Prepare to Quit - A Clinical Trial to Help People Quit Smoking in a Community Dental Clinic Setting

NCT01846910 | Unknown

• 1 other identifier: H2013:118
• Study Type: interventional
• Target: 156
• Locations: 1 country
• Sites: 1

Brief Summary

The objectives of this study are:

1. 1.To determine the effect that an intensive, community dental clinic centered, stop-smoking program using a motivational interviewing approach has upon cessation rates for interested, smoking inner-city dental patients.
2. 2.To determine the effect that providing a tooth whitening incentive, in a community dental clinic stop-smoking program, has upon cessation rates for interested, smoking inner-city dental patients.

Conditions

Smoking; Smoking Cessation

Keywords

Cessation

Outcome Measures

Primary Outcomes (1)

• Smoking Cessation

  1-year abstinence from tobacco use, biochemically verified by carbon monoxide breath test

  1-year

Study Arms (2)

Motivational Counseling

ACTIVE COMPARATOR

The extended counseling group will receive one to three, 45-minute individual motivational counseling sessions using a motivational interviewing approach to Express empathy, Develop discrepancy, Roll with resistance, and Support self-efficacy.

Behavioral: Motivational Counseling

Tooth Whitening Incentive

EXPERIMENTAL

The tooth whitening group will receive all of the interventions previously described for the Motivational Counseling Group, and as an extra incentive against relapse, will also be offered complimentary tooth whitening procedures if biochemically verified as tobacco-free by Carbon Monoxide monitor (bleaching at 3-weeks, whitening strips at 3-months, and whitening touch-up at 1 year).

Behavioral: Tooth Whitening; Behavioral: Motivational Counseling

Interventions

Tooth Whitening BEHAVIORAL

1\. A dental check-up will ensure the absence of contraindications to tooth whitening (cavities, soft tissue pathology, severe periodontitis) 2. Removal of calculus, plaque, or stains with a dental polishing 3. Treatment time is approximately 1 hour total4. Lips are retracted, tongue protector is placed and protective eyewear used 5. Saliva is suctioned and teeth are air dried 6. A liquid rubber dam material is applied to protect gums and cured by visible light. 7. The bleaching material is placed on the enamel surface of the involved teeth and is replaced if drying occurs 8. After 15 minutes, the bleach is suctioned, mouth rinsed and process repeated 9. Three to four applications are typically used

Also known as: Extrinsic vital bleaching

Tooth Whitening Incentive

Motivational Counseling BEHAVIORAL

Normally three counseling sessions. Session #1: Introductions; discuss habits, feelings, pros and cons of smoking; degree of addiction; previous quit attempts and relapse; reinforce patient confidence; open-ended questions to illicit self-efficacy; homework includes Pack-Track and Why Test. Session #2: Discuss smoking patterns, triggers, and risk situations; discuss methods to resist triggers, need for medications; prepare environment and back-up plan; discuss quit date; homework to review self-help workbook. Session #3: Reinforce previous concepts; review resistance plan; discuss and arrange pharmaceutical cessation aids; set quit date; homework to finalize all self/home preparations; offer tooth polishing on quit date; follow-up by telephone or appointment.

Also known as: Motivational Interviewing

Motivational Counseling; Tooth Whitening Incentive

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• current smoker
• dental clinic patient
• interested in quitting smoking

You may not qualify if:

• minors
• those unable to provide own consent

Sponsors & Collaborators

• University of Manitoba: lead

Study Sites (1)

Access Downtown Dental Clinic

Winnipeg, Manitoba, R3B 0L8, Canada

RECRUITING

MeSH Terms

Conditions

Smoking; Smoking Cessation

Interventions

Tooth Bleaching; Motivational Interviewing

Condition Hierarchy (Ancestors)

Behavior; Health Behavior

Intervention Hierarchy (Ancestors)

Esthetics, Dental; Dentistry; Directive Counseling; Counseling; Mental Health Services; Behavioral Disciplines and Activities; Health Services; Health Care Facilities Workforce and Services

Study Officials

• Douglas J Brothwell, DMD MSc

  University of Manitoba

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Doug J Brothwell, DMD MSc

CONTACT

204-977-5654; Doug.Brothwell@ad.umanitoba.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Dean (Academic)

Study Record Dates

• First Submitted: April 30, 2013
• First Posted: May 6, 2013
• Study Start: October 1, 2013
• Primary Completion: August 1, 2018
• Study Completion: August 1, 2019
• Last Updated: October 27, 2016

Record last verified: 2016-10

Locations

CA (1)