Counseling medical and dental patients about cigarette smoking: the impact of nicotine gum and chart reminders

Am J Public Health. 1987 Mar;77(3):313-6. doi: 10.2105/ajph.77.3.313.


To investigate methods for improving and expanding the counseling of smokers by physicians and dentists, we assigned 112 physicians and 50 dentists (in separate studies) to one of the following conditions: the control or advice-only group received a one-hour lecture on the consequences and management of smoking and a booklet detailing a four-step protocol for counseling patients about smoking; three other groups received, in addition, either, protocol reminder stickers placed on their patients' charts; nicotine gum made freely available to their patients; or both chart reminders and nicotine gum. Exit interviews of 1,091 medical and 647 dental patients indicated that the presence of chart reminders and/or the availability of nicotine gum increased the time spent counseling and altered the nature of the smoking cessation counseling provided by both physicians and dentists.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Chewing Gum*
  • Counseling / methods*
  • Dentists
  • Evaluation Studies as Topic
  • Humans
  • Middle Aged
  • Nicotine
  • Physicians
  • Random Allocation
  • Smoking Prevention*


  • Chewing Gum
  • Nicotine