An individually-tailored smoking cessation intervention for rural Veterans: a pilot randomized trial

被引:11
|
作者
Weg, Mark W. Vander [1 ,2 ,3 ]
Cozad, Ashley J. [4 ]
Howren, M. Bryant [1 ,3 ,4 ]
Cretzmeyer, Margaret [1 ,5 ]
Scherubel, Melody [1 ]
Turvey, Carolyn [1 ,6 ]
Grant, Kathleen M. [7 ,8 ]
Abrams, Thad E. [1 ,2 ,6 ]
Katz, David A. [1 ,2 ,9 ]
机构
[1] Iowa City VA Hlth Care Syst, Comprehens Access & Delivery Res & Evaluat CADRE, Mail Stop 152,601 Highway 6 West, Iowa City, IA 52246 USA
[2] Univ Iowa, Dept Med, Iowa City, IA 52242 USA
[3] Univ Iowa, Dept Psychol & Brain Sci, Iowa City, IA 52242 USA
[4] Vet Rural Hlth Resource Ctr Cent Reg, Iowa City, IA USA
[5] Univ Iowa, Dept Social Work, Iowa City, IA USA
[6] Univ Iowa, Dept Psychiat, Iowa City, IA 52242 USA
[7] VA Nebraska Western Iowa Hlth Care Syst, Mental Hlth & Behav Sci Dept, Omaha, NE USA
[8] Univ Nebraska Med Ctr, Dept Med, Omaha, NE USA
[9] Univ Iowa, Dept Epidemiol, Iowa City, IA USA
来源
BMC PUBLIC HEALTH | 2016年 / 16卷
关键词
Tobacco; Nicotine dependence; Smoking cessation; Veterans; Rural health; NATIONAL TOBACCO QUITLINE; WEIGHT CONCERNS; PRIMARY-CARE; STATE QUITLINE; SELF-REPORTS; FOLLOW-UP; DEPRESSION; TELEPHONE; DRINKING; SMOKERS;
D O I
10.1186/s12889-016-3493-z
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Tobacco use remains prevalent among Veterans of military service and those residing in rural areas. Smokers frequently experience tobacco-related issues including risky alcohol use, post-cessation weight gain, and depressive symptoms that may adversely impact their likelihood of quitting and maintaining abstinence. Telephone-based interventions that simultaneously address these issues may help to increase treatment access and improve outcomes. Methods: This study was a two-group randomized controlled pilot trial. Participants were randomly assigned to an individually-tailored telephone tobacco intervention combining counseling for tobacco use and related issues including depressive symptoms, risky alcohol use, and weight concerns or to treatment provided through their state tobacco quitline. Selection of pharmacotherapy was based on medical history and a shared decision interview in both groups. Participants included 63 rural Veteran smokers (mean age = 56.8 years; 87 % male; mean number of cigarettes/day = 24.7). The primary outcome was self-reported 7-day point prevalence abstinence at 12 weeks and 6 months. Results: Twelve-week quit rates based on an intention-to-treat analysis did not differ significantly by group (Tailored = 39 %; Quitline Referral = 25 %; odds ratio [OR]; 95 % confidence interval [CI] = 1.90; 0.56, 5.57). Six-month quit rates for the Tailored and Quitline Referral conditions were 29 and 28 %, respectively (OR; 95 % CI = 1.05; 0.35, 3.12). Satisfaction with the Tailored tobacco intervention was high. Conclusions: Telephone-based treatment that concomitantly addresses other health-related factors that may adversely affect quitting appears to be a promising strategy. Larger studies are needed to determine whether this approach improves cessation outcomes.
引用
收藏
页数:11
相关论文
共 50 条
  • [31] Positive Psychotherapy for Smoking Cessation: A Pilot Randomized Controlled Trial
    Kahler, Christopher W.
    Spillane, Nichea S.
    Day, Anne M.
    Cioe, Patricia A.
    Parks, Acacia
    Leventhal, Adam M.
    Brown, Richard A.
    [J]. NICOTINE & TOBACCO RESEARCH, 2015, 17 (11) : 1385 - 1392
  • [32] Computer-tailored smoking cessation intervention in a general population setting in Germany: Outcome of a randomized controlled trial
    Schumann, Anja
    John, Ulrich
    Baumeister, Sebastian E.
    Ulbricht, Sabina
    Rumpf, Hans-Juergen
    Meyer, Christian
    [J]. NICOTINE & TOBACCO RESEARCH, 2008, 10 (02) : 371 - 379
  • [33] A randomized controlled trial of a smoking cessation intervention for pregnant adolescents
    Albrecht, Susan A.
    Caruthers, Donna
    Patrick, Thelma
    Reynolds, Maureen
    Salamie, Denise
    Higgins, Linda W.
    Braxter, Betty
    Kim, Yookyung
    Mlynarchek, Sara
    [J]. NURSING RESEARCH, 2006, 55 (06) : 402 - 410
  • [34] A randomized controlled trial of a smoking cessation intervention during pregnancy
    Panjari, M
    Bishop, S
    Astbury, J
    Rice, G
    Docry, J
    [J]. AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, 1999, 39 (03): : 312 - 317
  • [35] OPTIMIZING AN INDIVIDUALLY-TAILORED, ADAPTIVE INTERVENTION TO MANAGE WEIGHT IN OVERWEIGHT AND OBESE PREGNANT WOMEN
    Downs, Danielle Symons
    [J]. ANNALS OF BEHAVIORAL MEDICINE, 2019, 53 : S150 - S150
  • [36] SMOKING CESSATION USING BRIEF TAILORED INTERVENTION: A PROSPECTIVE TRIAL IN THE UROLOGY SETTING
    Bjurlin, Marc A.
    Lombardo, Lindsay M.
    Cohn, Matthew R.
    Kim, Dae Y.
    Hurley, Stephen D.
    Palmer, Cristi J.
    Hollowell, Courtney M. P.
    [J]. JOURNAL OF UROLOGY, 2012, 187 (04): : E267 - E267
  • [37] An individually-tailored multifactorial intervention program for older fallers in a middle-income developing country: Malaysian Falls Assessment and Intervention Trial (MyFAIT)
    Tan, Pey June
    Khoo, Ee Ming
    Chinna, Karuthan
    Hill, Keith D.
    Poi, Phillip J. H.
    Tan, Maw Pin
    [J]. BMC GERIATRICS, 2014, 14
  • [38] Pilot randomized controlled trial of an internet-based smoking cessation intervention for pregnant smokers ('MumsQuit')
    Herbec, Aleksandra
    Brown, Jamie
    Tombor, Ildiko
    Michie, Susan
    West, Robert
    [J]. DRUG AND ALCOHOL DEPENDENCE, 2014, 140 : 130 - 136
  • [39] An Avatar-Led Intervention Promotes Smoking Cessation in Young Adults: A Pilot Randomized Clinical Trial
    Karekla, Maria
    Savvides, Stella Nicoleta
    Gloster, Andrew
    [J]. ANNALS OF BEHAVIORAL MEDICINE, 2020, 54 (10) : 747 - 760
  • [40] A randomized controlled trial of an individualized motivational intervention on smoking cessation for parents of sick children: a pilot study
    Chan, SSC
    Lam, TH
    Salili, F
    Leung, GM
    Wong, DCN
    Botelho, RJ
    Lo, SL
    Lau, YL
    [J]. APPLIED NURSING RESEARCH, 2005, 18 (03) : 178 - 181