title: Public health clinical demonstration project for smoking cessation in veterans with posttraumatic stress disorder.
abstract: Veterans with posttraumatic stress disorder are at high risk for smoking and experience difficulty with smoking cessation. We designed this clinical demonstration project to provide a low-cost, feasibly implemented smoking cessation intervention that would maximize the number of smokers who accessed the intervention. Five hundred eighty-four veteran smokers were contacted by invitational letters. Interested veterans received follow-up telephone calls using standardized scripts offering three intervention resources: 1) a referral to the National Cancer Institute's Smoking Quitline, 2) web-based counseling, and 3) local Veteran Affairs pharmacologic treatment for smoking cessation. Twenty-three percent of survey recipients participated in the clinical program. Two months after these resources were offered by phone, follow-up phone calls indicated that 25% of participants providing follow-up information reported maintaining smoking abstinence. This clinical demonstration project was associated with a 2.6% impact (i.e., reach [31.1% of smokers accessed intervention] by efficacy [8.4% of those accessing intervention quit]), meaning that 2.6% of the total number of targeted smokers reported 8 week abstinence. Results suggested that this brief, low-cost intervention was feasible and promoted smoking cessation in veterans with posttraumatic stress disorder.
authors.affiliation: Durham Veterans Affairs Medical Center, Durham, NC 27705, USA. Eric.Dedert@duke.edu
authors.forename: Eric A
authors.initials: EA
authors.lastname: Dedert
authors.forename: Sarah M
authors.initials: SM
authors.lastname: Wilson
authors.forename: Patrick S
authors.initials: PS
authors.lastname: Calhoun
authors.forename: Scott D
authors.initials: SD
authors.lastname: Moore
authors.forename: Kim W
authors.initials: KW
authors.lastname: Hamlett-Berry
authors.forename: Jean C
authors.initials: JC
authors.lastname: Beckham
mesh_terms: D016642:Bupropion / Q000627:therapeutic use; D015331:Cohort Studies; D003376:Counseling; D003695:Delivery of Health Care / Q000458:organization & administration; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration; D015277:Hotlines; D006801:Humans; D020407:Internet; D009538:Nicotine / Q000627:therapeutic use; D010353:Patient Education as Topic; D011634:Public Health; D012907:Smoking / Q000188:drug therapy / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D000074606:Smoking Prevention; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology*; D014481:United States; D014728:Veterans
chemical_list: D016642:Bupropion; D009538:Nicotine