Role of the Dentist in the Control of the Alcoholic Habit in Patients with Potentially Malignant Oral Lesions
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Brief intervention.
- Who it may be relevant to
- Registry conditions: Oral Potentially Malignant Disorders, Alcohol Drinking. Basic parameters: from 40 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Spain
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Randomised Clinical Trial on the Role of the Dentist in the Control of the Alcoholic Habit, in Elderly Patients with Potentially Malignant Oral Lesions
Overview
Introduction: Alcohol is the most consumed psychoactive substance, its consumption is very prevalent and there is a low perception of the risk it poses in our society. Alcohol is a risk factor and a causal factor for multiple pathologies, including cancer and potentially malignant oral lesions (LOPM). The dentist can play a relevant role in the evaluation of consumption, as well as provide brief interventions (BI) to assist them in the cessation of the habit. Objectives: The main objective is to evaluate the efficacy of the intervention, carried out by dentists, to stop or reduce alcohol consumption in a patient with LOPM. Material and methods: clinical trial, randomized, with balanced randomization, single-blind (for the evaluator of the results) with 1 experimental arm and a control group, carried out in a single-center manner. Group 1 incident brief intervention and Group 2 no incident intervention (only usual clinical information). 200 patients from the Unit of Oral Medicine, Oral Surgery and Implantology of the University of Santiago de Compostela will participate in this study, they will make an initial visit, one month, three months, six months and one year. In these visits, evaluations related to alcohol consumption, the evolution of injuries, quality of life and satisfaction with the BI were carried out. Predictable results: If IB contributes to the cessation or reduction of alcohol consumption, and improves the clinical evolution of LOPM, it could be implemented immediately in our Oral Medicine unit and could lay the foundations for its implementation in different public centers and private.
Interventions
- Behavioral Brief intervention
Group 1 (intervention group): depending on the willingness to change evaluated with the RCQ at each visit, the characteristics of the intervention to be performed will be established. Prochaska and DiClemente (1983) proposed a transtheoretical model of change in which different stages of change are identified that have been found to be predictive of adherence to treatment and its efficacy (Prochaska, Norcross and DiClemente, 1994). The RCQ includes three of the stages of change: Precontemplation
Primary outcome measures
- Efficacy of the intervention [Time frame: 12 months]
Secondary outcome measures (12)
- Alcohol consumption [Time frame: 12 months]
- Alcohol consumption and hazardous alcohol consumption (I) [Time frame: 12 months]
- Alcohol consumption and hazardous alcohol consumption (II) [Time frame: 12 months]
- Risky alcohol consumption (GGT) [Time frame: 12 month]
- Risky alcohol consumption (TDC) [Time frame: 12 month]
- Tobacco consumption [Time frame: 12 month]
- Evolution of LOPM (I) [Time frame: 18 months]
- Evolution of LOPM (II) [Time frame: 18 months]
- Evaluation of the change of stage of readiness to change according to Prochaska and DiClemente. [Time frame: 18 months]
- Effectiveness of the intrevention [Time frame: 18 months]
- Effect of the intervention on the quality of life related to oral health (OHIP) [Time frame: 18 months]
- Effect of the intervention on the quality of life related to oral health (VAS) [Time frame: 18 months]
Eligibility criteria
Inclusion criteria
- Patients with a clinical and histopathological diagnosis of oral lichen planus (OPL) and/or oral leukoplakia (LO) (in all its clinical forms) as chronic LOPMs according to the WHO 2017 classification.
- Patients over 40 years old
- Patients in follow-up, with chronic injuries, without medical and/or surgical treatment for at least 1 month
- Patients with frequent daily alcohol consumption > 1 Standard Beverage Unit (more than two glasses of wine/beer per day or one glass of liquor/distilled drink per day)
Exclusion criteria
- Participants who do not sign the informed consent.
- Patients with a score above 20 in the AUDIT.
- Patients undergoing treatment for problems with alcohol and other drugs.
- Patients with systemic pathology associated with alcohol consumption
- Pregnant patients.
- Patients undergoing active pharmacological treatment for OPL.
- Patients who have undergone surgical resection and/or CO2 laser treatment for LO in the last month.
- Patients with a history of malignant oral lesions.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Prevention
Study locations
Spain · 1 center
- Universidad de Santiago de Compostela — Santiago de Compostela
Identifiers
NCT: NCT04584333 · PND-2020-ALCODENT