Theories and Practices on Developing Various Models of Betel Quid Cessation in Taiwan.

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Oral diseases Pub Date : 2026-09-29 DOI:10.1111/odi.70523

Ming-Shinn Lee, Yi-Jung Tsai

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引用次数: 0

Abstract

Objective: This review examines the development and outcomes of Taiwan's betel quid cessation models over two decades. Betel quid, the world's fourth most used psychoactive substance, receives far less cessation attention than tobacco.

Methods: We present a narrative synthesis of program evaluations and national implementation data from Taiwan (2007-2025), analyzing the Transtheoretical Model, Health Belief Model, Theory of Planned Behavior, social cognitive theory, and ecological and nudge frameworks against program design and outcomes.

Results: Six models were developed sequentially. In the 8 h community program, 96% initiated cessation by course end, 53% stopped chewing entirely, and 64% remained abstinent at 1 year tracking. A 4 h workplace program achieved 69% point-prevalence cessation among 166 workers (consumption: 49.8-2.1 quids/day). A 3 min clinic intervention advanced 32% of 246 patients a stage. Case management matched group delivery in stage progression while reaching remote populations; school prevention improved student knowledge and attitudes in 54-73 schools yearly. An AI-assisted curriculum-design tool remains in pilot testing.

Conclusions: Taiwan shows that theory-driven, culturally sensitive, multi-model programs can substantially reduce betel quid use, offering a transferable framework for other high-prevalence regions. Most outcome evidence comes from single-group, self-reported evaluations; confirmation in controlled trials is a regional priority.

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台湾发展各种槟榔戒烟模式的理论与实践

目的：回顾过去二十年来台湾槟榔戒烟模式的发展与结果。槟榔液是世界上第四大使用的精神活性物质，但它得到的戒烟关注远远少于烟草。方法：以台湾2007年至2025年的计划评估与国家执行数据为基础，分析跨理论模型、健康信念模型、计划行为理论、社会认知理论，以及生态与助推框架对计划设计与结果的影响。结果：依次建立6个模型。在8小时的社区项目中，96%的人在课程结束时开始戒烟，53%的人完全停止咀嚼，64%的人在1年的追踪中保持戒断。一项为期4小时的工作场所计划在166名工人中实现了69%的点患病率戒烟（消费量：49.8-2.1磅/天）。一项3分钟的临床干预使246名患者中的32%的患者达到了一个阶段。病例管理与阶段性的群体分娩相匹配，同时覆盖偏远人群；学校预防每年改善54-73所学校学生的知识和态度。人工智能辅助课程设计工具仍处于试点测试阶段。结论：台湾的研究表明，理论驱动的、文化敏感的、多模式的项目可以大大减少槟榔的使用，为其他高流行地区提供了一个可转移的框架。大多数结果证据来自单组自我报告的评估；对照试验中的确认是该地区的优先事项。

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

Oral diseases 医学-牙科与口腔外科

CiteScore

7.60

自引率

5.30%

发文量

325

审稿时长

4-8 weeks

期刊介绍： Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.