Effectiveness of cognitive behavior therapy in tobacco cessation at a dental setting: A hospital-based randomized controlled trial
Introduction: Tobacco use continues to be the leading global cause of preventable death. Dental health professionals play a significant role in the intervention of the tobacco-related epidemic. Aim: The aim of this study was to compare the effectiveness of health education (HE) alone and HE with cog...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2016-01-01
|
| Series: | Journal of Indian Association of Public Health Dentistry |
| Subjects: | |
| Online Access: | http://www.jiaphd.org/article.asp?issn=2319-5932;year=2016;volume=14;issue=4;spage=370;epage=376;aulast=Selvamary |
| _version_ | 1818266536889024512 |
|---|---|
| author | A Leena Selvamary M B Aswath Narayanan Jayanthi Doss S G Ramesh Kumar |
| author_facet | A Leena Selvamary M B Aswath Narayanan Jayanthi Doss S G Ramesh Kumar |
| author_sort | A Leena Selvamary |
| collection | DOAJ |
| description | Introduction: Tobacco use continues to be the leading global cause of preventable death. Dental health professionals play a significant role in the intervention of the tobacco-related epidemic. Aim: The aim of this study was to compare the effectiveness of health education (HE) alone and HE with cognitive behavior therapy (CBT) at a dental tertiary referral unit of South India. Materials and Methods: Self-reported quit attempt was assessed and the sample size was estimated at 194. Tobacco users who met the inclusion criteria were randomly assigned to one of the two groups - HE only and HE with CBT. Age, sex, socioeconomic status, form of tobacco usage, alcohol usage, addiction and stage of motivation, knowledge, attitude, and behavior regarding tobacco use, and ill effects were assessed at baseline. Follow-up was for 6 months (2nd, 6th, 12th, and 24th weeks) to assess reduced use, quit attempt, point prevalence abstinence, continuous abstinence, lapse, relapse, and attrition rates in each visit. The self-reported quit rates were validated using the standardized cotinine test. Pearson's Chi-square test was used to determine the effectiveness of intervention. Results: Continuous abstinence was significantly high in CBT. Reduced use and point prevalence abstinence were significantly higher in HE. Quit attempt in both the groups was equal showing no statistical significance. Attrition was significantly higher in HE compared to CBT. Conclusion: CBT plays a vital role in achieving continuous abstinence, overcoming social factors, and reducing lapse among the tobacco users. |
| first_indexed | 2024-12-12T20:08:16Z |
| format | Article |
| id | doaj.art-2bca88ba4349402a92a3bc6fee72a3d4 |
| institution | Directory Open Access Journal |
| issn | 2319-5932 2350-0484 |
| language | English |
| last_indexed | 2024-12-12T20:08:16Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Association of Public Health Dentistry |
| spelling | doaj.art-2bca88ba4349402a92a3bc6fee72a3d42022-12-22T00:13:34ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Public Health Dentistry2319-59322350-04842016-01-0114437037610.4103/2319-5932.195845Effectiveness of cognitive behavior therapy in tobacco cessation at a dental setting: A hospital-based randomized controlled trialA Leena SelvamaryM B Aswath NarayananJayanthi DossS G Ramesh KumarIntroduction: Tobacco use continues to be the leading global cause of preventable death. Dental health professionals play a significant role in the intervention of the tobacco-related epidemic. Aim: The aim of this study was to compare the effectiveness of health education (HE) alone and HE with cognitive behavior therapy (CBT) at a dental tertiary referral unit of South India. Materials and Methods: Self-reported quit attempt was assessed and the sample size was estimated at 194. Tobacco users who met the inclusion criteria were randomly assigned to one of the two groups - HE only and HE with CBT. Age, sex, socioeconomic status, form of tobacco usage, alcohol usage, addiction and stage of motivation, knowledge, attitude, and behavior regarding tobacco use, and ill effects were assessed at baseline. Follow-up was for 6 months (2nd, 6th, 12th, and 24th weeks) to assess reduced use, quit attempt, point prevalence abstinence, continuous abstinence, lapse, relapse, and attrition rates in each visit. The self-reported quit rates were validated using the standardized cotinine test. Pearson's Chi-square test was used to determine the effectiveness of intervention. Results: Continuous abstinence was significantly high in CBT. Reduced use and point prevalence abstinence were significantly higher in HE. Quit attempt in both the groups was equal showing no statistical significance. Attrition was significantly higher in HE compared to CBT. Conclusion: CBT plays a vital role in achieving continuous abstinence, overcoming social factors, and reducing lapse among the tobacco users.http://www.jiaphd.org/article.asp?issn=2319-5932;year=2016;volume=14;issue=4;spage=370;epage=376;aulast=SelvamaryCognitive behavior therapyhealth educationtobacco cessation |
| spellingShingle | A Leena Selvamary M B Aswath Narayanan Jayanthi Doss S G Ramesh Kumar Effectiveness of cognitive behavior therapy in tobacco cessation at a dental setting: A hospital-based randomized controlled trial Journal of Indian Association of Public Health Dentistry Cognitive behavior therapy health education tobacco cessation |
| title | Effectiveness of cognitive behavior therapy in tobacco cessation at a dental setting: A hospital-based randomized controlled trial |
| title_full | Effectiveness of cognitive behavior therapy in tobacco cessation at a dental setting: A hospital-based randomized controlled trial |
| title_fullStr | Effectiveness of cognitive behavior therapy in tobacco cessation at a dental setting: A hospital-based randomized controlled trial |
| title_full_unstemmed | Effectiveness of cognitive behavior therapy in tobacco cessation at a dental setting: A hospital-based randomized controlled trial |
| title_short | Effectiveness of cognitive behavior therapy in tobacco cessation at a dental setting: A hospital-based randomized controlled trial |
| title_sort | effectiveness of cognitive behavior therapy in tobacco cessation at a dental setting a hospital based randomized controlled trial |
| topic | Cognitive behavior therapy health education tobacco cessation |
| url | http://www.jiaphd.org/article.asp?issn=2319-5932;year=2016;volume=14;issue=4;spage=370;epage=376;aulast=Selvamary |
| work_keys_str_mv | AT aleenaselvamary effectivenessofcognitivebehaviortherapyintobaccocessationatadentalsettingahospitalbasedrandomizedcontrolledtrial AT mbaswathnarayanan effectivenessofcognitivebehaviortherapyintobaccocessationatadentalsettingahospitalbasedrandomizedcontrolledtrial AT jayanthidoss effectivenessofcognitivebehaviortherapyintobaccocessationatadentalsettingahospitalbasedrandomizedcontrolledtrial AT sgrameshkumar effectivenessofcognitivebehaviortherapyintobaccocessationatadentalsettingahospitalbasedrandomizedcontrolledtrial |