title: Building a tobacco cessation telehealth care management program for veterans with posttraumatic stress disorder.
abstract: BACKGROUND
  Veterans with posttraumatic stress disorder (PTSD) have high rates of smoking. Motivational interviewing (MI) enhances readiness for change.
  
  
  OBJECTIVE
  To test the feasibility and fidelity of home telehealth care management strategy to improve quit rates.
  
  
  METHODS
  A telehealth device delivered a cessation curriculum while a nurse supported veterans through weekly MI telephone calls. Treatment fidelity was evaluated. Outcomes measures included changes in smoking behaviors, stage of change, dose effect, and participant satisfaction with intervention.
  
  
  RESULTS
  There was a correlation (r = -.677; p = .03) at the end of treatment between readiness to change and number of cigarettes smoked per day. As 11 participants progressed along stages of change, they smoked fewer cigarettes per day. Two (20%) quit smoking. The nurse adhered to MI principles. Participants were highly satisfied and 100% felt curriculum delivered new information and respected choices.
  
  
  CONCLUSIONS
  It was feasible to deliver the home telehealth care management intervention with high treatment fidelity. Participants were motivated to change smoking behaviors.
authors: Department of Veterans Affairs, Eastern Colorado Health Care System, Denver, CO 80220, USA. Catherine.battaglia@va.gov
authors: Catherine
authors: C
authors: Battaglia
authors: Susan L
authors: SL
authors: Benson
authors: Paul F
authors: PF
authors: Cook
authors: Allan
authors: A
authors: Prochazka
mesh_terms: D000328:Adult; D055826:Afghan Campaign 2001-; D000368:Aged; D003130:Combat Disorders / Q000451:nursing* / Q000523:psychology*; D003479:Curriculum; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007407:Interviews as Topic / Q000379:methods; D054542:Iraq War, 2003-2011; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods; D010043:Outcome and Process Assessment, Health Care; D010346:Patient Care Management / Q000379:methods; D017060:Patient Satisfaction; D010865:Pilot Projects; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000451:nursing* / Q000523:psychology*; D055817:Telenursing / Q000458:organization & administration*; D014728:Veterans / Q000523:psychology*
keywords: behavioral; telehealth; tobacco cessation