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Published in: Annals of Behavioral Medicine 2/2014

01-10-2014 | Original Article

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

Authors: Sonia A. Duffy, Ph.D., R.N., F.A.A.N., David L. Ronis, Ph.D., Carrie A. Karvonen-Gutierrez, M.P.H., Lee A. Ewing, M.P.H., Gregory W. Dalack, M.D., Patricia M. Smith, Ph.D., Timothy P. Carmody, Ph.D., Thomas Hicks, D.N.S., R.N., C.S., Christopher Hermann, M.S.N., N.P.-C., Pamela Reeves, M.D., Petra Flanagan, Pharm.D.

Published in: Annals of Behavioral Medicine | Issue 2/2014

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Abstract

Purpose

The purpose was to determine the effectiveness of the Tobacco Tactics program in three Veterans Affairs hospitals.

Methods

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.

Results

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.

Conclusion

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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Metadata
Title
Effectiveness of the Tobacco Tactics Program in the Department of Veterans Affairs
Authors
Sonia A. Duffy, Ph.D., R.N., F.A.A.N.
David L. Ronis, Ph.D.
Carrie A. Karvonen-Gutierrez, M.P.H.
Lee A. Ewing, M.P.H.
Gregory W. Dalack, M.D.
Patricia M. Smith, Ph.D.
Timothy P. Carmody, Ph.D.
Thomas Hicks, D.N.S., R.N., C.S.
Christopher Hermann, M.S.N., N.P.-C.
Pamela Reeves, M.D.
Petra Flanagan, Pharm.D.
Publication date
01-10-2014
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 2/2014
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-014-9605-z

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