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Pilot trial of nicotine replacement therapy sampling in a dental care clinic

Published online by Cambridge University Press:  18 September 2019

Erika Litvin Bloom Open the ORCID record for Erika Litvin Bloom [Opens in a new window] ,
Matthew J. Carpenter ,
Kristen Walaska ,
Laura Hunt ,
Kathy Keable ,
Maryam Rayani  and
Sandra J. Japuntich
Erika Litvin Bloom*
Affiliation:
Alpert Medical School of Brown University, Providence, USA Rhode Island Hospital, Providence, USA
Matthew J. Carpenter
Affiliation:
Medical University of South Carolina, Charleston, USA
Kristen Walaska
Affiliation:
The Miriam Hospital, Providence, USA
Laura Hunt
Affiliation:
Rhode Island Hospital, Providence, USA
Kathy Keable
Affiliation:
WellOne Dental Services, Pascoag, USA
Maryam Rayani
Affiliation:
WellOne Dental Services, Pascoag, USA
Sandra J. Japuntich
Affiliation:
Alpert Medical School of Brown University, Providence, USA The Miriam Hospital, Providence, USA
*
Author for correspondence: Erika Litvin Bloom, E-mail: erika_bloom@brown.edu
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Abstract

Introduction

Nicotine replacement therapy sampling (NRTS) refers to providing all smokers, regardless of interest in quitting, with free samples of over-the-counter NRT. NRTS has been shown to increase quit attempts and abstinence.

Aims

We conducted a pilot trial with a goal to establish the feasibility and acceptability of NRTS in a dental clinic, where providing free samples is routine and universal.

Methods

Participants (N = 30) completed a baseline survey and were randomized to receive or not receive a 2-week supply of NRT samples (14 mg patches and 4 mg lozenges) in a 3:1 ratio.

Results

We enrolled 30 of 50 potentially eligible patients, of whom 26 completed a 4-week follow-up survey. At follow-up, 61% of the NRT group reported use of the samples and 26% said they used more NRT obtained on their own. In the No NRT group, only one patient reported using NRT. No patients reported past week abstinence, but 43% of the NRT group vs. 29% of the No NRT group reported making a quit attempt lasting longer than 24 h.

Conclusions

The pattern of results suggests that conducting a larger trial would be feasible and that the NRTS intervention was acceptable to dental patients.

Keywords

Dentistsnicotine lozengesnicotine patchesnicotine replacement therapyoral healthsmokingtobacco
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 15 , Issue 1 , March 2020 , pp. 1 - 5
Copyright
© The Author(s) 2019 Published by Cambridge University Press

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Footnotes

*

Now at RAND Corporation in Boston, MA, USA.

†

Now at the University of Colorado, Colorado Springs, USA.

‡

Now at Hennepin Healthcare Research Institute in Minneapolis, MN, USA.

References

Bansal, M. A., Cummings, K. M., Hyland, A., & Giovino, G. A. (2004). Stop-smoking medications: Who uses them, who misuses them, and who is misinformed about them? Nicotine & Tobacco Research, 6(Suppl. 3), S303–S310.CrossRefGoogle Scholar
Carpenter, M. J., Hughes, J. R., Gray, K. M., Wahlquist, A. E., Saladin, M. E., & Alberg, A. J. (2011). Nicotine therapy sampling to induce quit attempts among smokers unmotivated to quit: A randomized clinical trial. Archives of Internal Medicine, 171, 1901–1907. doi: 10.1001/archinternmed.2011.492CrossRefGoogle ScholarPubMed
Carpenter, M. J., Wahlquist, A. E., Davis, R., Dahne, J., Cummings, M., Gray, K. M., … Egan, B. (2019). Medication sampling to engage smokers: Initial results from a cluster randomized clinical trial in primary care practices. Paper presented at the Symposium presented at the Society for Research on Nicotine & Tobacco annual meeting, San Francisco, CA.Google Scholar
Enright, A. (2005). Samples eliminate fear factor. Marketing News, October; 43 & 49.Google Scholar
Etter, J. F., & Perneger, T. V. (2001). Pharmacoepidemiology and drug utilization: Attitudes toward nicotine replacement therapy in smokers and ex-smokers in the general public. Clinical Pharmacology Therapy, 69, 175–183.CrossRefGoogle Scholar
Fiore, M. C., Jaen, C. R., Baker, T. B., Bailey, W. C., Benowitz, N. L., Curry, S. J., … Wewers, M. E. (2008). Treating tobacco use and dependence: 2008 update. Clinical practice guideline. Rockville, MD: US Public Health Service.Google Scholar
Ford, P. J., Tran, P., Cockburn, N., Keen, B., Kavanagh, D. J., & Gartner, C. (2016). Survey of dental clinic patients: Smoking and preferences for cessation support. Australian Dental Journal, 61(2), 219–226. doi:10.1111/adj.12345CrossRefGoogle ScholarPubMed
Heatherton, T., Kozlowski, L., Frecker, R. C., Rickert, W., & Robinson, J. (1989). Measuring the heaviness of smoking: Using self-reported time to the first cigarette of the day and number of cigarettes smoked per day. British Journal of Addiction, 84, 791–799.CrossRefGoogle ScholarPubMed
Jardin, B. F., Cropsey, K. L., Wahlquist, A. E., Gray, K. M., Silvestri, G. A., Cummings, K. M., … Carpenter, M. J. (2014). Evaluating the effect of access to free medication to quit smoking: A clinical trial testing the role of motivation. Nicotine & Tobacco Research, 16, 992–999. doi:10.1093/ntr/ntu025CrossRefGoogle ScholarPubMed
Pacek, L. R., McClernon, F. J., & Bosworth, H. B. (2018). Adherence to pharmacological smoking cessation interventions: A literature review and synthesis of correlates and barriers. Nicotine & Tobacco Research, 20(10), 1163–1172. doi:10.1093/ntr/ntx210CrossRefGoogle ScholarPubMed
Revell, C. C., & Meriwether, M. B. (2011). Applying the performance partnership model to smoking cessation: Lessons learned by the smoking cessation leadership center. Health Promotion Practice, 12(6 Suppl. 2), 125S–129S. doi:10.1177/1524839911414409CrossRefGoogle ScholarPubMed