Dental Students’ Attitudes Toward Tobacco Cessation in the Dental Setting: A Systematic Review

Virtue, Shannon Myers; Waldron, Elizabeth M.; Darabos, Katie; DeAngelis, Courtney; Moore, David A.; Fornatora, Maria; Téllez, Marisol

doi:10.21815/jde.016.016

Cited by 14 publications

(16 citation statements)

References 61 publications

(139 reference statements)

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“…Attitude scores of the study subjects towards counselling for helping patients quit Tobacco in the present study was around 65%, which is similar to that reported by Cannick et al, (2006), McCartan et al, (2008, Anders et al, (2014) and Halawany et al, (2013) but contrasting to that reported by Uti and Sofola (2011), who reported low attitude scores among Nigerian dental students. In a systematic review on the attitudes of dental students towards the provision of Tobacco cessation services, Virtue et al, have reported that students were positively inclined towards the same (Virtue et al, 2017). The results of the present study are encouraging as it indicates that the respondents have a positive inclination towards counselling individuals with Tobacco use.…”

Section: Discussionsupporting

confidence: 65%

Counselling as a Tool for Tobacco Cessation in a Dental Institution: Insights from India

Rajesh

Pinto²,

Binnal

et al. 2019

Asian Pac J Cancer Prev

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Background: Tobacco related mortality and morbidity is a growing public health problem world over. Counselling has emerged as an important arsenal in the battle against tobacco. Involving experts other than traditional medical health workers may be critical. Aim of the present study was to explore various aspects related to Tobacco cessation counselling among Indian dental students. Methods: Overall, 241 undergraduate students from Manipal College of Dental Sciences, Mangalore participated in the present investigation. A structured, pretested, self-administered questionnaire was used to ascertain knowledge, attitude, behavior, perceived effectiveness and barriers and socio-demographic details. Willingness to counsel patients and undergo further training counselling was also assessed. Results: Mean knowledge, attitude, behavior, perceived effectiveness and barrier scores were 2.94 (±2.08), 51.84 (±5.63), 19.25 (±8.79), 16.17 (±1.96) and 42.39 (±5.65) respectively. Age was significantly correlated with knowledge; while year of study revealed significant correlations with knowledge and behavior (p<0.05). Lack of motivation, poor attitude of patients; lack of knowledge and skills emerged as barriers. Multiple logistic regression analysis indicated that year of study, attitude, behavior and barrier scores were significant predictors for respondents ever counselled their patients (p<0.05). Conclusions: Knowledge and behavior scores of the respondents towards Tobacco cessation counselling were low, but a majority of the subjects were willing to counsel and undergo training. Year of study, attitude, behavior and barrier scores emerged as significant predictors of counselling for Tobacco use. The present study has important policy implications and highlights curriculum changes in making Tobacco cessation counselling more relevant and effective among Indian dental students.

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Section: Discussionsupporting

confidence: 65%

Counselling as a Tool for Tobacco Cessation in a Dental Institution: Insights from India

Rajesh

Pinto²,

Binnal

et al. 2019

Asian Pac J Cancer Prev

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“…This lack of continuity of care entails an enhanced indication for dental health professionals to take over responsibility for counselling and supporting their patients. A recent systematic review about dental students’ views on tobacco cessation in a dental setting showed that they were more likely to put the first two As (ask, advise) of the 5A approach into action and did not engage as much in assessing readiness to quit, assisting in a quit attempt and arranging for follow‐up. These results were based on surveys rather than objective assessments of behaviours.…”

Section: Discussionmentioning

confidence: 99%

“…However, the Global Health Professions Student Survey (GHPSS) showed that most health professional students did not feel sufficiently prepared to counsel smokers in a professional way . At the same time, a majority of dental students appear to be interested in being trained in tobacco cessation . Despite interest and necessity, less than 40 percent of dental students have ever received such training .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of an innovative and interactive smoking cessation training module for dental students: A prospective study

