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Ask, Advise & Assist A Program of Tobacco Cessation through Dental Offices Presented by

Ask, Advise & Assist A Program of Tobacco Cessation through Dental Offices Presented by Ellen Murphy, Director of Prevention & Lyle Walton, Tobacco Project and Policy Developer Alberta Cancer Board.

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Ask, Advise & Assist A Program of Tobacco Cessation through Dental Offices Presented by

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  1. Ask, Advise & Assist • A Program of Tobacco Cessation through Dental Offices • Presented by • Ellen Murphy, Director of Prevention& • Lyle Walton, Tobacco Project and Policy Developer • Alberta Cancer Board

  2. Brief, simple help by the dental team can double to triple patient self-help, long-term quit rates. R. Mecklenberg, 2000

  3. The Context • Alberta Cancer Board • Vision: excellence in cancer control • Mission: to reduce the burden of cancer through prevention, screening, diagnosis, treatment, palliation, education and research.

  4. Alberta Population: 2,750,000 Size: 661,137 sq. km (255,285 sq. mi.)

  5. The Background Research • Men and adolescents are under-represented in family physician practices. • 60% of adults see a dentist yearly. • 58% of smokers see a dentist regularly. • 18% cessation rates have been seen.

  6. The Background Research Views on whether cessation services should be offered/are expected in dental offices

  7. The Background Research Because of regular interactions with patients, it is believed that dental professionals have a unique opportunity to affect tobacco cessation among patients. R. W. Elford, M. Yeo, P.A. Jennett, 1994H. S. Campbell, J. M. Macdonald, 1994

  8. The Program - Overview • Ask– “Do you use tobacco? Have you thought about quitting?” • Advise – “There are many reasons to quit – including improving your oral health.” • Assist – “We can refer you to cessation programs.” • This will take no more than 5 minutes.

  9. The Program • Budget - $180,000 (or $120,000 US) • Duration - 18 months • Goals: • 1. to encourage all dental offices in Alberta to participate in a tobacco cessation program. • 2. to make it easy for enrolled dental offices to provide tobacco cessation services. • 3. to create a sustainable system of delivery.

  10. The Partnership • Alberta Cancer Board (ACB) • Alberta Dental Association & College (ADA&C) • Alberta Dental Hygienists’ Association (ADHA) • Alberta Health Regions (RHAs) • Alberta Alcohol and Drug Abuse Commission (AADAC)

  11. The Marketing Plan • Invitation package mailed out to all dentists and dental hygienists in Alberta: • cover letter • overview • program poster • AADAC Smoker's Help Line referral cards (5) • baseline survey • faxback registration/order form

  12. The Response • 97 dental offices registered inside of two months • approximately 8% of all offices in the province • 300 surveys - 10% of mailing

  13. The Baseline Survey - Ask, Advise & Assist

  14. The Baseline Survey - Barriers to Providing Assistance

  15. The Follow-up Survey • Purpose was to determine: • 1. Whether dental offices are referring • patients to cessation services. • 2. If the program was meeting expectations. • 3. If referrals are having an impact.

  16. The Follow-up Survey - Responses • 65% indicated A,A & A was meeting their expectations • Further needs: • - resources on how to discuss the issue with patients • - literature on tobacco • - resources for their patients

  17. Second Marketing Phase • Participant packages to thank those enrolled and provide new materials • Recruitment packages addressing barriers and providing incentives • Hygienist packages encouraged working with dentists to implement program

  18. Second Recruitment Follow-up Contact • In rural and smaller centres AADAC Tobacco Reduction Counselors phone all local dental offices • In major centres callers contracted to phone non-participants

  19. The Recommendations • - gather existing information • - collaborate with the appropriate professional associations, and use their advice • - emphasize the benefits • - keep it simple • - provide support materials quickly • - create linkages to cessation services • - be persistent

  20. For More Information prevention@cancerboard.ab.ca

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