[Show abstract][Hide abstract] ABSTRACT: An increase in the number of dentists conducting tobacco-use cessation treatment is needed. The authors assessed the effects of high-intensity training (HIT) or low-intensity training (LIT) and reimbursement on general dentists' tobacco-use-related attitudes and treatment behaviors.
The authors randomly selected 265 dentists in three states and assigned them to one of five groups: HIT workshop groups with and without tobacco-use cessation counseling reimbursement, LIT mailed self-study groups with and without reimbursement or a control group. Outcomes at follow-up were dentists' self-reported tobacco-use-related attitudes and behaviors and patients' reports of dentists' behaviors.
Significantly more dentists in the intervention groups reported having positive attitudes and behaviors at follow-up than did dentists in the control group. Dentists in the HIT groups, however, reported assessing patients' willingness to quit and assisting them with the quitting process significantly more often than did dentists in the LIT groups. Significantly more patients of dentists in the intervention groups who used tobacco reported receiving advice and assistance from their dentists than did patients of dentists in the control group. Adding reimbursement to HIT or LIT conditions did not provide additional intervention effect.
Dentists trained by means of a workshop or self-study program used components of a recommended guideline more frequently and felt more positive toward tobacco-use cessation counseling than did dentists in the control group.
Although the workshop training was more successful than the self-study training, the latter's reach among dentists could have a more significant public health impact. The effect of reimbursement needs further study.
Journal of the American Dental Association (1939) 06/2012; 143(6):602-13. DOI:10.14219/jada.archive.2012.0239 · 2.01 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Background: Early childhood caries (ECC) is a prevalent and serious problem which particularly affects low-income, minority, and low-literacy populations. Interventions are needed that connect at-risk populations with prevention information.
Methods: This study assessed the acceptability, feasibility and utilization of two automated formats of a phone-based oral health (ECC) education program among a convenience sample of low-income English and Spanish-speaking parents of children aged 1-3 years. Qualitative interviews ranging 30 to 90 minutes were conducted with parents to assess the acceptability of passive (toll-free number on a brochure) versus proactive (automatically generated call plus brochure) phone education formats. Sampling for acceptability, feasibility and utilization data was conducted at two WIC and two community health clinic sites.
Results: Thirty one (17 English, 14 Spanish) qualitative interviews were conducted. Both formats were acceptable to parents of both languages. Thirteen of 56 parents (23%) who agreed to be contacted for the automated phone education answered the call and stayed on the line to hear the information. Spanish-speaking parents had four times the odds of completing such educational calls compared to English-speaking parents (adjusted odds ratio of 4.34 (95% CI: 1.03, 18.3). Only 2 parents called the toll-free number for education.
Conclusion: While both proactive and passive phone education formats were acceptable to parents, the proactive format reached a higher proportion of the sample population, particularly Spanish-speakers. This pilot study suggests proactive phone education with oral health information might be of interest to low-income Spanish speaking parents of young children.
139st APHA Annual Meeting and Exposition 2011; 10/2011