A Randomized Control Trial of Smoking Cessation Interventions Conducted by Dentists

Yahya, Nurul Asyikin; Saub, Roslan; Nor, Mariani Md

doi:10.17576/jsm-2018-4701-16

Cited by 8 publications

(6 citation statements)

References 19 publications

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“…'Ask and Advise' alone is generally considered cheaper and less time consuming, compared to the 5A's. (25) We consider 'Ask and Advise' to be the most basic level of SCC that all dentists should always provide their patients. Therefore, we used a stricter threshold and only considered dentists who report 'always' performing 'Ask and Advise'.…”

Section: Discussionmentioning

confidence: 99%

“…(17) In this case, providing just brief advise (BA), which refers to the 2A's might be a more feasible rst step in dental settings. (25) This study aimed to determine: a) the extent to which Israeli dentists adhere to the 5A's SCC guidelines; b) their knowledge and attitudes regarding SCC provision; and c) the factors that in uence their provision of SCC.…”

Section: Introductionmentioning

confidence: 99%

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Israeli Dentists’ Knowledge, Attitudes, and Practices Regarding Smoking Cessation Care

Vishnevsky,

Aperman-Itzhak,

Tayeb

et al. 2024

Preprint

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Background The 5A’s model for brief smoking cessation care (SCC) is recommended for dentists to reduce the negative impacts of smoking on oral health. This study investigates Israeli dentists' adherence to the 5A’s guidelines and explores factors influencing their knowledge, attitudes, and practices. Methods An online cross-sectional survey was conducted among Israeli dentists during June-August 2020. The questionnaire included sociodemographic, smoking, and professional characteristics; knowledge (10 true/false statements); attitudes regarding SCC (based on the Theoretical Domains Framework (TDF)) using 13 statements (1–5 Likert scale), for a composite mean attitude score; and 5A’s performance (1–5 Likert scale, never to always). Two primary outcomes were analysed: 1) performing all of the 5A’s ‘often or always’; and 2) performing ‘always’ the first two steps (“Ask” and “Advise”). Multivariable logistic regression explored the association between the various characteristics and the primary outcomes. Results Overall, n = 410 responded. Mean knowledge score was 2.58 (SD = 1.51). Mean attitude score was 2.65 (SD = 0.60). Performance of all 5A’s was low with 14.1% (n = 57) reporting completing all 5A’s ‘often or always’, while 34.1% (n = 139) reported ‘always’ performing ‘Ask’ and ‘Advise’. Specialists had better odds of ‘often or always’ performing the 5A’s (adjusted OR = 2.01, p = .022) and ‘always’ performing ‘Ask and Advise’ (adjusted OR = 1.71, p = .022). Conclusions This study highlights the insufficient performance of SCC among Israeli dentists, revealing gaps in knowledge and attitudes related to SCC. Various measures, such as training, automatic referral systems, and integrating SCC as quality measures, may improve SCC provision among Israeli dentists.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Israeli Dentists’ Knowledge, Attitudes, and Practices Regarding Smoking Cessation Care

Vishnevsky,

Aperman-Itzhak,

Tayeb

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…The increased abstinence in the 5A's group was due to 5A's behavioural therapy which was assessed by participants' readiness to change. On the contrary, regardless of the participant's readiness to change, 3A's does not incorporate self-regulation and social support from family, friends or colleagues, which are critical for increasing their motivation to quit smoking [15], [34]. The interventions' effectiveness urges division health officers and school health-teams nationwide to implement them.…”

Section: Discussionmentioning

confidence: 99%

“…The ask, advise, act (3A's) model is a simplified ask, advise, assess, assist, arrange (5A's) model [15], which is believed to address the time constraints associated with executing the 5A's intervention model [16], [15]. The national centre for smoking cessation training (NCSCT) in the United Kingdom defined the 3A's intervention as "very brief advice" (VBA), consisting of three main steps: i) "Ask" patients' about tobacco consumption; ii) "Advise" them on the most effective strategy of quitting is a mix of medicine and behavioural therapy; and iii) "Act" by aiding them in achieving smoking cessation [17].…”

