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

dc.contributor.authorDuffy, Sonia A.
dc.contributor.authorRonis, David
dc.contributor.authorKarvonen-Gutierrez, Carrie A.
dc.contributor.authorEwing, Lee A.
dc.contributor.authorDalack, Gregory W.
dc.contributor.authorSmith, Patricia M.
dc.contributor.authorCarmody, Timothy P.
dc.contributor.authorHicks, Thomas
dc.contributor.authorHermann, Christopher
dc.contributor.authorReeves, Pamela
dc.contributor.authorFlanagan, Petra
dc.contributor.departmentMedicine, School of Medicine
dc.date.accessioned2025-03-04T11:10:28Z
dc.date.available2025-03-04T11:10:28Z
dc.date.issued2014-06-06
dc.description.abstractBackground: Smoking cessation interventions during hospitalization have been shown to be efficacious, yet are rarely incorporated into practice. The purpose of this study was to determine the effectiveness of the Tobacco Tactics program in three Veterans Affairs (VA) hospitals. Materials and methods: In this quasi-experimental pre- post- comparison effectiveness trial, inpatient nurses were educated to provide the Tobacco Tactics intervention in the Ann Arbor, MI and Detroit, MI VA hospitals, while the Indianapolis, IN VA hospital was the control site (N=1,070). The Tobacco Tactics nurse toolkit included: 1) one contact hour for training; 2) a PowerPoint presentation on behavioral and pharmaceutical interventions; 3) a pocket card “Helping Smokers Quit: A Guide for Clinicians”; 4) pharmaceutical and behavioral protocols; and 5) a computerized template for nurse documentation. The patient toolkit included: 1) a brochure; 2) a videotape “Smoking: Getting Ready to Quit;” 3) a Tobacco Tactics manual; 4) pharmaceuticals; 5) a 1-800-QUIT-NOW help line card; and 6) post-discharge telephone calls. Smoking patients were surveyed in the hospital and again six-months post-discharge. Urinary cotinine tests were used to verify six-month smoking status. Results: The average age was 55.3 years, most were male (94%) and not married (76%). After adjustment for the propensity of being assigned to treatment condition, 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 the Indianapolis control site. The intervention was particularly effective in Detroit where pre-intervention quit rates were 4% compared to 13% post-intervention. Conclusions: This study showed that training staff nurses to integrate smoking cessation services into their routine care may increase quit rates. The Tobacco Tactics program, which meets the newly released (2011) Joint Commission standards that apply to all inpatient smokers, has the potential to significantly decrease smoking among patients admitted to VA hospitals.
dc.eprint.versionFinal published version
dc.identifier.citationDuffy SA, Ronis D, Karvonen-Gutierrez CA, et al. Effectiveness of the Tobacco Tactics program in the Department of Veterans Affairs. Tob Induc Dis. 2014;12(Suppl 1):A12. Published 2014 Jun 6. doi:10.1186/1617-9625-12-S1-A12
dc.identifier.urihttps://hdl.handle.net/1805/46193
dc.language.isoen_US
dc.publisherEuropean Publishing
dc.relation.isversionof10.1186/1617-9625-12-S1-A12
dc.relation.journalTobacco Induced Diseases
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.sourcePMC
dc.subjectSmoking cessation interventions
dc.subjectHospitalization
dc.subjectTobacco Tactics program
dc.titleEffectiveness of the Tobacco Tactics program in the Department of Veterans Affairs
dc.typeAbstract
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