Vollath

Bobak²,

Jackson

et al. 2020

Eur J Dental Education

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Background:Smoking is one of the world's major health problems and dental professionals are in a unique position to promote smoking cessation. However, according to the current literature, neither dental students nor dentists feel adequately prepared to counsel smokers. The purpose of this study was to develop and implement a teaching intervention on smoking cessation for fourth-year dental students and assess its effectiveness in terms of learning outcome on knowledge, communication skills and attitudes. Materials and Methods:In this prospective intervention study, students in the intervention group (n = 28) participated in a teaching module consisting of a podcast, an interactive lecture, a seminar, and small-group sessions with role-play interactions.Knowledge, communication skills and attitudes were measured using written examinations and an objective structured clinical examination (OSCE) at the end of the module and 6 months later. Results were compared with data from a historical control group (n = 27) receiving standard teaching. Results:Compared with the control group, students in the intervention group had higher scores in the knowledge test (67.1% vs 41.8%; P < .001; d = 2.8) as well as in the OSCE (74.9% vs 44.7%; P < .001; d = 2.3) and also retained more knowledge (52.7% vs 36.5%; P < .001; d = 2.0) and skills (71.8% vs 47.6%; P < .001; d = 2.5) over a period of 6 months. Attitudes were similar across groups and time-points. Conclusion:The teaching intervention equipped dental students with specific knowledge and skills required to effectively counsel smoking patients. Further research is required to assess the transfer of these skills to the clinical setting.

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“…These findings may partly explain the low level of adherence to tobacco use cessation guidelines among oral health professionals [ 32 - 35 ]. Effective tobacco cessation training should include skills and strategies that address student perceptions to foster the belief that tobacco cessation efforts are a part of quality clinical practice [ 36 ]. There is evidence that the training of health professionals in interventions for smoking cessation is associated with an increase in the smoking cessation rate [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Web-Based Information on the Treatment of Tobacco Dependence for Oral Health Professionals: Analysis of English-Written Websites

et al. 2017

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BackgroundStudies have been conducted on the content and quality of Web-based information for patients who are interested in smoking cessation advice and for health care practitioners regarding the content of e-learning programs about tobacco cessation. However, to the best of our knowledge, there is no such information about the quality of Web-based learning resources regarding smoking cessation dedicated to oral health professionals.ObjectiveThe aim of this study was to identify and evaluate the quality of the content of webpages providing information about smoking cessation for oral health care professionals.MethodsWebsites were identified using Google and Health on Net (HON) search engines using the terms: smoking cessation OR quit smoking OR stop smoking OR 3As OR 5As OR tobacco counselling AND dentistry OR dental clinic OR dentist OR dental hygienist OR oral health professionals. The first 100 consecutive results of the 2 search engines were considered for the study. Quality assessment was rated using the DISCERN questionnaire, the Journal of the American Medical Association (JAMA) benchmarks, and the HON seal. In addition, smoking cessation content on each site was assessed using an abbreviated version of the Smoke Treatment Scale (STS-C) and the Smoking Treatment Scale-Rating (STS-R). To assess legibility of the selected websites, the Flesch Reading Ease (FRES) and the Flesch-Kinkaid Reading Grade Level (FKRGL) were used. Websites were also classified into multimedia and nonmultimedia and friendly and nonfriendly usability.ResultsOf the first 200 sites selected (100 of Google and 100 of HON), only 11 met the inclusion criteria and mainly belonged to governmental institutions (n=8), with the others being prepared by Professional Associations (n=2) and nonprofit organizations (n=1). Only 3 were exclusively dedicated to smoking cessation. The average score obtained with the DISCERN was 3.0, and the average score in the FKRGL and FRES was 13.31 (standard deviation, SD 3.34) and 40.73 (SD 15.46), respectively. Of the 11 websites evaluated, none achieved all the four JAMA benchmarks. The mean score of STS-R among all the websites was 2.81 (SD 0.95) out of 5. A significant strong positive correlation was obtained between the DISCERN mean values and the STS-R (R=.89, P=.01).ConclusionsThe mean quality of webpages with information for oral health care professionals about smoking cessation is low and displayed a high heterogeneity. These webpages are also difficult to read and often lack multimedia resources, which further limits their usefulness.

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Dental Students’ Attitudes Toward Tobacco Cessation in the Dental Setting: A Systematic Review

Cited by 14 publications

References 61 publications

Counselling as a Tool for Tobacco Cessation in a Dental Institution: Insights from India

Counselling as a Tool for Tobacco Cessation in a Dental Institution: Insights from India

Effectiveness of an innovative and interactive smoking cessation training module for dental students: A prospective study

Web-Based Information on the Treatment of Tobacco Dependence for Oral Health Professionals: Analysis of English-Written Websites

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