Success Rate of Smoking Cessation Using a Collaborative Treatment System between Dental Personnel and the Quitline in Thailand

Main Article Content

Sirada Phisutphatthana
Sutee Suksudaj
Jintana Yunibhand

Abstract

Objective: Smoking cessation support through dental personnel represents a promising yet understudied approach in Thailand. This study aimed to evaluate the Dentist Hero project, a collaborative program between dental personnel and the Thailand National Quitline service for smoking cessation support. In this system, dental personnel screen patients for smoking, give advice, and refer them through a Line Official Account (Line OA) application for Quitline counselors to provide telephone consultations and long-term follow-up. 


Materials and Methods: This retrospective study analyzed secondary data of 2,270 patients from the Dentist Hero project database between January 2023 and July 2024. The study focused on two aspects: 1) patient referral information through the Line OA application, including referral formats and appointment formats 2) patient response rates to phone calls and smoking cessation rates. Descriptive statistics were employed to explain patient characteristics, telephone response rates, and smoking cessation rates of the Dentist Hero project. Chi-square analysis examined the relationship between referral formats, appointment formats and patient telephone response rates.


Results: Of the 2,270 project participants, 970 patients answered phone calls and agreed to participate in long-term treatment (representing 42.8% of all referred patients). Among these, 690 patients were followed up at least once. The continuous abstinence rates at 3, 6, and 12 months were 28.3%, 29.2%, and 28.9%, respectively, of patients who were successfully followed up for the last time in each period. Using project-specified forms and clearly indicating appointment times in the referral process significantly related to patient telephone response rates (p<0.01). 


Conclusion: The Dentist Hero project demonstrated satisfactory smoking cessation outcomes. However, significant challenges remain in patient response rates to phone calls. Implementing standardized referral processes and providing active pre-referral counseling may enhance the project’s effectiveness.

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Phisutphatthana S, Suksudaj S, Yunibhand J. Success Rate of Smoking Cessation Using a Collaborative Treatment System between Dental Personnel and the Quitline in Thailand. Khon Kaen Dent J [internet]. 2025 Jul. 18 [cited 2026 Jan. 1];28(2):62-70. available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/276665
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References

World Health Organization. WHO global report on trends in prevalence of tobacco smoking 2000-2025. 2nd ed. Geneva: WHO; 2018.

Chan KH, Wright N, Xiao D, Guo Y, Chen Y, Du H. Tobacco smoking and risks of more than 470 diseases in China: A prospective cohort study. Lancet Public Health. 2022;7(12):e1014-26.

World Health Organization. WHO report on the global tobacco epidemic, 2021: Addressing new and emerging products. Geneva: WHO; 2021.

West R. Tobacco smoking: Health impact, prevalence, correlates and interventions. Psychol Health. 2017;32(8):1018-36.

World Health Organization. WHO report on the global tobacco epidemic, 2023: Protect people from tobacco smoke. Geneva: WHO; 2023.

Bureau of Dental Health, Department of health, ministry of public health. The 9th National Oral Health Survey, Thailand 2022-2023. Bangkok: Ministry of Public Health, Thailand; 2023.

Komonpaisarn T. Economic cost of tobacco smoking and secondhand smoke exposure at home in Thailand. Tob Control. 2022;31(6):714-22.

Adebisi YA, Phungdee T, Saokaew S, Lucero-Prisno DE. Prevalence and determinants of current cigarette smoking among adolescents in Thailand: Evidence from 2021 Global School-Based Health Survey. J Res Health Sci. 2024;24(2):e00610.

World Health Organization. Framework for action on interprofessional education and collaborative practice. Geneva: WHO; 2010.

Gordon JS, Andrews JA, Crews KM, Payne TJ, Severson HH. The 5A's vs 3A's plus proactive quitline referral in private practice dental offices: Preliminary results. Tob Control. 2007;16(4):285-8.

Lancaster T, Stead LF. Individual behavioural counselling for smoking cessation. Cochrane Database Syst Rev. 2005;(2):CD001292.

National Institutes of Health. Health implications of smokeless tobacco use. NIH Consensus Development Panel. Biomed Pharmacother. 1988;42:93-8.

Gordon JS, Lichtenstein E, Severson HH. Tobacco cessation in dental settings: Research findings and future directions. Drug Alcohol Rev. 2006;25:27-38.

Rasool S, Holliday R, Khan Z, Dobbie F, Bauld L. Behaviour change intervention for smokeless tobacco (ST) cessation delivered through dentists within a dental setting: A feasibility study protocol. Br Dent J. 2022;8(12).

Maspero S, Delle S, Kraus L, Pogarell O, Hoch E, Bachner J. Short-term effectiveness of the national German quitline for smoking cessation: Results of a randomized controlled trial. BMC Public Health. 2024;24(1):588.

Gordon JS, Andrews JA, Albert DA, Crews KM, Payne TJ, Severson HH. Tobacco cessation via public dental clinics: Results of a randomized trial. Am J Public Health. 2010;100(7):1307-12.

World Health Organization. Framework for action on interprofessional education and collaborative practice. Geneva: WHO; 2010.

Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann-Boyce J, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst Rev. 2013 May;5:CD000165.

Matkin W, Ordóñez-Mena JM, Hartmann-Boyce J. Telephone counselling for smoking cessation. Cochrane Database Syst Rev. 2019 May; 5(5):CD002850.