Disseminating a smokeless tobacco cessation intervention model to dental hygienists: a randomized comparison of personalized instruction and self-study methods.
This study evaluated 2 methods of disseminating an empirically validated smokeless tobacco intervention delivered during routine dental care. Twenty cities within 12 states were stratified and then randomized to 1 of 3 groups: personalized instruction (PI), self-study (SS), or delayed training (DT) control. Dental hygienists in the SS condition were sent a manual and video. Those in the PI condition were recruited to attend a workshop. Thirty-seven percent of eligible hygienists agreed to participate. At 12 months postenrollment, hygienists in the SS and PI conditions significantly increased their "Assist" behaviors (discuss cessation techniques, help patient set a quit date, and provide cessation materials) and reported fewer perceived barriers to delivering the intervention as compared with hygienists in DT. An economic analysis suggests that SS is more cost-effective than PI.
Gordon
Judith S
JS
Oregon Research Institute, Eugene, OR 97403-1983, USA. judith@ori.org
Andrews
Judy A
JA
Lichtenstein
Edward
E
Severson
Herbert H
HH
Akers
Laura
L
D000328:Adult; D000465:Algorithms; D019317:Evidence-Based Medicine; D005260:Female; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009910:Oral Hygiene; D010353:Patient Education as Topic / Q000379:methods*; D011380:Programmed Instructions as Topic; D020340:Tobacco Use Cessation; D014030:Tobacco, Smokeless; D016896:Treatment Outcome; D014850:Waiting Lists