Impact of educational intervention on implementation of tobacco counselling among oral health professionals: a cluster-randomized community trial
Objectives Tobacco use adversely affects oral health. Clinical guidelines recommend that oral health professionals promote tobacco abstinence and provide patients who use tobacco with brief tobacco use cessation counselling. Research shows that these guidelines are seldom implemented successfully. T...
Gespeichert in:
| Veröffentlicht in: | Community dentistry and oral epidemiology 2013-04, Vol.41 (2), p.120-129 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 129 |
|---|---|
| container_issue | 2 |
| container_start_page | 120 |
| container_title | Community dentistry and oral epidemiology |
| container_volume | 41 |
| creator | Amemori, Masamitsu Virtanen, Jorma Korhonen, Tellervo Kinnunen, Taru H. Murtomaa, Heikki |
| description | Objectives
Tobacco use adversely affects oral health. Clinical guidelines recommend that oral health professionals promote tobacco abstinence and provide patients who use tobacco with brief tobacco use cessation counselling. Research shows that these guidelines are seldom implemented successfully. This study aimed to evaluate two interventions to enhance tobacco use prevention and cessation (TUPAC) counselling among oral health professionals in Finland.
Methods
We used a cluster‐randomized community trial to test educational and fee‐for‐service interventions in enhancing TUPAC counselling among a sample of dentists (n = 73) and dental hygienists (n = 22) in Finland. Educational intervention consisted of 1 day of training, including lectures, interactive sessions, multimedia demonstrations and a role play session with standard patient cases. Fee‐for‐service intervention consisted of monetary compensation for providing tobacco use prevention or cessation counselling. TUPAC counselling procedures provided were reported and measured using an electronic dental records system. In data analysis, intent‐to‐treat principles were followed at both individual and cluster levels. Descriptive analysis included chi‐square and t‐tests. A general linear model for repeated measures was used to compare the outcome measures by intervention group.
Results
Of 95 providers, 73 participated (76.8%). In preventive counselling, there was no statistically significant time effect or group‐by‐time interaction. In cessation counselling, statistically significant group‐by‐time interaction was found after a 6‐month follow‐up (F = 2.31; P = 0.007), indicating that counselling activity increased significantly in intervention groups. On average, dental hygienists showed greater activity in tobacco prevention (F = 12.13; P = 0.001) and cessation counselling (F = 30.19; P |
| doi_str_mv | 10.1111/j.1600-0528.2012.00743.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1317851072</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2920802231</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4353-8d9d205c5365992c84e621f33f1d06eb9cffcc016fb8b71b9ea4c50d47faef7b3</originalsourceid><addsrcrecordid>eNqNkctu1DAARS0EotPCLyBLbNgktePYTpBYoGlpK6q2C1ClbizHsamHOB7sBGb6F_1jnEmZRVdYlp_nXj8uABCjHKdyvMoxQyhDtKjyAuEiR4iXJN-8AIv9xkuwQAThjDKGD8BhjCuEMCeMvQYHRVGTkvFqAR4v3FqqAXoDdTsqOVjfyw7aftDht-6nKUzVunWnXZrLecXAwTdSKQ-VH_uou872P6B0PrU-JIN7LbvhHq6DNzrGnWn8CCVU3RiTdRZk33pnH3SbHJwbezts4RCs7N6AVybB-u1TfwS-fzn9tjzPLq_PLpafLzNVEkqyqq3bAlFFCaN1Xaiq1KzAhhCDW8R0UytjlEKYmaZqOG5qLUtFUVtyI7XhDTkCH2bfdMdfo46DcDaq9BLZaz9GgQnmFcWIFwl9_wxd-TFMT9pRDPMSlYmqZkoFH2PQRqyDdTJsBUZiik2sxJSOmNIRU2xiF5vYJOm7pwPGxul2L_yXUwI-zcAf2-ntfxuL5cn1aRolfTbrbfr9zV4vw0_BOOFU3F6didu7m7vzrydU3JC_pdi5NQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1317617404</pqid></control><display><type>article</type><title>Impact of educational intervention on implementation of tobacco counselling among oral health professionals: a cluster-randomized community trial</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Amemori, Masamitsu ; Virtanen, Jorma ; Korhonen, Tellervo ; Kinnunen, Taru H. ; Murtomaa, Heikki</creator><creatorcontrib>Amemori, Masamitsu ; Virtanen, Jorma ; Korhonen, Tellervo ; Kinnunen, Taru H. ; Murtomaa, Heikki</creatorcontrib><description>Objectives
Tobacco use adversely affects oral health. Clinical guidelines recommend that oral health professionals promote tobacco abstinence and provide patients who use tobacco with brief tobacco use cessation counselling. Research shows that these guidelines are seldom implemented successfully. This study aimed to evaluate two interventions to enhance tobacco use prevention and cessation (TUPAC) counselling among oral health professionals in Finland.
