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Evaluation of Effectiveness of the 3A3R Educational Intervention Program for Betel Nut Addicts
National Dong Hwa University, Hualien, Taiwan.
Department of Radiation Oncology, National Denfense Medical Center, Taipei, Taiwan,.
Department of Public Health Science, Walden University, USA.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0001-7393-796X
2014 (English)In: HealthMed, ISSN 1840-2291, E-ISSN 1986-8103, Vol. 8, no 12, 1303-1310 p.Article in journal (Refereed) Published
Abstract [en]

The study has assessed the effectiveness of the 3A3R educational intervention program for betel nut addicts. Effectiveness was measured on improvements in the following indicators: awareness of risks of betel nut use, perceived susceptibility to oral disease, perceived severity of oral cancer, betel-nut related behavioral changes, and frequency of betel nut use. Subjects were composed of the patients of 23 dental clinics. We employed the 3A3R (Ask, Advise, Assess, Relevance, Risk, Rewards) methodology to visiting patients as a way to educate them on the risks of betel nut use. Analysis included paired t-tests and ANOVA on the pre-test and post-test on the relevant variables. Patients displayed an increase in awareness of risks, perceived susceptibility, and perceived severity. More than 32% patients moved one stage forward in quitting betel nut use in one week. Betel nut use also fell by an average of 7.77 nuts. The 3A3R intervention program is effective for improving patients’ awareness; perceived susceptibility to oral disease; perceived severity of oral cancer; helping patients for the quitting process and reducing the betel nut intake. We recommend the standardization and implementation of the 3A3R intervention in hospitals for the purpose of helping betel nut addicts. 

Place, publisher, year, edition, pages
Sarajevo, Bosnia & Herzegovina: D R U N P P , 2014. Vol. 8, no 12, 1303-1310 p.
Keyword [en]
Betel nut, oral cancer, addiction, prevention, awaereness, Taiwan
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:oru:diva-41288OAI: diva2:780260
Available from: 2015-01-14 Created: 2015-01-14 Last updated: 2015-09-04Bibliographically approved

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