# PHYSICIAN/DENTIST INTERVENTIONS FOR SMOKING CESSATION

> **NIH NIH R01** · INDIANA UNIVERSITY INDIANAPOLIS · 1987 · $624,895

## Abstract

The goal of this proposal is to develop and validate practical methods
which help physicians and dentists encourage their patients to stop smoking
cigarettes and remain non-smokers.  Parallel studies with physicians and
dentists are proposed to determine the long-term effectiveness of practical
smoking cessation interventions which they can use; and evaluate the
adoption, generalizability and cost-effectiveness of implementing the
"best" of those interventions with a new cohort of physicians and
dentists.  The research proposed incorporates and combines techniques used
in our prior research in which: 1) explicit care protocols and
feedback/reminder systems increased physicians' vigilance and management of
a variety of medical problems; 2) nicotine-containing chewing gum produced
significantly greater smoking cessation than did a placebo gum; and
3)\carbon monoxide (CO) from alveolar breath samples had equivalent
specificity and greater sensitivity than did salivary thiocyanate for
confirming self-reported smoking status.  During State I, physicians and
dentists will be randomly assigned to either, neither or both of the
following: 1) a feedback/reminder system for following a practical protocol
for helping their patients stop smoking; 2) nicotine gum freely available
for their patients.  Office exit interviews of patients at least every six
months will determine changes in their smoking status confirmed by CO
assessment and document their health professionals' behavior.  The best
Stage I cessation intervention will be used in Stage II with new cohorts of
physicians and dentists randomly assigned to a control group or to
implementing the "best" smoking cessation intervention either by relying
primarily on the resources provided by our project staff (as in Stage I) or
by relying primarily on the resources of their own regular practices.  The
major outcome is the percentage of a health professional's patients
initially enrolled in the study who are not smoking at a particular unit of
time (e.g., 6 months, 4 years later).  Also assessed is the
physicians'/dentists' adherence to the care protocols.  Logistic regression
is used to identify patient characteristics such as degree of cigarette
dependence, expectations of quitting etc., most predictive of long-term
cessation.  Multiple regression is used to see if health professionals'
characteristics such as smoking history, attitudes toward smoking
intervention and expectation of success predict attainment of smoking
cessation by their patients.

## Key facts

- **NIH application ID:** 3176417
- **Project number:** 5R01CA038337-04
- **Recipient organization:** INDIANA UNIVERSITY INDIANAPOLIS
- **SAM.gov UEI:** SHHBRBAPSM35
- **Principal Investigator:** STUART JAY COHEN
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 1987
- **Award amount:** $624,895
- **Award type:** 5
- **Project period:** 1984-08-01 → 1989-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/3176417

## Citation

> US National Institutes of Health, RePORTER application 3176417, PHYSICIAN/DENTIST INTERVENTIONS FOR SMOKING CESSATION (5R01CA038337-04). Retrieved via MORVS 2026-10-25 from https://api.morvs.ai/grant/nih/3176417. Licensed CC0.

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