A Model DOD Systems Approach for Tobacco Cessation

Abstract

Military personnel have a smoking rate of approximately 30%, and recent evidence indicates this rate is no longer decreasing. Given the costs in terms of health care expenditures and decreased troop readiness, more must be done to decrease smoking in the military. This project is a group-randomized trial to test the effectiveness of intervention programs in increasing smoking cessation rates of active duty personnel and TRICARE Prime beneficiaries. Approximately 150 smokers and 100 nonsmokers per base will be followed after the 18-month intervention to assess smoking status. Fourteen military installations have been chosen (4 Army and 10 Air Force) to participate in this project to date, with seven installations randomly assigned to Organizational Support/Enhanced Programs (OSEP) and seven to Usual Practice (UP). The OSEP includes tobacco cessation intervention training for health care providers as well as other members in the community, pharmacological support, policy changes, and a media campaign. The UP installations will be provided intervention materials following the completion of follow-up surveys, approximately 24 months after the baseline survey. Currently, 4 sites have completed the intervention and the cohort selected for follow-up is being surveyed. The next 4 sites are starting the intervention and have completed the baseline survey. The final 6 sites are projected to begin the baseline survey and the intervention this fall and winter.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2004
Accession Number
ADA436881

Entities

People

  • Harry A. Lando

Organizations

  • University of Minnesota

Tags

DTIC Thesaurus Topics

  • Abstracts
  • Active Duty
  • Air Force
  • Communities
  • Department Of Defense
  • Electronic Mail
  • Health
  • Health Care
  • Health Services
  • Materials
  • Medical Personnel
  • Military Personnel
  • Public Health
  • Systems Approach
  • Training
  • Websites

Fields of Study

  • Medicine

Readers

  • Clinical Trial Research.
  • Medical or Health Care Field.
  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.