Methods
We used a cluster‐randomized community trial to test educational and fee‐for‐service interventions in enhancing TUPAC counselling among a sample of dentists (n = 73) and dental hygienists (n = 22) in Finland. Educational intervention consisted of 1 day of training, including lectures, interactive sessions, multimedia demonstrations and a role play session with standard patient cases. Fee‐for‐service intervention consisted of monetary compensation for providing tobacco use prevention or cessation counselling. TUPAC counselling procedures provided were reported and measured using an electronic dental records system. In data analysis, intent‐to‐treat principles were followed at both individual and cluster levels. Descriptive analysis included chi‐square and t‐tests. A general linear model for repeated measures was used to compare the outcome measures by intervention group.
Results
Of 95 providers, 73 participated (76.8%). In preventive counselling, there was no statistically significant time effect or group‐by‐time interaction. In cessation counselling, statistically significant group‐by‐time interaction was found after a 6‐month follow‐up (F = 2.31; P = 0.007), indicating that counselling activity increased significantly in intervention groups. On average, dental hygienists showed greater activity in tobacco prevention (F = 12.13; P = 0.001) and cessation counselling (F = 30.19; P < 0.001) than did dentists. In addition, cessation counselling showed a statistically significant provider‐by‐group‐by‐time interaction (F = 5.95; P < 0.001), indicating that interventions to enhance cessation counselling were more effective among dental hygienists.
Conclusions
Educational intervention yielded positive short‐term effects on cessation counselling, but not on preventive counselling. Adding a fee‐for‐service to education failed to significantly improve TUPAC counselling performance. Other approaches than monetary incentives may be needed to enhance the effectiveness of educational intervention. Further studies with focus on how to achieve long‐term changes in TUPAC counselling activity among oral health professionals are needed.</description><identifier>ISSN: 0301-5661</identifier><identifier>EISSN: 1600-0528</identifier><identifier>DOI: 10.1111/j.1600-0528.2012.00743.x</identifier><identifier>PMID: 22934678</identifier><language>eng</language><publisher>Denmark: Blackwell Publishing Ltd</publisher><subject>Adult ; Attitude to Health ; Clinical Competence ; clinical trial ; Counseling - education ; Dental health ; Dental Hygienists - economics ; Dental Hygienists - education ; dental staff ; Dentistry ; Dentists - economics ; Education, Dental, Continuing ; Electronic Health Records ; Female ; Finland ; Follow-Up Studies ; Health education ; Humans ; Intervention ; Male ; Middle Aged ; Motivation ; Multimedia ; Outcome Assessment (Health Care) ; prevention ; Reimbursement, Incentive ; Role Playing ; Self Efficacy ; Smoking cessation ; Smoking Prevention ; Teaching - methods ; Time Factors ; Tobacco ; Tobacco Use Cessation - statistics & numerical data ; training</subject><ispartof>Community dentistry and oral epidemiology, 2013-04, Vol.41 (2), p.120-129</ispartof><rights>2012 John Wiley & Sons A/S</rights><rights>2012 John Wiley & Sons A/S.</rights><rights>2013 John Wiley & Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4353-8d9d205c5365992c84e621f33f1d06eb9cffcc016fb8b71b9ea4c50d47faef7b3</citedby><cites>FETCH-LOGICAL-c4353-8d9d205c5365992c84e621f33f1d06eb9cffcc016fb8b71b9ea4c50d47faef7b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0528.2012.00743.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0528.2012.00743.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22934678$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amemori, Masamitsu</creatorcontrib><creatorcontrib>Virtanen, Jorma</creatorcontrib><creatorcontrib>Korhonen, Tellervo</creatorcontrib><creatorcontrib>Kinnunen, Taru H.</creatorcontrib><creatorcontrib>Murtomaa, Heikki</creatorcontrib><title>Impact of educational intervention on implementation of tobacco counselling among oral health professionals: a cluster-randomized community trial</title><title>Community dentistry and oral epidemiology</title><addtitle>Community Dent Oral Epidemiol</addtitle><description>Objectives
