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

Mark W Vander Weg; Ashley J Cozad; M Bryant Howren; Margaret Cretzmeyer; Melody Scherubel; Carolyn Turvey; Kathleen M Grant; Thad E Abrams; David A Katz

doi:10.1186/s12889-016-3493-z

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

Journal article

Open access

Peer reviewed

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

Mark W Vander Weg, Ashley J Cozad, M Bryant Howren, Margaret Cretzmeyer, Melody Scherubel, Carolyn Turvey, Kathleen M Grant, Thad E Abrams and David A Katz

BMC public health, Vol.16(1), pp.811-811

08/17/2016

DOI: 10.1186/s12889-016-3493-z

PMCID: PMC4989380

PMID: 27535024

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Abstract

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. 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. 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. 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. ClinicalTrials.gov identifier number NCT01592695 registered 11 April 2012.

Rural Population - statistics & numerical data

Telephone

Humans

Middle Aged

Male

Treatment Outcome

Smoking Cessation - statistics & numerical data

Smoking Cessation - methods

Pilot Projects

Telemedicine - methods

Counseling - methods

Adult

Female

Aged

Veterans - statistics & numerical data

Tobacco Use Disorder - therapy

Details

Title: Subtitle: An individually-tailored smoking cessation intervention for rural Veterans: a pilot randomized trial
Creators: Mark W Vander Weg - Department of Psychological and Brain Sciences, University of Iowa, Iowa City, USA. mark-vanderweg@uiowa.edu
Ashley J Cozad - Veterans Rural Health Resource Center - Central Region, Iowa City, USA
M Bryant Howren - Veterans Rural Health Resource Center - Central Region, Iowa City, USA
Margaret Cretzmeyer - Department of Social Work, University of Iowa, Iowa City, USA
Melody Scherubel - Comprehensive Access & Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, Mail Stop 152, 601 Highway 6 West, Iowa City, IA, 52246, USA
Carolyn Turvey - Department of Psychiatry, University of Iowa, Iowa City, USA
Kathleen M Grant - University of Nebraska Medical Center Department of Medicine, Omaha, USA
Thad E Abrams - Department of Psychiatry, University of Iowa, Iowa City, USA
David A Katz - Department of Epidemiology, University of Iowa, Iowa City, USA
Resource Type: Journal article
Publication Details: BMC public health, Vol.16(1), pp.811-811
DOI: 10.1186/s12889-016-3493-z
PMID: 27535024
PMCID: PMC4989380
NLM abbreviation: BMC Public Health
ISSN: 1471-2458
eISSN: 1471-2458
Publisher: England
Grant note: P30 CA086862 / NCI NIH HHS
Language: English
Date published: 08/17/2016
Academic Unit: Psychiatry; Epidemiology; Psychological and Brain Sciences; School of Social Work; Injury Prevention Research Center; General Internal Medicine; Community and Behavioral Health; Internal Medicine
Record Identifier: 9984063136802771

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14 Times Cited - Web of Science