oralpresentation
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Title: 0624 - Picture the Mouth: Galvanising Tobacco Cessation Efforts Using Photographs of Lesions

Authors:

Anupama Ivaturi (Presenter)
All India Institute of Medical Sciences

Om Kharbanda, AIIMS
HARSH PRIYA, All India Institute of Medical Sciences
Shalini Gupta, Oral Medicine and Radiology, All India Institute of Medical Sciences

Abstract:

Objectives: 1.To explore the chance of motivating a tobacco user by showing a picture of his / her oral lesion on an electronic device
2.To find out a possible association between impact of the picture of the lesion and the cessation patterns in tobacco users

Methods: Tobacco users with signs of Potentially Malignant Oral Lesions and / or Oral Cancer visiting the cessation unit were randomised and split into two groups. All the participants were interviewed and then, an oral visual examination was done.
For those individuals in the intervention group, photographs of the observed lesions were taken.
The pictures were then shown to the individuals, giving them the details. A brief behavioural intervention for tobacco cessation was done and / or Nicotine Replacement Therapy / Pharmacotherapy
An interview followed where in the individuals were questioned about their attempts at self examining the mouth, level of motivation, reaction to the picture of their mouth.
Those in the control group received Brief Behavioural Intervention and other interventions as applicable.

Results: Documented data of patients visiting dental OPD from June 2017 was obtained. The footfall of the cessation unit was 310.
30% of the individuals were worried on looking at the picture of their mouth, 35% were motivated to quit tobacco usage, 15% of the individuals experienced apprehension about the underlying condition. 15% remained nonchalant by the picture of their oral cavity. These were the immediate reactions.
Of these, 95% of the individuals never performed a self examination of the mucosa and only 30% examined their teeth during brushing,(Chart 1)
In the control group, about 20% were worried about the diagnosis that was verbally explained and 21% motivated to quit tobacco use following a behavioural intervention.A follow up is awaited.
*One of the possible limitations of the study could be lack of a standardised scale to measure the impact of the picture.

Conclusions:
Educating the tobacco users to self examine their mouth and report early is a feasible adjunct to the brief behavioural intervention.
The association between impact of the picture of the lesion and the cessation patterns in tobacco users would be explored further by suitable inferential statistics, involving a larger sample, during the final study.

Image(s):

Download Image 1
Download Image 2

Table(s):

IMPACT / REACTION OF THE INDIVIDUAL SMOKER GROUP (%) CHEWER GROUP (%)
MOTIVATED TO QUIT TOBACCO USE 28 35
WORRIED ABOUT THE UNDERLYING CONDITION 23 30
SENSE OF FEAR ABOUT IMPENDING CHANCE OF ORAL CANCER 17 15
NO APPARENT IMPACT 32 20

Student Presenter

Disclosure Statement:
The submitter must disclose the names of the organizations with which any author have a relationship, the nature of the relationship, and the clinical or research area involved. The following is submitted: NONE

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