Identifying the Potential Determinants of Tobacco Counseling Implementation among Oral Health Professionals of India: A Cross-Sectional Survey

Neha Agrawal; Sarah Mariam; Narinder Dev Gupta; Rajendra Kumar  Tewari; Juhi Gupta; Amit Kumar Garg

Authors

Neha Agrawal
Sarah Mariam
Narinder Dev Gupta
Rajendra Kumar Tewari
Juhi Gupta
Amit Kumar Garg

Keywords:

Knowledge, Tobacco Use Cessation, Dentists, Smoking, Health Education

Abstract

Objective: To identify the potential determinants of tobacco counseling implementation among oral health professionals in India. Material and Methods: A cross-sectional survey was carried out among the 298 dentists of Aligarh and Gwalior. The questionnaire used in the study had sections on dentists' sociodemographic data and a 35-item questionnaire to assess the potential determinants of tobacco cessation counseling. Descriptive statistics were carried out, and a Chi-square test was utilized to determine the association. P-value <0.05 was considered statistically significant. Results: Domains "knowledge", "Professional Responsibility and Identity", and "Remembrance, awareness, and judgment" showed a statistically significant correlation with most tobacco cessation counseling behaviors. In addition, undergraduate education received in Tobacco Cessation counseling, and Continuing education received in Tobacco Cessation counseling had significantly impacted the practice of tobacco cessation counseling (p=0.02 and 0.04, respectively). Conclusion: This study suggests that "Knowledge", "Professional Responsibility and Identity" and "Remembrance, awareness, and judgment" are the potential determinants that could be used to design effective strategies to enhance tobacco counseling among dentists in India.

References

World Health Organization. Tobacco factsheet. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco [Accessed on September 9, 2018].

Global Adult Tobacco Survey. Fact Sheet India. World Health Organization; 2017. Available from: https://www.who.int/tobacco/surveillance/survey/gats/GATS_India_2016-17_FactSheet.pdf [Accessed on March 25, 2019].

Institute for Health Metrics and Evaluation. Global burden of disease (GBD). 2016. Available from: http://ghdx.healthdata.org/gbd-2016 [Accessed on September 3, 2018].

Siddiqi K, Shah S, Abbas SM, Vidyasagaran A, Jawad M, Dogar O, et al. Global burden of disease due to smokeless tobacco consumption in adults: analysis of data from 113 countries. BMC Med 2015; 13:194. https://doi.org/10.1186/s12916-015-0424-2

Government of India. Ministry of Health and Family Welfare. Directorate General of Health Services. Manual for training in cancer control tobacco cessation; 2005.

Awan KH. Effects of tobacco use on oral health – an overview. Annal Dent Univ Malaya 2011; 18(1):18-23. https://doi.org/10.22452/adum.vol18no1.3

World Health Organization and FDI World Dental Federation. Tobacco or oral health - an advocacy guide for oral health professionals. 2018. Available from: https://www.who.int/oral_health/media/orh_tobacco_fdi_book.pdf?ua=1 Accessed on June 20, 2021].

Dar-Odeh N, Alnazzawi A, Shoqair N, Al-Shayyab MH, Abu-Hammad O. Waterpipe Tobacco Smoking Among Dental Practitioners: Prevalence and Health Perceptions. Tob Use Insights 2016; 9:29-33. https://doi.org/10.4137/TUI.S40568

Albert D, Ward A, Ahluwalia K, Sadowsky D. Addressing tobacco in managed care: a survey of dentists' knowledge, attitudes, and behaviors. Am J Public Health 2002; 92(6):997-1001. https://doi.org/10.2105/ajph.92.6.997

Parakh A, Megalamanegowdru J, Agrawal R, Hathiwala S, Chandrakar M, Tiwari R, et al. Dental practitioners self-reported performance of tobacco cessation counseling interventions: a cross-sectional study. Asian Pac J Cancer Prev 2013; 14(10):6141-5. https://doi.org/10.7314/apjcp.2013.14.10.6141

Mohanty VR, Rajesh GR, Aruna DS. Role of dental institutions in tobacco cessation in India: current status and future prospects. Asian Pac J Cancer Prev 2013; 14(4):2673-80. https://doi.org/10.7314/apjcp.2013.14.4.2673

Alblowi JA. Perception of tobacco counseling and cessation among dental practitioners. J Smok Cessat 2021; 2021(6692525):1-7. https://doi.org/10.1155/2021/6692525

Parkar S, Pandya E, Sharma A. Attitudes, practices, and barriers in tobacco cessation counselling among dentists of Ahmedabad city, India. SRM J Res Dent Sci 2016; 7(3):140-5. https://doi.org/10.4103/0976-433X.188798

O'Donnell JA, Hamilton MK, Markovic N, Close J. Overcoming barriers to tobacco cessation counselling in dental students. Oral Health Prev Dent 2010; 8(2):117-24.

Global Adult Tobacco Survey 2. Fact Sheet. Uttar Pradesh 2016-17. Available from: https://tiss.edu/uploads/files/Uttar_Pradesh.pdf [Accessed on January 8, 2022].

Amemori M, Korhonen T, Michie S, Murtomaa H, Kinnunen TH. Implementation of tobacco use cessation counseling among oral health professionals in Finland. J Public Health Dent 2013; 73(3):230-6. https://doi.org/10.1111/jphd.12019

Caponnetto P, Polosa R. Common predictors of smoking cessation in clinical practice. Respir Med 2008; 102(8):1182-92. https://doi.org/10.1016/j.rmed.2008.02.017

Dedeke AA, Popoola OA, Adebiyi AO, Asuzu MC. Tobacco cessation services and related challenges among dentists in southwest Nigeria. Ann Ib Postgrad Med 2018; 16(2):125-30.

