To Promote Tobacco Free Life in the Dental Practice in France (TOBAFREE-DP)
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|ClinicalTrials.gov Identifier: NCT04498858|
Recruitment Status : Recruiting
First Posted : August 5, 2020
Last Update Posted : September 10, 2021
In France, 34% of the adult population is smoking every day. The links between smoking and the development of several chronic disorders is well established and smoking is directly implicated in most of the oral diseases such as cancers of the oral cavity. Thus, dentists have access to an area of the body that is actively affected and this gives them a central role in dispensing advice and support regarding smoking cessation.
Dentists often cite issues such as lack of time or education as a reason for why they do not offer support for smoking cessation. A brief intervention can increase smoking cessation by 30 to 100% (ie 1-3% in absolute value). The "5A" approach integrates and extends the brief intervention. It consists in Asking about smoking status, Advising smokers of the benefit of stopping, Assessing motivation to quit, Assisting smokers in their quit attempt, Arranging follow-up with stop-smoking services. For practitioners who do not have enough time, a "3A" approach might be acceptable (Ask, Advice and Act) by providing details of local stop smoking services and/or prescribing nicotine replacement therapy (NRT). This very brief advice can be delivered in less than one minute.
To investigators knowledge, the role of dentists in the French national tobacco-free program is not yet documented in France while since 2016, dentists can prescribe NRT with some products taken in charge by the French health insurance.
An intervention taking part in the continuing professional development will be developed so the dentists fell legitimate, motivated and competent to talk with their patients about their tobacco consumption and to assist them in their smoking cessation process. This intervention based on the 5/3A approach and prescription of NRT will include a specific training and provision of management kit, with communication tools and network for appropriate references.
Investigators hypothesize that 5/3A approach is feasible with adequate intervention in dental practices in France (dentists apply the approach to 90% of their patients) and that the format, the conditions, the barriers and the lever actions of its implementation are known.
|Condition or disease||Intervention/treatment|
|Tobacco Cessation Dental Practice||Other: Patient interview|
|Study Type :||Observational|
|Estimated Enrollment :||480 participants|
|Official Title:||To Promote Tobacco Free Life in the Dental Practice in France: Feasibility Study|
|Actual Study Start Date :||April 14, 2021|
|Estimated Primary Completion Date :||December 31, 2021|
|Estimated Study Completion Date :||December 31, 2021|
Other: Patient interview
Patient will be interviewed :
- 5/3A approach [ Time Frame: 1 month after inclusion (day0) ]Acceptability for performing the 5/3A approach in the dental practice
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04498858
|Contact: Elise ARRIVE, Dr||06 62 83 66 firstname.lastname@example.org|
|CHU de Bordeaux||Recruiting|
|Contact: Elise ARRIVE, Dr|