Tobacco use adversely affects oral health. Clinical guidelines recommend that oral health professionals promote tobacco abstinence and provide patients who use tobacco with brief tobacco use cessation counselling. Research shows that these guidelines are seldom implemented successfully. This study aimed to evaluate two interventions to enhance tobacco use prevention and cessation (TUPAC) counselling among oral health professionals in Finland.
Methods
We used a cluster‐randomized community trial to test educational and fee‐for‐service interventions in enhancing TUPAC counselling among a sample of dentists (n = 73) and dental hygienists (n = 22) in Finland. Educational intervention consisted of 1 day of training, including lectures, interactive sessions, multimedia demonstrations and a role play session with standard patient cases. Fee‐for‐service intervention consisted of monetary compensation for providing tobacco use prevention or cessation counselling. TUPAC counselling procedures provided were reported and measured using an electronic dental records system. In data analysis, intent‐to‐treat principles were followed at both individual and cluster levels. Descriptive analysis included chi‐square and t‐tests. A general linear model for repeated measures was used to compare the outcome measures by intervention group.
Results
Of 95 providers, 73 participated (76.8%). In preventive counselling, there was no statistically significant time effect or group‐by‐time interaction. In cessation counselling, statistically significant group‐by‐time interaction was found after a 6‐month follow‐up (F = 2.31; P = 0.007), indicating that counselling activity increased significantly in intervention groups. On average, dental hygienists showed greater activity in tobacco prevention (F = 12.13; P = 0.001) and cessation counselling (F = 30.19; P < 0.001) than did dentists. In addition, cessation counselling showed a statistically significant provider‐by‐group‐by‐time interaction (F = 5.95; P < 0.001), indicating that interventions to enhance cessation counselling were more effective among dental hygienists.
Conclusions
Educational intervention yielded positive short‐term effects on cessation counselling, but not on preventive counselling. Adding a fee‐for‐service to education failed to significantly improve TUPAC counselling performance. Other approaches than monetary incentives may be needed to enhance the effectiveness of educational intervention. Further studies with focus on how to achieve long‐term changes in TUPAC counselling activity among oral health professionals are needed.</description><subject>Adult</subject><subject>Attitude to Health</subject><subject>Clinical Competence</subject><subject>clinical trial</subject><subject>Counseling - education</subject><subject>Dental health</subject><subject>Dental Hygienists - economics</subject><subject>Dental Hygienists - education</subject><subject>dental staff</subject><subject>Dentistry</subject><subject>Dentists - economics</subject><subject>Education, Dental, Continuing</subject><subject>Electronic Health Records</subject><subject>Female</subject><subject>Finland</subject><subject>Follow-Up Studies</subject><subject>Health education</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Multimedia</subject><subject>Outcome Assessment (Health Care)</subject><subject>prevention</subject><subject>Reimbursement, Incentive</subject><subject>Role Playing</subject><subject>Self Efficacy</subject><subject>Smoking cessation</subject><subject>Smoking Prevention</subject><subject>Teaching - methods</subject><subject>Time