Tobacco education in dentistry and dental hygiene

Gordon, Judith S.; Albert, David A.; Crews, Karen M.; Fried, Jacquelyn L.

doi:10.1111/j.1465-3362.2009.00108.x

Cited by 51 publications

(62 citation statements)

References 40 publications

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“…Only 2 programs ensured TDT competence in their graduates. This limited tobacco use intervention is consistent with the approach supported by the Ask, Advise, Refer model (12) and with quantitative research reports of dental hygiene education (17,18) and education among other health care professionals (19–24). …”

Section: Discussionsupporting

confidence: 84%

A Qualitative Study of Tobacco Dependence Treatment in 19 US Dental Hygiene Programs

Koerber¹,

Davis²,

Newton³

2012

Prev. Chronic Dis.

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IntroductionThe US Public Health Service calls for health professionals to provide tobacco dependence counseling for patients. The purpose of this study was to understand how dental hygiene programs make decisions about and provide training for tobacco dependence counseling to help them graduate more fully competent hygienists.MethodsWe conducted interviews (N = 32) with mainly program and clinic directors from 19 US dental hygiene education programs for this qualitative case study. We explored fluoride therapy training and tooth whitening training for comparison. Two analysts summarized the transcripts into a case study for each program.ResultsAll programs reported a similar process of learning about and choosing a method for teaching the topics explored. The programs used a common process, ADPIE (assess, diagnose, plan, implement, evaluate), to structure students’ clinical encounters. Almost all programs train students to ask about tobacco use and to advise quitting, but few programs train students to effectively help patients to quit and only 2 programs evaluated the competence of all students to provide such training. ADPIE shows promise for integrating tobacco dependence treatment more fully into the clinical training of dental hygiene students. Comparison to tooth whitening and fluoride therapy training indicated that complexity of the treatment and alignment with dental hygiene’s mission were themes related to training decisions.ConclusionFull implementation of tobacco dependence counseling into dental hygiene education requires a commitment by dental hygiene educators to train students and faculty in counseling techniques and their evaluation. We identified an existing clinical structure as showing promise for facilitating improvement.

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Section: Discussionsupporting

confidence: 84%

A Qualitative Study of Tobacco Dependence Treatment in 19 US Dental Hygiene Programs

Koerber¹,

Davis²,

Newton³

2012

Prev. Chronic Dis.

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“…Several studies, including ours, found associations between low rates of adherence to cessation assistance guidelines and a lack of training (2). To address this persistent barrier to adoption of TDT guidelines, it is important to include tobacco use prevention and treatment in the dental school curriculum and to integrate tobacco cessation as a routine part of care in the clinical settings in which students train (21,22). New York State’s continuing education requirement that dentists take a course on tobacco use treatment to renew their license provides accountability and incentive for practicing dentists to obtain additional training and could be widely implemented to other regions nationally (23).…”

Section: Discussionmentioning

confidence: 99%

Dentists’ Self-Perceived Role in Offering Tobacco Cessation Services: Results From a Nationally Representative Survey, United States, 2010–2011

Jannat‐Khah¹,

McNeely²,

Pereyra³

et al. 2014

Prev. Chronic Dis.

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IntroductionDental visits represent an opportunity to identify and help patients quit smoking, yet dental settings remain an untapped venue for treatment of tobacco dependence. The purpose of this analysis was to assess factors that may influence patterns of tobacco-use–related practice among a national sample of dental providers.MethodsWe surveyed a representative sample of general dentists practicing in the United States (N = 1,802). Multivariable analysis was used to assess correlates of adherence to tobacco use treatment guidelines and to analyze factors that influence providers’ willingness to offer tobacco cessation assistance if reimbursed for this service.ResultsMore than 90% of dental providers reported that they routinely ask patients about tobacco use, 76% counsel patients, and 45% routinely offer cessation assistance, defined as referring patients for cessation counseling, providing a cessation prescription, or both. Results from multivariable analysis indicated that cessation assistance was associated with having a practice with 1 or more hygienists, having a chart system that includes a tobacco use question, having received training on treating tobacco dependence, and having positive attitudes toward treating tobacco use. Providers who did not offer assistance but who reported that they would change their practice patterns if sufficiently reimbursed were more likely to be in a group practice, treat patients insured through Medicaid, and have positive attitudes toward treating tobacco dependence.ConclusionFindings indicate the potential benefit of increasing training opportunities and promoting system changes to increase involvement of dental providers in conducting tobacco use treatment. Reimbursement models should be tested to assess the effect on dental provider practice patterns.

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“…Data from large-scale randomized clinical trials provide evidence that counseling by health professionals modestly improves smoking cessation rates [19, 20] and therefore highlights the importance of continued efforts on the part of clinicians. A dedicated curriculum content might improve upon deficiencies in counseling skills and conveying tobacco-use cessation information [21]. Patients knew that smoking and heavy alcohol consumption were risk factors for oral cancer, but did not change behavior.…”

Section: Discussionmentioning

confidence: 99%

Oral Cancer Knowledge: A Survey Administered to Patients in Dental Departments at Large Italian Hospitals

et al. 2011

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We assessed the oral cancer (OC) knowledge, including risk factors and clinical symptoms, among patients attending dental departments within Italian university hospitals. Two thousand and two hundred questionnaires were sent to four hospitals in order to assess patients’ knowledge regarding clinical and epidemiological aspects of OC; OC knowledge was evaluated overall and stratified by oral cancer family history. Participants frequently identified cigarette smoking (87.8%) and heavy alcohol consumption (58.6%) as a risk factor for oral cancer, knew the clinical signs of OC (65–79% depending on the specific symptom) and reported that early detection was related to better prognosis of oral cancer (94%). Individuals with a positive family history for oral cancer were significantly more likely to identify risk factors for oral cancer correctly yet family history of OC did not affect smoking status. Less than 15% of patients reported having received OC counseling by a dentist or physician.

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Tobacco education in dentistry and dental hygiene

Cited by 51 publications

References 40 publications

A Qualitative Study of Tobacco Dependence Treatment in 19 US Dental Hygiene Programs

A Qualitative Study of Tobacco Dependence Treatment in 19 US Dental Hygiene Programs

Dentists’ Self-Perceived Role in Offering Tobacco Cessation Services: Results From a Nationally Representative Survey, United States, 2010–2011

Oral Cancer Knowledge: A Survey Administered to Patients in Dental Departments at Large Italian Hospitals

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