Jeffrey L. Fellows

The effectiveness and cost effectiveness of telephone counselling and the nicotine patch in a state tobacco quitline

Objectives: State and national tobacco quitlines have expanded rapidly and offer a range of services. We examined the effectiveness and cost effectiveness of offering callers single session versus multisession counselling, with or without free nicotine patches. Methods: This 3×2 randomised trial included 4614 Oregon tobacco quitline callers and compared brief (one 15-minute call), moderate (one 30-minute call and a follow-up call) and intensive (five proactive calls) intervention protocols, with or without offers of free nicotine patches (nicotine replacement therapy, NRT). Blinded staff assessed tobacco use by phone at 12 months. Results: Abstinence odds ratios were significant for moderate (OR = 1.22, CI = 1.01 to 1.48) and intensive (OR = 1.29, CI = 1.07 to 1.56) intervention, and for NRT (OR = 1.58, CI = 1.35 to 1.85). Intent to treat quit rates were as follows: brief no NRT (12%); brief NRT (17%); moderate no NRT (14%); moderate NRT (20%); intensive no NRT (14%); and intensive NRT (21%). Relative to brief no NRT, the added costs for each additional quit was

Cost effectiveness of the Oregon quitline “free patch initiative”

2467 for brief NRT,

ONJ in Two Dental Practice-Based Research Network Regions

1912 for moderate no NRT,

The impact of a free nicotine patch starter kit on quit rates in a state quit line.

2109 for moderate NRT,

Nicotine Patches and Uninsured Quitline Callers A Randomized Trial of Two Versus Eight Weeks

2641 for intensive no NRT, and

Efficacy of Chlorhexidine Varnish for the Prevention of Adult Caries A Randomized Trial

2112 for intensive NRT. Conclusion: Offering free NRT and multisession telephone support within a state tobacco quitline led to higher quit rates, and similar costs per incremental quit, than less intensive protocols.

Pay‐for‐Performance in Dentistry: What We Know

Objective: We estimated the cost effectiveness of the Oregon tobacco quitline’s “free patch initiative” compared to the pre-initiative programme. Methods: Using quitline utilisation and cost data from the state, intervention providers and patients, we estimated annual programme use and costs for media promotions and intervention services. We also estimated annual quitline registration calls and the number of quitters and life years saved for the pre-initiative and free patch initiative programmes. Service utilisation and 30-day abstinence at six months were obtained from 959 quitline callers. We compared the cost effectiveness of the free patch initiative (media and intervention costs) to the pre-initiative service offered to insured and uninsured callers. We conducted sensitivity analyses on key programme costs and outcomes by estimating a best case and worst case scenario for each intervention strategy. Results: Compared to the pre-intervention programme, the free patch initiative doubled registered calls, increased quitting fourfold and reduced total costs per quit by

Methods dentists use to diagnose primary caries lesions prior to restorative treatment: Findings from The Dental PBRN

2688. We estimated annual paid media costs were

Design of the Prevention of Adult Caries Study (PACS): A randomized clinical trial assessing the effect of a chlorhexidine dental coating for the prevention of adult caries

215 per registered tobacco user for the pre-initiative programme and less than

Large-scale clinical endodontic research in the national dental practice-based research network: Study overview and methods

4 per caller during the free patch initiative. Compared to the pre-initiative programme, incremental quitline promotion and intervention costs for the free patch initiative were