Implementing tobacco use treatment guidelines in public health dental clinics in New York City

Donna Shelley, Jaime Anno, Tuo Yen Tseng, Greg Calip, John Wedeles, Madeleine Lloyd, Mark Wolff

Research output: Contribution to journalArticle

Abstract

In this study we evaluated the effect of a multicomponent intervention to implement the Public Health Service (PHS) guideline Treating Tobacco Use and Dependence in six randomly selected dental clinics in New York University's College of Dentistry. The main outcome measure-provider adherence to tobacco use treatment guidelines-was assessed by auditing a random selection of patient charts pre (698) and post (641) intervention. The intervention components included a chart reminder and referral system, free nicotine replacement therapy (NRT), and provider training and feedback. The results showed that rates of screening for tobacco use did not change between pre and post test chart audits. However, providers were significantly more likely to offer advice (28.4 percent pre, 49 percent post), assess readiness to quit (17.8 percent pre, 29.9 percent post), and offer assistance (6.5 percent pre and 15.6 percent post) in the post test period. Increases in NRT distribution were associated with booster training sessions but declined in the time periods between those trainings. Research is needed to further define sustainable strategies for implementing tobacco use treatment in dental clinics. The results of this study suggest the feasibility and effectiveness of using a tailored multicomponent approach to implement tobacco use treatment guidelines in dental clinics.

Original languageEnglish (US)
Pages (from-to)527-533
Number of pages7
JournalJournal of Dental Education
Volume75
Issue number4
StatePublished - Apr 1 2011

Fingerprint

Dental Clinics
Tobacco Use
nicotine
Public Health
public health
Guidelines
Nicotine
Reminder Systems
Tobacco Use Disorder
United States Public Health Service
Feasibility Studies
Dentistry
Patient Selection
public health services
dentistry
auditing
Referral and Consultation
Outcome Assessment (Health Care)
audit
assistance

Keywords

  • Dental clinics
  • Dental education
  • Dental practice
  • Guideline implementation introduction
  • Public health
  • Smoking cessation
  • Tobacco use treatment

ASJC Scopus subject areas

  • Dentistry(all)
  • Education

Cite this

Shelley, D., Anno, J., Tseng, T. Y., Calip, G., Wedeles, J., Lloyd, M., & Wolff, M. (2011). Implementing tobacco use treatment guidelines in public health dental clinics in New York City. Journal of Dental Education, 75(4), 527-533.

Implementing tobacco use treatment guidelines in public health dental clinics in New York City. / Shelley, Donna; Anno, Jaime; Tseng, Tuo Yen; Calip, Greg; Wedeles, John; Lloyd, Madeleine; Wolff, Mark.

In: Journal of Dental Education, Vol. 75, No. 4, 01.04.2011, p. 527-533.

Research output: Contribution to journalArticle

Shelley, D, Anno, J, Tseng, TY, Calip, G, Wedeles, J, Lloyd, M & Wolff, M 2011, 'Implementing tobacco use treatment guidelines in public health dental clinics in New York City', Journal of Dental Education, vol. 75, no. 4, pp. 527-533.
Shelley D, Anno J, Tseng TY, Calip G, Wedeles J, Lloyd M et al. Implementing tobacco use treatment guidelines in public health dental clinics in New York City. Journal of Dental Education. 2011 Apr 1;75(4):527-533.
Shelley, Donna ; Anno, Jaime ; Tseng, Tuo Yen ; Calip, Greg ; Wedeles, John ; Lloyd, Madeleine ; Wolff, Mark. / Implementing tobacco use treatment guidelines in public health dental clinics in New York City. In: Journal of Dental Education. 2011 ; Vol. 75, No. 4. pp. 527-533.
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