To Promote Tobacco Free Life in the Dental Practice in France

NCT04498858 | Completed

• 1 other identifier: CHUBX 2018/70
• Study Type: observational
• Target: 139
• Locations: 1 country
• Sites: 1

Brief Summary

In France, 34% of the adult population is smoking every day. The links between smoking and the development of several chronic disorders is well established and smoking is directly implicated in most of the oral diseases such as cancers of the oral cavity. Thus, dentists have access to an area of the body that is actively affected and this gives them a central role in dispensing advice and support regarding smoking cessation. Dentists often cite issues such as lack of time or education as a reason for why they do not offer support for smoking cessation. A brief intervention can increase smoking cessation by 30 to 100% (ie 1-3% in absolute value). The "5A" approach integrates and extends the brief intervention. It consists in Asking about smoking status, Advising smokers of the benefit of stopping, Assessing motivation to quit, Assisting smokers in their quit attempt, Arranging follow-up with stop-smoking services. For practitioners who do not have enough time, a "3A" approach might be acceptable (Ask, Advice and Act) by providing details of local stop smoking services and/or prescribing nicotine replacement therapy (NRT). This very brief advice can be delivered in less than one minute. To investigators knowledge, the role of dentists in the French national tobacco-free program is not yet documented in France while since 2016, dentists can prescribe NRT with some products taken in charge by the French health insurance. An intervention taking part in the continuing professional development will be developed so the dentists fell legitimate, motivated and competent to talk with their patients about their tobacco consumption and to assist them in their smoking cessation process. This intervention based on the 5/3A approach and prescription of NRT will include a specific training and provision of management kit, with communication tools and network for appropriate references. Investigators hypothesize that 5/3A approach is feasible with adequate intervention in dental practices in France (dentists apply the approach to 90% of their patients) and that the format, the conditions, the barriers and the lever actions of its implementation are known.

Conditions

Tobacco Cessation; Dental Practice

Keywords

Tobacco cessation; dental practice; dentists; nicotine replacement therapy; counselling

Outcome Measures

Primary Outcomes (1)

• 5/3A approach

  Acceptability for performing the 5/3A approach in the dental practice

  1 month after inclusion (day0)

Study Arms (1)

Patient

Other: Patient interview

Interventions

Patient interview OTHER

Patient will be interviewed : * tobacco consumption * reported question asked by the dentist about his/her tobacco consumption * presence and nature of reported advices given by the dentist * presence and nature of actions proposed by dentists for patients reporting tobacco consumption, including prescription of NRT * presence and nature of the actions carried out or envisaged by these patients, including - smoking cessation * contact with the general practioner * Fagerstrom score (2 questions) * demographic variables, age, sex, level of education * satisfaction

Patient

Eligibility Criteria

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

Study Population

Patients of trained dentists to 3/5A strategy

You may qualify if:

• years or older
• smoker
• Will to participate to study

Sponsors & Collaborators

• University Hospital, Bordeaux: lead

Study Sites (1)

CHU de Bordeaux

Bordeaux, France

Location

MeSH Terms

Conditions

Tobacco Use Cessation

Condition Hierarchy (Ancestors)

Health Behavior; Behavior

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 31, 2020
• First Posted: August 5, 2020
• Study Start: April 14, 2021
• Primary Completion: September 13, 2021
• Study Completion: September 13, 2021
• Last Updated: November 10, 2021

Record last verified: 2021-11

Locations

FR (1)