Rodrigues GA, Galvão V, Viegas CA. Prevalence of smoking among dentists in the Federal District of Brasilia, Brazil. J Bras Pneumol 2008; 34(5):288-93. https://doi.org/10.1590/s1806-37132008000500007

Wang J, Li C, Jia C, Liu Y, Liu J, Yan X, et al. Smoking, smoking cessation and tobacco control in rural China: a qualitative study in Shandong Province. BMC Public Health 2014; 14:916. https://doi.org/10.1186/1471-2458-14-916

Yusuf H, Yusuf H, Tsakos G, Ntouva A, Murphy M, Porter J, Newton T, et al. Differences by age and sex in general dental practitioners' knowledge, attitudes and behaviours in delivering prevention. Br Dent J 2015; 219(6):E7. https://doi.org/10.1038/sj.bdj.2015.711

Brothwell D, Gelskey SC. Tobacco use cessation services provided by dentists and dental hygienists in Manitoba: part 1. Influence of practitioner demographics and psychosocial factors. J Can Dent Assoc 2009; 74(10):905.

Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A, et al. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care 2005; 14(1):26-33. https://doi.org/10.1136/qshc.2004.011155

Prakash P, Belek MG, Grimes B, Silverstein S, Meckstroth R, Heckman B, et al. Dentists' attitudes, behaviours and barriers related to tobacco use cessation in the dental setting. J Public Health Dent 2013; 73(2):94-102. https://doi.org/10.1111/j.1752-7325.2012.00347.x

Tomar SL. Dentistry's role in tobacco control. J Am Dent Assoc 2001; 132:30S-5S. https://doi.org/10.14219/jada.archive.2001.0386

Khalaf M. Smoking Cessation practices in Kuwaiti general dental clinics. Med Princ Pract 2013; 22(6):576-82. https://doi.org/10.1159/000351560

Ehizele AO, Azodo CC, Ezeja EB, Ehigiator O. Nigerian dental students' compliance with the 4As approach to tobacco cessation. J Prev Med Hyg 2011; 52(1):12-6.

Prakash P, Belek MG, Grimes B, Silverstein S, Meckstroth R, Heckman B, et al. Dentists' attitudes, behaviors, and barriers related to tobacco-use cessation in the dental setting. J Public Health Dent 2013; 73(2):94-102. https://doi.org/10.1111/j.1752-7325.2012.00347.x

Applegate BW, Sheffer CE, Crews KM, Payne TJ, Smith PO. A survey of tobacco-related knowledge, attitudes and behaviours of primary care providers in Mississippi. J Eval Clin Pract 2008; 14(4):537-44. https://doi.org/10.1111/j.1365-2753.2007.00910.x

Succar CT, Hardigan PC, Fleisher JM, Godel JH. Survey of tobacco control among Florida dentists. J Commun Health 2011; 36(2):211-8. https://doi.org/10.1007/s10900-010-9299-5

Amemori M, Korhonen T, Kinnunen T, Michie S, Murtomaa H. Enhancing implementation of tobacco use prevention and cessation counselling guideline among dental providers: a cluster randomised controlled trial. Implement Sci 2011; 6:13. https://doi.org/10.1186/1748-5908-6-13

Davis JM, Ramseier CA, Mattheos N, Schoonheim-Klein M, Compton S, Al-Hazmi N, et al. Education of tobacco use prevention and cessation for dental professionals- a paradigm shift. Int Dent J 2010; 60(1):60-72.

Schoonheim-Klein ME, Habets LL, Aartman IH, van der Vleuten CP, Hoogstraten J, van der Velden U. Implementing an Objective Structured Clinical Examination (OSCE) in dental education: effects on students’ learning strategies. Eur J Dent Educ 2006; 10(4):226-35. https://doi.org/10.1111/j.1600-0579.2006.00421.x

Rønning SB, Bjørkly S. The use of clinical role-play and reflection in learning therapeutic communication skills in mental health education: an integrative review. Adv Med Educ Pract 2019; 8(10):415-25. https://doi.org/10.2147/AMEP.S202115

Tai JHM, Haines TP, Canny BJ, Molloy EK. A study of medical students' peer learning on clinical placements: What they have taught themselves to do. J Peer Learn 2014; 7(6):57-80.

Ramseier CA, Warnakulasuriya S, Needleman IG, Gallagher JE, Lahtinen A, Ainamo A, et al. Consensus Report: 2nd European Workshop on Tobacco Use Prevention and Cessation for Oral Health Professionals. Int Dent J 2010; 60(1):3-6.

Park J, Lim MK, Yun EH, Oh JK, Jeong BY, Cheon Y, et al. Influences of tobacco-related knowledge on awareness and behavior towards smoking. J Korean Med Sci 2018; 33(47):e302. https://doi.org/10.3346/jkms.2018.33.e302

Meijer E, Van der Kleij RMJJ, Chavannes NH. Facilitating smoking cessation in patients who smoke: a large-scale cross-sectional comparison of fourteen groups of healthcare providers. BMC Health Serv Res 2019; 19(1):750. https://doi.org/10.1186/s12913-019-4527-x