Comparison of a high and a low intensity smoking cessation intervention in a dentistry setting in Sweden - a randomized trial

Nohlert, Eva; Tegelberg, Åke; Tillgren, Per; Johansson, Pia; Rosenblad, Andreas; Helgason, Ásgeir R.
January 2009
BMC Public Health;2009, Vol. 9 Issue 1, p1
Academic Journal
Background: Tobacco is still the number one life style risk factor for ill health and premature death and also one of the major contributors to oral problems and diseases. Dentistry may be a potential setting for several aspects of clinical public health interventions and there is a growing interest in several countries to develop tobacco cessation support in dentistry setting. The aim of the present study was to assess the relative effectiveness of a high intensity intervention compared with a low intensity intervention for smoking cessation support in a dental clinic setting. Methods: 300 smokers attending dental or general health care were randomly assigned to two arms and referred to the local dental clinic for smoking cessation support. One arm received support with low intensity treatment (LIT), whereas the other group was assigned to high intensity treatment (HIT) support. The main outcome measures included self-reported point prevalence and continuous abstinence (≥ 183 days) at the 12-month follow-up. Results: Follow-up questionnaires were returned from 86% of the participants. People in the HIT-arm were twice as likely to report continuous abstinence compared with the LIT-arm (18% vs. 9%, p = 0.02). There was a difference (not significant) between the arms in point prevalence abstinence in favour of the HIT-protocol (23% vs. 16%). However, point prevalence cessation rates in the LIT-arm reporting additional support were relatively high (23%) compared with available data assessing abstinence in smokers trying to quit without professional support. Conclusion: Screening for willingness to quit smoking within the health care system and offering smoking cessation support within dentistry may be an effective model for smoking cessation support in Sweden. The LIT approach is less expensive and time consuming and may be appropriate as a first treatment option, but should be integrated with other forms of available support in the community. The more extensive and expensive HIT-protocol should be offered to those who are unable to quit with the LIT approach in combination with other support.


Related Articles

  • Has Smoking Cessation Ceased? Expected Trends in the Prevalence of Smoking in the United States. Mendez, David; Warner, Kenneth E.; Courant, Paul N. // American Journal of Epidemiology;1998, Vol. 148 Issue 3, p249 

    From 1965 to 1990, the prevalence of cigarette smoking among US adults (aged 18 years) fell steadily and substantially. Data for the 1990s suggest that the smoking initiation rate is increasing and that the decline in the prevalence of smoking may have stalled, raising the fear that the...

  • Confronting the Vector of Tobacco- Related Disease. Allen, Matthew // American Journal of Law & Medicine;2013, Vol. 39 Issue 2/3, p308 

    No abstract available.

  • Analyst comment. Jungbeck, Kathrin // Marketing (00253650);1/12/2005, p35 

    The article presents information on the efforts to ban smoking in public places. Pressure to stop smoking intensified in 2004, spurred on by the NHS cost-burden from smoking-related diseases. The passage of a Scottish law banning smoking in public places, to come into force next year, shows how...

  • The doctor's perspective on rising health care costs. Downs, Ronald // Indianapolis Business Journal;7/19/2004, Vol. 25 Issue 19, p26 

    Discusses the factors that contribute to the increasing costs of health care in Indiana. Impact of unhealthy choices of lifestyle on the health conditions of the population; Cost benefits of implementing smoking cessation programs in companies; Prediction of health experts about the time frame...

  • Effectiveness and Feasibility of Lifestyle and Low-cost Pharmacologie Interventions in the Prevention of Chronic Diseases: A Review. Sepanlou, Sadaf Ghajarieh; Poustchi, Hossein; Kamanger, Farin; Malekzadeh, Reza // Archives of Iranian Medicine (AIM);Jan2011, Vol. 14 Issue 1, p46 

    Chronic diseases are already major causes of morbidity and mortality in Iran, similar to what is seen in other countries. However, there doesn't yet exist a comprehensive plan to cope with the epidemic of chronic diseases in Iran. Several lifestyle and low-cost pharmacological interventions have...

  • Lifestyle and perceived health in subjects with chronic bronchitis or emphysema: a crosssectional study. Vukovic, Dejana S.; .Nagorni-Obradovic, Ljudmila M; Vukovic, Goran M. // BMC Public Health;2010, Vol. 10 Issue 1, p546 

    Background: The study aim was to compare lifestyle behaviors, body mass index (BMI) and perceived health in subjects with and without chronic bronchitis or emphysema, and to explore if these comparisons differed between demographic subgroups. Methods: A stratified two-stage sample of the...

  • Adverse Lifestyle Leads to an Annual Excess of 2 Million Deaths in China. Thomas, G. Neil; Wang, Man Ping; Ho, Sai Yin; Mak, Kwok Hang; Cheng, Kar Keung; Lam, Tai Hing // PLoS ONE;Feb2014, Vol. 9 Issue 2, p1 

    Background: Adverse lifestyle factors have been associated with increased mortality, but data are lacking on their combined effect in developing populations, which we address in the present study. Methods: In a death registry-based, case-control study among Hong Kong Chinese aged 30+y,...

  • An Assessment of US and Canadian Smoking Reduction Objectives for the Year 2000. Pechmann, Cornelia; Dixon, Philip; Layne, Neville // American Journal of Public Health;Sep98, Vol. 88 Issue 9, p1362 

    Assesses the attainability of smoking reduction objectives for the year 2000 in Canada and the United States. Smoking trends and future prevalances; Decline of smoking since the 1970s; Estimates on the percentage of smokers in the two country's population.

  • Smoking behavior, intention to quit, and preferences toward cessation programs among gay men in Zurich, Switzerland. Schwappach, David L. B. // Nicotine & Tobacco Research;Dec2008, Vol. 10 Issue 12, p1783 

    International data show that the prevalence of smoking is high among gay males. The need for tailored smoking cessation support has been widely acknowledged, but little is known about gay men's preferences toward culturally-adopted interventions. We investigated preferences toward tailored group...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics