Evidence map›Paper›PMID 20675426›Full record

Trial reportJournal of the American Dental Association (1939)2010

Do faxed quitline referrals add value to dental office-based tobacco-use cessation interventions?

Judith S Gordon, Judy A Andrews, Karen M Crews, Thomas J Payne, Herbert H Severson, Edward Lichtenstein

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Dental Association (1939), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00384254 (Tobacco Quitlines as an Adjunct to Dental Office Tobacco Intervention), which is not on this map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00384254 phase2completednot on this map

Tobacco Quitlines as an Adjunct to Dental Office Tobacco Intervention

TypeinterventionalSponsorOregon Research InstituteRan2004 to 2008Enrolled2,177ConditionsTobacco Use CessationArms5 A, 3 A
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Interventions for tobacco cessation delivered by dental professionals.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Telephone counselling for smoking cessation.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Interventions for smokeless tobacco use cessation.The Cochrane database of systematic reviews · 2015
    Pooled it
  4. Interventions for tobacco cessation in the dental setting.The Cochrane database of systematic reviews · 2012
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Judith S GordonDepartment of Family and Community Medicine, College of Medicine, University of Arizona, 1450 N. Cherry Ave., Tucson, AZ 85719, USA. judithg@email.arizona.edu
Judy A Andrews
Karen M Crews
Thomas J Payne
Herbert H Severson
Edward Lichtenstein

Funding

Tobacco Quitlines: An Adjunct to Dental InterventionsR01DA017972 · NIDA · OREGON RESEARCH INSTITUTE · PI GORDON, JUDITH S · 2003 to 2006
$1.7M
NIDA NIH HHS R01 DA017972
6 · The paper itself

Abstract

backgroundThe Ask, Advise, Refer (AAR) model of intervening with patients who use tobacco promotes a brief office-based intervention plus referral to a tobacco quitline. However, there is little evidence that this model is effective. The primary aim of this study was to evaluate the effects on patients' tobacco use of two levels of a dental office-based intervention compared with usual care.

methodsThe authors randomly assigned 68 private dental clinics to one of three conditions: 5 As (Ask, Advise, Assess, Assist, Arrange); 3 As (AAR model); or usual care, and they enrolled 2,160 participants.

resultsAt the 12-month assessment, compared with those in usual care, participants in the two intervention conditions combined were more likely to report cessation of tobacco use, as measured by nine-month prolonged abstinence (3 percent versus 2 percent; F(1,66) = 3.97, P < .10) and 12-month point prevalence (12 percent versus 8 percent; F(1,66) = 7.32, P < .01). There were no significant differences between participants in the clinics using the 5 As and 3 As strategies.

conclusionsThe results of this study are inconclusive as to whether referrals to a quitline add value to brief dental office-based interventions. Patients receiving telephone counseling quit tobacco use at higher rates, but only a small percentage of those proactively referred actually received counseling. CLINICAL IMPLICATIONS: The results confirm those of previous research: that training dental practitioners to provide brief tobacco-use cessation advice and assistance results in a change in their behavior, and that these practitioners are effective in helping their patients to quit using tobacco.

Indexed as

Dental OfficesHotlinesReferral and ConsultationTelefacsimileAdultAttitude to HealthCentral Nervous System StimulantsCounselingDentist-Patient RelationsFemaleFollow-Up StudiesHealth BehaviorHumansMaleNicotineNicotinic AgonistsCentral Nervous System StimulantsNicotineNicotinic Agonists

Identifiers

PMID20675426
PMCPMC3780769

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.