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Published on: January 10, 2015
Effectiveness of the tobacco tactics program in the Department of Veterans Affairs
Sonia A Duffy1, David L Ronis, Carrie A Karvonen-Gutierrez
1Ann Arbor VA Center for Clinical Management Research, Health Services Research and Development, 2215 Fuller Road, Ann Arbor, MI, 48105, USA, bump@umich.edu.
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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