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. 2014 Oct;48(2):265-74.
doi: 10.1007/s12160-014-9605-z.

Effectiveness of the tobacco tactics program in the Department of Veterans Affairs

Sonia A Duffy  1 , David L Ronis, Carrie A Karvonen-Gutierrez, Lee A Ewing, Gregory W Dalack, Patricia M Smith, Timothy P Carmody, Thomas Hicks, Christopher Hermann, Pamela Reeves, Petra Flanagan
Affiliations

Effectiveness of the tobacco tactics program in the Department of Veterans Affairs

Sonia A Duffy et al. Ann Behav Med. 2014 Oct.

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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