The effectiveness of motivational interviewing for smoking cessation in dental clinic Thammasat University athletes of Rangsit campus
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Abstract
This study aims to investigate the effectiveness of a smoking cessation process using motivational interviewing (MI) among dental students in a clinical trial setting. The sample group was made up of 39 athletes who were smokers at Thammasat University. The group of 20 people used the MI process (3 - 5 minutes) to help them quit smoking, while another group of 19 people used the concise smoking cessation process (5A's) of the World Health Organization (5 - 10 minutes). All research volunteers completed the following tasks: collecting general information about smoking behavior, assessing the level of nicotine addiction and carbon monoxide in the breath, initiating the quitting process through oral health examinations, providing dental treatment, and monitoring any changes in physical behavior. After two weeks, a telephonic follow-up was conducted. The percentage of smokers who have quit was 20.0% in the experimental group and 42.1% in the control group, respectively. The smoking behavior decreased to 65.0% in the experimental group and 42.1% in the control group. The MI method can decrease the amount of nicotine smoked per day significantly (p < 0.05), whereas the 5A method has no statistically significant differences in the amount of nicotine reduced per day (p < 0.05). Also, there was no statistically significant difference between the two methods. Conclusion: The developed MI and 5A’s methods to help quit smoking are not different. However, MI is more concise and takes a shorter time, which can be used with the work of a dentist in a general dental clinic.
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References
U.S. Department and Human service. Centers for Disease Control and Prevention. The Health Consequences of Smoking—50 Years of Progress: A Report of the Surgeon General Atlanta (GA). [Online] Jan 2014 [cited 2024 Feb 12]; Available from:URL:https://www.cms.gov/MedcaidGeninfo/.
World Health Organization. Tobacco or oral health - An advocacy guide for oral health professionals. [Online] 2020 [cited 2024 Feb 12]; Available form: URL:chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.fdiworlddental.org/sites/default/files/2020-11/fdi-tobacco_or_oral_health-guide.pdf
Pitayarangsarit S. and Pankajak P. Thailand tobacco consumption report 2018. Tobacco Control Research and Knowledge Management Center. Mahidol University, Bangkok: Charlernmundeemugkong Kanprim; 2018. p.1-34. (in Thai)
World health organization and FDI World Dental Federation. Tobacco or oral health: An advocacy guide for oral health professionals. Ferney-Voltaire; World Dental Press: 2005.
Gandini S, Botteri E, Iodice S, Boniol M, Lowenfels AB, Maisonneuve P, Boyle P. Tobacco smoking and cancer: a meta-analysis. Int J Cancer 2008; 122(1): 155-64. doi:10.1002/ijc.23033.
Warnakulasuriya S. Effectiveness of tobacco counseling in the dental office. J Dent Educ 2002; 66(9): 1079-87.
Polpadung S, Loahapand P. Perception of tobacco effects and attitude towards smoking cessation program In a group of Thai dental patients. J Dent Assoc of Thai 2002; 52: 106-14. (in Thai)
Sirithepmontree D, Performnce status and perceptions of the private Ddentists in Bankok and adjacent province towards smoking cessation services. J Dent Assoc of Thai 2008; 58(4): 223-32. (in Thai)
Thai health professional alliance against tobacco. Wattanasirichigoon S, Textbook of health education:tobacco control for health professional and student of health science. Thai health professional alliance against tobacco. Bangkok: 2010. p.1-262. (in Thai)
Miller WR, Benefield RG, Tonigan JS. Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles. J Consult Clin Psychol 1993; 61(3): 455-61. doi: 10.1037//0022-006x.61.3.455.
Hettema JE, Hendricks PS. Motivational interviewing for smoking cessation: a meta-analytic review. J Consult Clin Psychol 2010; 78(6): 868-84. doi:10.1037/a0021498.
Heckman CJ, Egleston BL, Hofmann MT. Efficacy of motivational interviewing for smoking cessation: a systematic review and meta-analysis. Tob Control 2010; 19(5): 410-6. doi:10.1136/tc.2009.033175.
Hokanson JM, Anderson RL, Hennrikus DJ, Lando HA, Kendall DM. Integrated tobacco cessation counseling in a diabetes self-management training program: a randomized trial of diabetes and reduction of tobacco. Diabetes Educ 2006; 32(4): 562-70. doi:10.1177/0145721706289914.
Brown RA, Ramsey SE, Strong DR, Myers MG, Kahler CW, Lejuez CW, et al. Effects of motivational interviewing on smoking cessation in adolescents with psychiatric disorders. Tob Control 2003; 12(Suppl 4): 3-10. doi:10.1136/tc.12.suppl_4.iv3.
Baker A, Richmond R, Haile M, Lewin TJ, Carr VJ, Taylor RL, et al. A randomized controlled trial of a smoking cessation intervention among people with a psychotic disorder. Am J Psychiatry 2006; 163(11): 1934-42. doi:10.1176/ajp.2006.163.11.1934.
Warisa Jamsri, Wantana Maneesriwongkung, Aorasa Panpungdee.The effect of motivational interviewing on somoking behavior in persons at risk for coronary artery disease. J Pub Health Nurse 2016;27(3):41-57. (in Thai)
Gao X, Lo EC, Kot SC, Chan KC. Motivational interviewing in improving oral health: a systematic review of randomized controlled trials. J Periodontol 2014; 85(3): 426-37. doi:10.1902/jop.2013.130205.
Borrelli B, Tooley EM, Scott-Sheldon LA. Motivational interviewing for parent-child health interventions: a systematic review and meta-analysis. Pediatr Dent 2015; 37(3): 254-65.
Lando HA, Hennrikus DJ, Boyle R, Lazovich D, Stafne E, Rindal B. Promoting tobacco abstinence among older odolescents in dental clinics. Journal of Smoking Cessation 2007; 2(1): 23-30. doi:10.1375/jsc.2.1.23
Colby SM, Nargiso J, Tevyaw TO, Barnett NP, Metrik J, Lewander W, et al. Enhanced motivational interviewing versus brief advice for adolescent smoking cessation: results from a randomized clinical trial. Addict Behav 2012; 37(7): 817-23. doi:10.1016/j.addbeh.2012.03.011.
Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict 1991; 86(9): 1119-27. doi:10.1111/j.1360-0443.1991.tb01879.x.
E.Omu F, Al-Kandari I, Al-Marzouk R, Paulraj D, Rajagopal M, John P et al. Tobacco free campus initiative: A quitting trategy for Kuwait nursing college student smokers Florence. Int J Nurs 2015; 2(2): 144-56. doi:10.15640/ijn.v2n2a14
Lapyai S. New tobacco products on social media and law enforcement on new tobacco products control. Public Health & Health Laws Journal 2019; 5(1): 13-30. (in Thai)
Bao W, Liu B, Du Y, Snetselaar LG, Wallace RB. Electronic cigarette use among young, middle-aged, and older adults in the United States in 2017 and 2018. JAMA Intern Med 2020; 180(2): 313-4. doi:10.1001/jamainternmed.2019.4957.
Fadus MC, Smith TT, Squeglia LM. The rise of e-cigarettes, pod mod devices, and JUUL among youth: factors influencing use, health implications, and downstream effects. Drug Alcohol Depend 2019; 201: 85-93. doi:10.1016/j.drugalcdep.2019.04.011.