What determines the provision of smoking cessation advice and counselling by dental care teams?

Rosseel, J. P.; Jacobs, J.E.; Hilberink, Sander R.; Maassen, Irma; Allard, R.H.B.; Plasschaert, A.J.M.; Grol, Richard

doi:10.1038/sj.bdj.2009.272

Cited by 25 publications

(36 citation statements)

References 19 publications

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“…The domains environmental context and resources, beliefs about capabilities, and skills yielded the lowest scores (Figure 2) and were thus identified as potential barriers to implementation. This result is consistent with findings from non-theory-based studies in other settings and contexts among dental providers [10-12,27]. Because the domain motivation and goals is potentially the most important predictor of guideline implementation among healthcare providers [16,28], it is encouraging that it produced a relatively high score in this context.…”

Section: Discussionsupporting

confidence: 86%

Assessing implementation difficulties in tobacco use prevention and cessation counselling among dental providers

et al. 2011

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BackgroundTobacco use adversely affects oral health. Clinical guidelines recommend that dental providers promote tobacco abstinence and provide patients who use tobacco with brief tobacco use cessation counselling. Research shows that these guidelines are seldom implemented, however. To improve guideline adherence and to develop effective interventions, it is essential to understand provider behaviour and challenges to implementation. This study aimed to develop a theoretically informed measure for assessing among dental providers implementation difficulties related to tobacco use prevention and cessation (TUPAC) counselling guidelines, to evaluate those difficulties among a sample of dental providers, and to investigate a possible underlying structure of applied theoretical domains.MethodsA 35-item questionnaire was developed based on key theoretical domains relevant to the implementation behaviours of healthcare providers. Specific items were drawn mostly from the literature on TUPAC counselling studies of healthcare providers. The data were collected from dentists (n = 73) and dental hygienists (n = 22) in 36 dental clinics in Finland using a web-based survey. Of 95 providers, 73 participated (76.8%). We used Cronbach's alpha to ascertain the internal consistency of the questionnaire. Mean domain scores were calculated to assess different aspects of implementation difficulties and exploratory factor analysis to assess the theoretical domain structure. The authors agreed on the labels assigned to the factors on the basis of their component domains and the broader behavioural and theoretical literature.ResultsInternal consistency values for theoretical domains varied from 0.50 ('emotion') to 0.71 ('environmental context and resources'). The domain environmental context and resources had the lowest mean score (21.3%; 95% confidence interval [CI], 17.2 to 25.4) and was identified as a potential implementation difficulty. The domain emotion provided the highest mean score (60%; 95% CI, 55.0 to 65.0). Three factors were extracted that explain 70.8% of the variance: motivation (47.6% of variance, α = 0.86), capability (13.3% of variance, α = 0.83), and opportunity (10.0% of variance, α = 0.71).ConclusionsThis study demonstrated a theoretically informed approach to identifying possible implementation difficulties in TUPAC counselling among dental providers. This approach provides a method for moving from diagnosing implementation difficulties to designing and evaluating interventions.

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Section: Discussionsupporting

confidence: 86%

Assessing implementation difficulties in tobacco use prevention and cessation counselling among dental providers

et al. 2011

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“…This provides an excellent opportunity for oral health professionals to have a significant public health impact, especially among youth, therefore providing a feasible and justified setting for us to conduct the study. Although health care systems differ from country to country, the implementation challenges of TUPAC counselling among oral health professionals seem quite similar . While our sample of oral health professionals was working in primary health care, our positive results may be applicable to and should at least encourage those working in the private sector.…”

Section: Discussionmentioning

confidence: 80%

Impact of educational intervention on implementation of tobacco counselling among oral health professionals: a cluster‐randomized community trial

Amemori

Virtanen

Korhonen

et al. 2012

Comm Dent Oral Epid

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Educational intervention yielded positive short-term effects on cessation counselling, but not on preventive counselling. Adding a fee-for-service to education failed to significantly improve TUPAC counselling performance. Other approaches than monetary incentives may be needed to enhance the effectiveness of educational intervention. Further studies with focus on how to achieve long-term changes in TUPAC counselling activity among oral health professionals are needed.

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“…One study relating to advice and counselling split data into three target groups: patients with oral complaints, patients without oral complaints, and all patients, as well as by the types of activities, i.e., advice or counselling . To simplify reporting only general information without specifics of target groups have been reported.…”

Section: Resultsmentioning

confidence: 99%

Factors that influence delivery of tobacco cessation support in general dental practice: a narrative review

Lala

Csikar

Douglas

et al. 2016

J Public Health Dent

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What determines the provision of smoking cessation advice and counselling by dental care teams?

Cited by 25 publications

References 19 publications

Assessing implementation difficulties in tobacco use prevention and cessation counselling among dental providers

Assessing implementation difficulties in tobacco use prevention and cessation counselling among dental providers

Impact of educational intervention on implementation of tobacco counselling among oral health professionals: a cluster‐randomized community trial

Factors that influence delivery of tobacco cessation support in general dental practice: a narrative review

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