title: Effectiveness of the tobacco tactics program for psychiatric inpatient veterans: an implementation study.
abstract: BACKGROUND
  The objective of this study was to evaluate the effectiveness of the inpatient, nurse-administered Tobacco Tactics program for patients admitted for psychiatric conditions in two Veterans Affairs (VA) hospitals compared to a control hospital.
  
  
  METHODS
  This is a subgroup analysis of data from the inpatient tobacco tactics effectiveness trial, which was a longitudinal, pre- post-nonrandomized comparison design with 6-month follow-up in the three large Veterans Integrated Service Networks (VISN) 11 hospitals.
  
  
  RESULTS
  Six-month self-reported quit rates for patients admitted for psychiatric conditions increased from 3.5% pre-intervention to 10.2% post-intervention compared to a decrease in self-reported quit rates in the control hospital (12% pre-intervention to 1.6% post-intervention). There was significant improvement in self-reported quit rates for the pre- versus post-intervention time periods in the Detroit and Ann Arbor intervention sites compared to the Indianapolis control site (P=0.01) and cotinine results were in the same direction.
  
  
  CONCLUSIONS
  The implementation of the Tobacco Tactics intervention has the potential to significantly decrease smoking and smoking-related morbidity and mortality among smokers admitted to VA hospitals for psychiatric disorders.
authors: Ann Arbor VA Center for Clinical Management Research, Health Services Research and Development, Ann Arbor, MI; Ohio State University, College of Nursing; University of Michigan, Department of Psychiatry, Ann Arbor, MI. Electronic address: bump@umich.edu.
authors: Sonia A
authors: SA
authors: Duffy
authors: Duke University School of Nursing, Durham, NC.
authors: Devon
authors: D
authors: Noonan
authors: Ann Arbor VA Center for Clinical Management Research, Health Services Research and Development, Ann Arbor, MI.
authors: Carrie A
authors: CA
authors: Karvonen-Gutierrez
authors: University of Michigan, School of Nursing, Ann Arbor, MI.
authors: David L
authors: DL
authors: Ronis
authors: Ann Arbor VA Center for Clinical Management Research, Health Services Research and Development, Ann Arbor, MI.
authors: Lee A
authors: LA
authors: Ewing
authors: University of Michigan, School of Nursing, Ann Arbor, MI.
authors: Andrea H
authors: AH
authors: Waltje
authors: University of Michigan, Department of Psychiatry, Ann Arbor, MI.
authors: Gregory W
authors: GW
authors: Dalack
authors: Northern Ontario School of Medicine, Thunder Bay, Ontario, CA.
authors: Patricia M
authors: PM
authors: Smith
authors: San Francisco VA Medical Center, San Francisco, CA.
authors: Timothy P
authors: TP
authors: Carmody
authors: Richard L. Roudebush VA Medical Center, Indianapolis, IN.
authors: Thomas
authors: T
authors: Hicks
authors: John D. Dingell VA Medical Center, Detroit, MI.
authors: Christopher
authors: C
authors: Hermann
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006284:Health Plan Implementation; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology; D008875:Middle Aged; D011568:Psychiatric Nursing / Q000379:methods*; D012008:Recurrence; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology*; D014728:Veterans / Q000523:psychology*