Section: Introductionmentioning

confidence: 99%

Community-based quit smoking intervention in Sarawak, Malaysia

Daud

Rahman

Lukas

et al. 2022

IJPHS

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Rising worldwide adolescent smoking necessitates national and global research to establish intervention methods. This research evaluated the efficacies of ask, advise, assess, assist, arrange (5A’s) and ask, advise, act (3A’s) interventions. Self-reported quit-smoking attempts were the outcome measure. Six villages were randomly selected and equally divided into three groups: 5A’s, 3A’s, and control (no intervention). There were 519 current participant-smokers aged 13-17 followed-up by phone (first and third months) and face-to-face interviews (sixth and ninth months). Most 3A’s participants (n=12, 7.1%) quitted smoking in the first month, followed by the 5A’s (n=9, 5.3%) and the control (n=3, 1.9%). In the third month, 5A’s participants topped the rank (n=16, 10.7%), followed by the 3A’s (n=14, 9.2%), and control (n=5, 3.4%). As per sixth-month follow-up, the 5A’s group maintained its position on top of the list (n =27, 21.4%), followed by the 3A’s (n=22, 17.1%) and the control (n=5, 4.0%). The majority of 5A’s participants quitted smoking after nine months (n=36, 33.0%), followed by the 3A’s (n=27, 25.5%), while control maintained its position (n=5, 5.0%). Division health officers and school health-teams nationwide should implement them.

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“…This is particularly important given that it is now widely recommended not just by researchers but policymakers as a quit smoking strategy. 19,28,29,[40][41][42][43][44] One strength of this study was the use of comparison data for adults who had formerly, as well as those who had never used conventional cigarettes and/or e-cigarettes. These findings should, however, be interpreted within the limitations of this study.…”

Section: Discussionmentioning

confidence: 99%

Perception of Harms and Benefits of Electronic Cigarettes Among Adult Malaysian Men: A Comparison by Electronic Cigarette Use and Smoking Status

Chan¹,

Rahman

Tee

et al. 2019

Asia Pac J Public Health

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Little is known about the perceptions of harm and benefit associated with the use of e-cigarettes in Malaysia. This was a cross-sectional analysis of a nationally representative sample comprising 1987 males (≥18 years of age). Current, former, and never users of conventional cigarettes and/or e-cigarettes participated in a questionnaire study conducted via face-to-face interviews. The relationship between participant characteristics and perceptions of harm and benefit of e-cigarettes were determined with multivariable logistic regression. There were 950 current, 377 former, and 660 never users of e-cigarettes. Government employees (odds ratio [OR] = 1.85, 95% confidence interval [CI] = 1.29-2.66, P = .001), private sector employees (OR = 1.67, 95% CI = 1.27-2.18, P = .001), and the self-employed people (OR = 1.68, 95% CI = 1.31-2.17, P = .001) were more likely to perceive e-cigarettes as more harmful than conventional cigarettes compared with respondents who were not wage earners. All current users in the form of e-cigarette users (OR = 7.87, 95% CI = 3.23-19.18), conventional cigarette smokers (OR = 1.80, 95% CI = 1.39-2.33), and dual users (OR = 8.59, 95% CI = 4.76-15.52) were more likely to perceive e-cigarettes as useful in quitting conventional cigarette smoking compared with former and never users. Our findings constitute an important snapshot into the perceptions of e-cigarette harms and benefits, which could inform targeted public health messaging strategies.

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A Randomized Control Trial of Smoking Cessation Interventions Conducted by Dentists

Abstract: The objective of this study was to assess the effectiveness of the 5A's smoking cessation intervention (5A's)

Cited by 8 publications

References 19 publications

Israeli Dentists’ Knowledge, Attitudes, and Practices Regarding Smoking Cessation Care

Israeli Dentists’ Knowledge, Attitudes, and Practices Regarding Smoking Cessation Care

Community-based quit smoking intervention in Sarawak, Malaysia

Perception of Harms and Benefits of Electronic Cigarettes Among Adult Malaysian Men: A Comparison by Electronic Cigarette Use and Smoking Status

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