Dental staff and patient attitudes about nicotine replacement therapy samples in dental care: A National Dental Practice-Based Research Network study

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2023-12-14 DOI:10.1111/cdoe.12937

Sandra J. Japuntich, Michael S. Dunbar, Zachary Predmore, Erika Litvin Bloom, Pearl Fang, Sarah Basile, D. Brad Rindal, Lisa A. Waiwaiole, Matthew J. Carpenter, Dorota T. Kopycka-Kedzierawski, Jennifer Dahne, Tamara R. Lischka, Peggy Richardson, The National Dental PBRN Collaborative Group

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引用次数: 0

Abstract

Objectives

Cigarette smoking negatively affects oral health. Nicotine replacement therapies (NRT; e.g. nicotine patch or lozenge) and brief interventions (e.g. Ask-Advise-Refer; AAR) can improve cessation outcomes but are underutilized. NRT sampling (NRTS) increases NRT utilization by providing patients with samples of NRT as part of routine healthcare. Ask-Advise-Refer is a brief intervention where practitioners: ask patients about tobacco use, advise those using tobacco to quit and refer to the state quit line. The objective of this qualitative study was to explore dental care practitioners' and patients' attitudes and experiences regarding tobacco cessation treatment and perceptions of two brief intervention models, assessed separately: NRTS and AAR.

Methods

Twenty-four dental care practitioners and nine patients, recruited through the National Dental Practice-Based Research Network, participated in semi-structured telephone interviews. Interviews assessed experiences with tobacco use intervention and attitudes towards NRTS and AAR. Thematic analysis identified emergent themes related to feasibility and acceptability of NRTS and AAR.

Results

Practitioners varied on how they address tobacco use, from systematically to idiosyncratically. Some practitioners recommend NRT; few had prescribed it. Practitioners had favourable attitudes towards AAR and NRTS, with most believing that both interventions would be acceptable and feasible to implement. Concerns regarding AAR were time and patient resistance to discussing tobacco use. Concerns regarding NRTS were patient resistance to using NRT, side effects or medication interactions, and capacity to provide follow-up. Patients reported that oral health practitioners generally ask about tobacco use but do not provide interventions. Patients were open to discussing their tobacco use with practitioners and had favourable attitudes about NRTS.

Conclusions

This formative work suggests that NRTS and AAR may be feasible to implement in dental care settings. Future studies are needed to assess the effectiveness and implementation potential of NRTS in dental care settings.

查看原文本刊更多论文

牙科工作人员和患者对牙科护理中尼古丁替代疗法样本的态度：基于国家牙科实践研究网络的研究

吸烟对口腔健康有负面影响。尼古丁替代疗法（NRT；如尼古丁贴片或含片）和简短干预（如 "询问-建议-参考"；AAR）可改善戒烟效果，但利用率不高。NRT 取样（NRTS）通过向患者提供 NRT 样品作为常规医疗保健的一部分，提高了 NRT 的使用率。询问-建议-转诊 "是一种简短的干预措施，由医生询问患者的烟草使用情况，建议吸烟者戒烟并转诊至州立戒烟热线。这项定性研究的目的是探讨牙科医生和患者对戒烟治疗的态度和经验，以及对两种简短干预模式的看法，并分别进行评估：NRTS和AAR。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.