Tobacco Cessation Via Public Health Dental Clinics (PHD2)

Oregon Research Institute

Status and phase: Completed; Phase 2

Conditions: Smoking

Treatments: Behavioral: Brief tobacco counseling

Study type: Interventional

Funder types: Other

Identifiers

NCT00683839

5R01CA107442 (U.S. NIH Grant/Contract)

5R01CA107442-3

Details and patient eligibility

About

The study will examine the effectiveness of public health dental practitioners using a brief office based intervention designed to help patients quit smoking or smokeless tobacco use, as compared to usual care.

Full description

The prevalence of tobacco use is especially high in lower socioeconomic status (SES) populations in the U.S. Community Health Centers provide comprehensive primary care services, and usually dental services, to large numbers of low-income smokers and smokeless tobacco users. The typical patient has multiple dental visits, which can be used for tobacco cessation advice and counseling by the dental office team. This study builds on a successful pilot study conducted in two public health dental clinics.

This study is a randomized clinical trial in which 14 public health dental clinics in Oregon, Mississippi, and New York City were stratified by state, matched within state by racial/ethnic composition, and then randomly assigned to either the Intervention or Usual Care Control condition. In the Intervention Condition, the dental team provided a brief intervention modeled on the "5A's" advocated by the Clinical Practice Guideline.

Enrollment: 2,637 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients of participating public health dental clinics
• Tobacco users

Exclusion criteria

• Emergency patients

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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2,637 participants in 2 patient groups

2

Experimental group

Description:

Dental practitioners provide the following intervention: 5As plus nicotine replacement therapy The 5As consist of: Ask, Advise, Assess, Assist and Arrange.

Treatment:

Behavioral: Brief tobacco counseling

1

No Intervention group

Description:

Usual Care Control: Patients receive treatment as usual.