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


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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

  • 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


Ask advise assist a program of tobacco cessation through dental offices presented by

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

R. Mecklenberg, 2000


The context

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.


Ask advise assist a program of tobacco cessation through dental offices presented by

Alberta Population:

2,750,000

Size: 661,137 sq. km

(255,285 sq. mi.)


The background research

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.


The background research1

The Background Research

Views on whether cessation services should be offered/are expected in dental offices


The background research2

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


The program overview

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.


The program

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.


The partnership

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)


The marketing plan

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


The response

The Response

  • 97 dental offices registered inside of two months

  • approximately 8% of all offices in the province

  • 300 surveys - 10% of mailing


The baseline survey ask advise assist

The Baseline Survey - Ask, Advise & Assist


The baseline survey barriers to providing assistance

The Baseline Survey - Barriers to Providing Assistance


The follow up survey

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.


The follow up survey responses

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


Second marketing phase

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


Second recruitment follow up contact

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


The recommendations

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


For more information

For More Information

[email protected]


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