Factors</subject><subject>Tobacco</subject><subject>Tobacco Use Cessation - statistics & numerical data</subject><subject>training</subject><issn>0301-5661</issn><issn>1600-0528</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctu1DAARS0EotPCLyBLbNgktePYTpBYoGlpK6q2C1ClbizHsamHOB7sBGb6F_1jnEmZRVdYlp_nXj8uABCjHKdyvMoxQyhDtKjyAuEiR4iXJN-8AIv9xkuwQAThjDKGD8BhjCuEMCeMvQYHRVGTkvFqAR4v3FqqAXoDdTsqOVjfyw7aftDht-6nKUzVunWnXZrLecXAwTdSKQ-VH_uou872P6B0PrU-JIN7LbvhHq6DNzrGnWn8CCVU3RiTdRZk33pnH3SbHJwbezts4RCs7N6AVybB-u1TfwS-fzn9tjzPLq_PLpafLzNVEkqyqq3bAlFFCaN1Xaiq1KzAhhCDW8R0UytjlEKYmaZqOG5qLUtFUVtyI7XhDTkCH2bfdMdfo46DcDaq9BLZaz9GgQnmFcWIFwl9_wxd-TFMT9pRDPMSlYmqZkoFH2PQRqyDdTJsBUZiik2sxJSOmNIRU2xiF5vYJOm7pwPGxul2L_yXUwI-zcAf2-ntfxuL5cn1aRolfTbrbfr9zV4vw0_BOOFU3F6didu7m7vzrydU3JC_pdi5NQ</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Amemori, Masamitsu</creator><creator>Virtanen, Jorma</creator><creator>Korhonen, Tellervo</creator><creator>Kinnunen, Taru H.</creator><creator>Murtomaa, Heikki</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201304</creationdate><title>Impact of educational intervention on implementation of tobacco counselling among oral health professionals: a cluster-randomized community trial</title><author>Amemori, Masamitsu ; Virtanen, Jorma ; Korhonen, Tellervo ; Kinnunen, Taru H. ; Murtomaa, Heikki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4353-8d9d205c5365992c84e621f33f1d06eb9cffcc016fb8b71b9ea4c50d47faef7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Attitude to Health</topic><topic>Clinical Competence</topic><topic>clinical trial</topic><topic>Counseling - education</topic><topic>Dental health</topic><topic>Dental Hygienists - economics</topic><topic>Dental Hygienists - education</topic><topic>dental staff</topic><topic>Dentistry</topic><topic>Dentists - economics</topic><topic>Education, Dental, Continuing</topic><topic>Electronic Health Records</topic><topic>Female</topic><topic>Finland</topic><topic>Follow-Up Studies</topic><topic>Health education</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Multimedia</topic><topic>Outcome Assessment (Health Care)</topic><topic>prevention</topic><topic>Reimbursement, Incentive</topic><topic>Role Playing</topic><topic>Self Efficacy</topic><topic>Smoking cessation</topic><topic>Smoking Prevention</topic><topic>Teaching - methods</topic><topic>Time Factors</topic><topic>Tobacco</topic><topic>Tobacco Use Cessation - statistics & numerical data</topic><topic>training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amemori, Masamitsu</creatorcontrib><creatorcontrib>Virtanen, Jorma</creatorcontrib><creatorcontrib>Korhonen, Tellervo</creatorcontrib><creatorcontrib>Kinnunen, Taru H.</creatorcontrib><creatorcontrib>Murtomaa, Heikki</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Community dentistry and oral epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amemori, Masamitsu</au><au>Virtanen, Jorma</au><au>Korhonen, Tellervo</au><au>Kinnunen, Taru H.</au><au>Murtomaa, Heikki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of educational intervention on implementation of tobacco counselling among oral health professionals: a cluster-randomized community trial</atitle><jtitle>Community dentistry and oral epidemiology</jtitle><addtitle>Community Dent Oral Epidemiol</addtitle><date>2013-04</date><risdate>2013</risdate><volume>41</volume><issue>2</issue><spage>120</spage><epage>129</epage><pages>120-129</pages><issn>0301-5661</issn><eissn>1600-0528</eissn><abstract>Objectives
Tobacco use adversely affects oral health. Clinical guidelines recommend that oral health professionals promote tobacco abstinence and provide patients who use tobacco with brief tobacco use cessation counselling. Research shows that these guidelines are seldom implemented successfully. This study aimed to evaluate two interventions to enhance tobacco use prevention and cessation (TUPAC) counselling among oral health professionals in Finland.
