General health promotion in general dental practice--the involvement of the dental team. Part 1: a review of the evidence of effectiveness of brief public health interventions.
OBJECTIVE
To review the evidence of the effectiveness of dentists, dental teams and other healthcare workers in seven different brief public health interventions that might contribute to Government targets in cancer and circulatory disease. The interventions were: smoking prevention, smoking cessation, advice on alcohol consumption, diet counselling, advice on physical exercise, advice on skin cancer prevention and blood pressure monitoring.


METHODS
A series of literature reviews, using a generic systematic approach, were undertaken to investigate the effectiveness of dentists, dental teams and other healthcare workers in each intervention.


RESULTS
Apart from smoking cessation and dietary advice, no studies were identified on the effectiveness of dentists or dental teams in the interventions investigated. There is some evidence that dentists and dental teams can be effective in smoking cessation. There is minimal evidence for effectiveness in dietary counselling, and that which exists shows only a transient effect. There is evidence that other healthcare workers can have some effect in all interventions, though the effect in preventing skin cancer is questionable.


CONCLUSIONS
Due to the paucity of studies undertaken, there is minimal evidence of effectiveness of dentists and dental teams in any of the seven interventions. However other healthcare workers are effective in most of them. Dentists and dental teams' involvement in such brief general health promotion interventions might contribute to Government targets on cancer and circulatory disease.
Dyer
T A
TA
Rotherham and Barnsley Primary Care Trusts, Bevan House, Oakwood Hall Drive, Rotherham. t.dyer@sheffield.ac.uk
Robinson
P G
PG
D000428:Alcohol Drinking; D018660:Blood Pressure Monitoring, Ambulatory; D003376:Counseling; D003797:Dental Staff; D003815:Dentists; D004032:Diet; D015444:Exercise; D006293:Health Promotion; D006801:Humans; D011634:Public Health; D012878:Skin Neoplasms / Q000517:prevention & control; D016540:Smoking Cessation; D000074606:Smoking Prevention