Oral health promotion and smoking cessation program delivered via tobacco quitlines: The oral health 4 life trial

Jennifer B. McClure, Terry Bush, Melissa L. Anderson, Paula Blasi, Ella Thompson, Jennifer Nelson, Sheryl L Catz

Research output: Contribution to journalComment/debate

3 Scopus citations

Abstract

Objectives. To assess the effects of a novel oral health promotion program (Oral Health 4 Life; OH4L) delivered through state-funded tobacco quitlines. Methods. Using a semipragmatic design to balance experimental control and gen-eralizability, we randomized US quitline callers (n = 718) to standard care or standard care plus OH4L. We followed participants for 6 months to assess effects on professional dental care and smoking abstinence. We collected data between 2015 and 2017. Results. Participants were racially diverse (42% non-White) and socioeconomically disadvantaged. Most (71%) reported fair or poor oral health, and all were overdue for routine dental care. At 6 months, professional dental care and abstinence did not significantly differ between arms, but abstinence favored the experimental arm and was significantly higher among experimental participants at 2 months in a complete case sensitivity analysis. Conclusions. OH4L was not effective for promoting dental care, but integrating oral health counseling with quitline counseling may offer some advantage for smoking cessation. Public Health Implications. We offer a model for conducting semipragmatic trials and partnering with tobacco quitlines to evaluate population-level public health interventions.

Original languageEnglish (US)
Pages (from-to)689-695
Number of pages7
JournalAmerican Journal of Public Health
Volume108
Issue number5
DOIs
StatePublished - May 1 2018

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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