Effectiveness of the Tobacco Tactics Program in the Department of Veterans Affairs

被引：16
|
作者：
Duffy, Sonia A. [1 ,2 ,3 ,9 ]
Ronis, David L. [9 ]
Karvonen-Gutierrez, Carrie A. [1 ]
Ewing, Lee A. [1 ]
Dalack, Gregory W. [3 ]
Smith, Patricia M. [4 ]
Carmody, Timothy P. [5 ]
Hicks, Thomas [6 ]
Hermann, Christopher [7 ]
Reeves, Pamela [7 ]
Flanagan, Petra [8 ]
机构：
[1] Ann Arbor VA Ctr Clin Management Res Hlth Serv Re, Ann Arbor, MI 48105 USA
[2] Univ Michigan, Dept Otolaryngol, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Dept Psychiat, Ann Arbor, MI 48109 USA
[4] Northern Ontario Sch Med, Greater Sudbury, ON, Canada
[5] San Francisco VA Med Ctr, San Francisco, CA USA
[6] Richard L Roudebush VA Med Ctr, Indianapolis, IN USA
[7] John D Dingell VA Med Ctr, Detroit, MI USA
[8] VA Ann Arbor Healthcare Syst, Ann Arbor, MI USA
[9] Univ Michigan, Sch Nursing, Ann Arbor, MI 48109 USA
来源：
ANNALS OF BEHAVIORAL MEDICINE | 2014年 / 48卷 / 02期
关键词：
Cessation; Health services research; Tobacco control; Treatment and intervention; Veterans; SMOKING-CESSATION INTERVENTIONS; NICOTINE REPLACEMENT; AFRICAN-AMERICANS; HEALTH-CARE; HOSPITALIZED SMOKERS; ETHNIC DISPARITIES; GUIDELINES; QUIT; IMPLEMENTATION; DEPRESSION;
D O I：
10.1007/s12160-014-9605-z
中图分类号：
B84 [心理学];
学科分类号：
04 ; 0402 ;
摘要：
The purpose was to determine the effectiveness of the Tobacco Tactics program in three Veterans Affairs hospitals. In this effectiveness trial, inpatient nurses were educated to provide the Tobacco Tactics intervention in Ann Arbor and Detroit, while Indianapolis was the control site (N = 1,070). Smokers were surveyed and given cotinine tests. The components of the intervention included nurse counseling, brochure, DVD, manual, pharmaceuticals, 1-800-QUIT-NOW card, and post-discharge telephone calls. There were significant improvements in 6-month quit rates in the pre- to post-intervention time periods in Ann Arbor (p = 0.004) and Detroit (p < 0.001) compared to Indianapolis. Pre- versus post-intervention quit rates were 4 % compared to 13 % in Detroit, were similar (6 %) pre- and post-intervention in Ann Arbor, and dropped from 26 % to 12 % in Indianapolis. The Tobacco Tactics program, which meets the Joint Commission standards that apply to all inpatient smokers, has the potential to significantly decrease smoking among Veterans.
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页码：265 / 274
页数：10
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