Models of smoking cessation brief interventions in oral health.

Greer M Dawson, Jennifer M Noller, John C Skinner
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引用次数: 14

Abstract

The links between tobacco smoking, and periodontal disease and oral cancer make the inclusion of smoking cessation interventions at dental visits an important prevention strategy in oral health services. The 5As (Ask, Advise, Assess, Assist, Arrange), which utilises a stages of change model, is the most commonly recognised framework for the provision of smoking cessation brief interventions and is advocated widely. While the popularity of the 5As continues, increasingly evidence suggests that staged-based interventions in smoking cessation may not be the best approach. Lack of time and expertise are also cited by health professionals as barriers to undertaking brief interventions and thus abbreviated forms of the 5As have been advocated. In 2009, NSW Health introduced a mandatory policy for public dental services in NSW to conduct smoking cessation brief interventions at the chairside based on a three-step approach, which is currently being evaluated. Given the debate and the pending evaluation results, this paper reviews models of smoking cessation brief interventions, to contribute to achieving a best practice model for public oral health in NSW.

戒烟模型对口腔健康的简短干预。
吸烟与牙周病和口腔癌之间的联系使得在牙科就诊时纳入戒烟干预措施成为口腔卫生服务中的一项重要预防战略。采用变化阶段模型的5a(询问、建议、评估、协助、安排)是提供戒烟短期干预措施的最普遍认可的框架,并得到广泛提倡。虽然“5a”继续流行,但越来越多的证据表明,分阶段的戒烟干预措施可能不是最好的方法。卫生专业人员还指出,缺乏时间和专门知识是采取简短干预措施的障碍,因此提倡采取缩短形式的5a。2009年,新南威尔士州卫生部为新南威尔士州的公共牙科服务机构推出了一项强制性政策,根据三步走的方法,在主持岗位上进行短暂的戒烟干预,目前正在对该方法进行评估。鉴于辩论和待定的评估结果,本文回顾了戒烟短暂干预的模型,以有助于实现新南威尔士州公共口腔健康的最佳实践模型。
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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