Perceived influences on smoking behaviour and perceptions of dentist-delivered smoking cessation advice: A qualitative interview study.
interview
oral health
smoking
smoking cessation
tobacco
Journal
Community dentistry and oral epidemiology
ISSN: 1600-0528
Titre abrégé: Community Dent Oral Epidemiol
Pays: Denmark
ID NLM: 0410263
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
24
10
2019
accepted:
02
06
2020
entrez:
15
1
2021
pubmed:
16
1
2021
medline:
27
4
2021
Statut:
ppublish
Résumé
Many factors lead to the commencement and maintenance of smoking, and better understanding of these is relevant in the management of oral health, particularly as smoking cessation advice (SCA) from the dental team is a key component of patient care. Whereas most previous research has focused on dental professionals' perceptions of providing SCA, and identified facilitators and barriers to its provision, there has been more limited research focusing on patients' perceptions of receiving SCA in the dental context. Accordingly, this study aimed to explore the views of smokers with periodontitis receiving dentist-delivered SCA. One-to-one, semi-structured interviews were conducted with a purposive sample of 28 adults who smoked tobacco and had recently received SCA during dentist-delivered periodontal therapy. Participants were sampled to reflect a range of ages and smoking behaviours. The interview schedule was based on the Theoretical Domains Framework (TDF) to explore perceived influences on smoking behaviour. Interviews also elicited participants' views on dentist-delivered SCA. Interviews were audio-recorded, transcribed verbatim and analysed thematically, drawing on the TDF. A broad range of perceived influences on smoking behaviour emerged from the data. Influences were allocated into seven prominent TDF domains: (i) social influences (family and friends, social pressures); (ii) social/professional role and identity (secret smoking); (iii) knowledge (experiences/perceptions of smoking cessation medications); (iv) environmental context and resources (social, home and workplace environment, cost of smoking, resentment towards authority); (v) emotions (stress management, pleasure of smoking and fear of quitting); (vi) nature of the behaviour (habitual nature, link to other behaviours, smell); and (vii) beliefs about consequences (health). With regard to views on dentist-delivered SCA, five main themes emerged: (i) opportunistic nature; (ii) personal impact and tangible prompts; (iii) positive context of cessation attempt; (iv) lack of previous support; and (v) differences between dentist-delivered SCA and other setting SCA. Smokers with periodontitis consider that a wide range of factors influence their smoking behaviour. Dentist-delivered SCA was supported and positively received. Important aspects included the opportunistic nature, personal impact, use of tangible prompts and positive context (of the quit attempt). Future research should focus on optimizing dentist-led smoking cessation intervention based on the themes identified.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
433-439Informations de copyright
© 2020 The Authors. Community Dentistry and Oral Epidemiology published by John Wiley & Sons Ltd.
Références
The National Institute for Health and Care Excellence. 2018. Stop Smoking Interventions and Services (ng92). Manchester: The National Institute for Health and Care Excellence. [Online]. https://www.nice.org.uk/guidance/ng92. Accessed 31/05/2020.
National Centre for Smoking Cessation and Training. 2018. Very Brief Advice on Smoking for Dental Patients. [Online]. http://www.ncsct.co.uk/usr/pub/NCSCT%20dental%20VBA.pdf. Accessed 31/05/2020.
Carr AB, Ebbert J. Interventions for tobacco cessation in the dental setting. Cochrane Database Syst Rev. 2012;2012:Cd005084.
Campbell HS, Sletten M, Petty T. Patient perceptions of tobacco cessation services in dental offices. J Am Dent Assoc. 1999;130:219‐226.
Rikard‐Bell G, Donnelly N, Ward J. Preventive dentistry: What do Australian patients endorse and recall of smoking cessation advice by their dentists? Br Dent J. 2003;194:159‐164.
Terrades M, Coulter WA, Clarke H, Mullally BH, Stevenson M. Patients' knowledge and views about the effects of smoking on their mouths and the involvement of their dentists in smoking cessation activities. Br Dent J. 2009;207:E22; discussion 542‐3.
