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J Dent Educ. 69(8): 901-911 2005
© 2005 American Dental Education Association
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Educational Methodologies

Promotion of Tobacco Cessation Through Dental Hygiene Education: A Pilot Study

Angela L. Monson, R.D.H., M.S.; Lynnette M. Engeswick, R.D.H., M.S.

Key words: tobacco cessation counseling, stages of change, transtheoretical model, dental hygiene education, barriers to counseling, health promotion

Submitted for publication 03/17/05; accepted 05/18/05

The purposes of this pilot study were as follows: 1) to determine the percentage and frequency of dental hygiene graduates who were providing tobacco cessation counseling (TCC) activities, after receiving TCC training during their formative years of education; 2) to identify the graduates’ stages of change using the transtheoretical model regarding TCC; and 3) to identify factors influencing the delivery of TCC. A convenience sample of fifty-one Minnesota State University, Mankato (MSU) dental hygiene graduates were surveyed in this study. Wilcoxen signed rank tests were used to analyze the relationship between counseling actions and dental hygienists’ stage of change in four TCC activities: asking, advising, assisting, and arranging follow-up. Pros and cons affecting the delivery of TCC were also examined. Findings indicate that dental hygienists who received TCC education during their training do not provide cessation counseling to a high percentage of their patients even though they believe in the value of such activity. However, dental hygienists are more likely to provide TCC to patients with periodontal disease than other dental patients. Conclusions: 1) addressing the potential frustration of the dental hygienist and coping methods when providing TCC during training may alleviate one of the barriers to TCC; 2) ready access to tobacco education materials may alleviate one of the barriers to TCC; and 3) emphasis during TCC training on providing education for all patients as part of health promotion, rather than just periodontal patients, may increase the overall counseling provided.




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