Long-term follow-up of tobacco cessation intervention in a dental setting: A randomized trial

J Cancer Res Ther. 2023 Apr;19(Supplement):S0. doi: 10.4103/jcrt.JCRT_1029_20.

Abstract

Aims and objectives: Tobacco dependence is widely prevalent and a harmful chronic disorder. Achieving long-term tobacco abstinence is an important public health goal. This study aims to assess the long-term effectiveness of moderate-intensity treatment for tobacco cessation in the dental clinic setting.

Materials and methods: Out of 1206 subjects registered to the Tobacco cessation clinic (TCC) during this time period, only 999 of them completed the 1-year follow-up period. The mean age was 45.9 ± 9 years. Six hundred and three (60.3%) of these subjects were male and 396 (39.6%) of them were females. Five hundred and fifty-eight (55.8%) used smoking tobacco and 441 (44.1%) used smokeless tobacco. Patients received tailored behavioral counseling, educational material, and pharmacotherapy consisting of nicotine replacement therapy (NRT) and\or NON-NRT. Patients were monitored by phone or clinic visits for 11 months.

Results: Outcomes assessed were complete abstinence, harm reduction (>50% reduction), no change and lost to follow-up. At the end of 12 months the tobacco quit rate was180 (18%), tobacco reduction >50% was 342 (34.2%), no change 415 (41.5%) and relapse 62 (6.2%).

Conclusions: Our study has identified adequate quit-rates in a cohort of dental patients attending a hospital-based TCC.

Keywords: Behavioral counseling; long term abstinence; pharmacotherapy dental clinic; tobacco cessation.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Chronic Disease
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Nicotine / therapeutic use
  • Smoking Cessation*
  • Tobacco Use Cessation Devices
  • Tobacco Use Cessation*

Substances

  • Nicotine