Sood P, Narang R, Swathi V, Mittal L, Jha K, Gupta A. Dental patient's knowledge and perceptions about the effects of smoking and role of dentists in smoking cessation activities. European journal of dentistry. 2014;8:216‐223.
Lala R, Csikar J, Douglas G, Muarry J. Factors that influence delivery of tobacco cessation support in general dental practice: a narrative review. J Public Health Dent. 2017;77:47‐53.
West R. Tobacco smoking: health impact, prevalence, correlates and interventions. Psychol Health. 2017;32:1018‐1036.
Hiscock R, Bauld L, Amos A, Fidler JA, Munafo M. Socioeconomic status and smoking: a review. Ann N Y Acad Sci. 2012;1248:107‐123.
Amos A. Women and smoking. Br Med Bull. 1996;52:74‐89.
Osler M, Prescott E. Psychosocial, behavioural, and health determinants of successful smoking cessation: a longitudinal study of Danish adults. Tob Control. 1998;7:262‐267.
Cane J, O'Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012;7:37.
Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care. 2005;14:26‐33.
Holliday R, Preshaw PM, Ryan V, et al. A feasibility study with embedded pilot randomised controlled trial and process evaluation of electronic cigarettes for smoking cessation in patients with periodontitis. Pilot Feasibility Stud. 2019;5:74.
Francis JJ, Johnston M, Robertson C, et al. What is an adequate sample size? Operationalising data saturation for theory‐based interview studies. Psychol Health. 2010;25:1229‐1245.
Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The fagerstrom test for nicotine dependence: a revision of the fagerstrom tolerance questionnaire. Br J Addict. 1991;86:1119‐1127.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (coreq): a 32‐item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19:349‐357.
Biezen R, Brijnath B, Grando D, Mazza D. Management of respiratory tract infections in young children—a qualitative study of primary care providers’ perspectives. NPJ Primary Care Respiratory Medicine. 2017;27:15.
Rawahi SHA, Asimakopoulou K, Newton JT. Factors related to reducing free sugar intake among white ethnic adults in the UK: a qualitative study. BDJ Open. 2018;4:17024.
Atkins L, Francis J, Islam R, et al. A guide to using the theoretical domains framework of behaviour change to investigate implementation problems. Implement Sci. 2017;12:77.
The National Institute for Health and Care Excellence. 2007. Behaviour change: General approaches. Public health guidance [ph6]. Manchester: The National Institute for Health and Care Excellence. [Online]. https://www.nice.org.uk/guidance/ph6. Accessed 31/05/2020.
Bassett JC, Gore JL, Chi AC, et al. Impact of a bladder cancer diagnosis on smoking behavior. J Clin Oncol. 2012;30:1871‐1878.
Lawson PJ, Flocke SA. Teachable moments for health behavior change: a concept analysis. Patient Educ Couns. 2009;76:25‐30.
Stevens VJ, Severson H, Lichtenstein E, Little SJ, Leben J. Making the most of a teachable moment: a smokeless‐tobacco cessation intervention in the dental office. Am J Public Health. 1995;85:231‐235.
McDonald S, Yates D, Durrand J, et al. Exploring patient attitudes to behaviour change before surgery to reduce peri‐operative risk: preferences for short‐ vs. long‐term behaviour change. Anaesthesia. 2019;74(12):1580‐1588.
Flemming K, Graham H, McCaughan D, Angus K, Sinclair L, Bauld L. Health professionals' perceptions of the barriers and facilitators to providing smoking cessation advice to women in pregnancy and during the post‐partum period: a systematic review of qualitative research. BMC Public Health. 2016;16:290.
Butler CC, Pill R, Stott NCH. Qualitative study of patients’ perceptions of doctors’ advice to quit smoking: implications for opportunistic health promotion. Br Med J. 1998;316:1878‐1881.