Methods
We used a cluster‐randomized community trial to test educational and fee‐for‐service interventions in enhancing TUPAC counselling among a sample of dentists (n = 73) and dental hygienists (n = 22) in Finland. Educational intervention consisted of 1 day of training, including lectures, interactive sessions, multimedia demonstrations and a role play session with standard patient cases. Fee‐for‐service intervention consisted of monetary compensation for providing tobacco use prevention or cessation counselling. TUPAC counselling procedures provided were reported and measured using an electronic dental records system. In data analysis, intent‐to‐treat principles were followed at both individual and cluster levels. Descriptive analysis included chi‐square and t‐tests. A general linear model for repeated measures was used to compare the outcome measures by intervention group.
Results
Of 95 providers, 73 participated (76.8%). In preventive counselling, there was no statistically significant time effect or group‐by‐time interaction. In cessation counselling, statistically significant group‐by‐time interaction was found after a 6‐month follow‐up (F = 2.31; P = 0.007), indicating that counselling activity increased significantly in intervention groups. On average, dental hygienists showed greater activity in tobacco prevention (F = 12.13; P = 0.001) and cessation counselling (F = 30.19; P < 0.001) than did dentists. In addition, cessation counselling showed a statistically significant provider‐by‐group‐by‐time interaction (F = 5.95; P < 0.001), indicating that interventions to enhance cessation counselling were more effective among dental hygienists.
Conclusions
Educational intervention yielded positive short‐term effects on cessation counselling, but not on preventive counselling. Adding a fee‐for‐service to education failed to significantly improve TUPAC counselling performance. Other approaches than monetary incentives may be needed to enhance the effectiveness of educational intervention. Further studies with focus on how to achieve long‐term changes in TUPAC counselling activity among oral health professionals are needed.</abstract><cop>Denmark</cop><pub>Blackwell Publishing Ltd</pub><pmid>22934678</pmid><doi>10.1111/j.1600-0528.2012.00743.x</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0301-5661 |
| ispartof | Community dentistry and oral epidemiology, 2013-04, Vol.41 (2), p.120-129 |
| issn | 0301-5661 1600-0528 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1317851072 |
| source | MEDLINE; Wiley Online Library All Journals |
| subjects | Adult Attitude to Health Clinical Competence clinical trial Counseling - education Dental health Dental Hygienists - economics Dental Hygienists - education dental staff Dentistry Dentists - economics Education, Dental, Continuing Electronic Health Records Female Finland Follow-Up Studies Health education Humans Intervention Male Middle Aged Motivation Multimedia Outcome Assessment (Health Care) prevention Reimbursement, Incentive Role Playing Self Efficacy Smoking cessation Smoking Prevention Teaching - methods Time Factors Tobacco Tobacco Use Cessation - statistics & numerical data training |
| title | Impact of educational intervention on implementation of tobacco counselling among oral health professionals: a cluster-randomized community trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T12%3A09%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20educational%20intervention%20on%20implementation%20of%20tobacco%20counselling%20among%20oral%20health%20professionals:%20a%20cluster-randomized%20community%20trial&rft.jtitle=Community%20dentistry%20and%20oral%20epidemiology&rft.au=Amemori,%20Masamitsu&rft.date=2013-04&rft.volume=41&rft.issue=2&rft.spage=120&rft.epage=129&rft.pages=120-129&rft.issn=0301-5661&rft.eissn=1600-0528&rft_id=info:doi/10.1111/j.1600-0528.2012.00743.x&rft_dat=%3Cproquest_cross%3E2920802231%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1317617404&rft_id=info:pmid/22934678&rfr_iscdi=true |