-172 Download
Clinical evaluation of three caries removal approaches in primary teeth: A randomised controlled trial 173-178 Download
Relationship between gingivitis severity, caries experience and orthodontic anomalies in 13-15 year-old adolescents in Brno, Czech Republic 179-183 Download
Prevalence of necrotizing ulcerative gingivitis and associated factors in Koranic boarding schools in Senegal 184-187 Download
Compliance with school F-milk and non-F milk intake in 3 to 4 and 6 to 7 year old children 188-192 Download


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