Efficacy of a tailored tobacco control program on long-term use in a population of U.S. military troops

Robert C. Klesges, Margaret DeBon, Mark W. Vander Weg, C. Keith Haddock, Harry A. Lando, George E. Relyea, Alan L. Peterson, G. Wayne Talcott

Research output: Contribution to journalArticlepeer-review

55 Scopus citations

Abstract

The authors evaluated the effect of a brief tailored smoking control intervention delivered during basic military training on tobacco use in a population of military personnel (N = 33,215). Participants were randomized to either a tobacco use intervention (smoking cessation, smokeless tobacco use cessation, or prevention depending on tobacco use history) or a health education control condition. Results indicated that smokers who received intervention were 1.16 (95% confidence interval [CI] = 1.04, 1.30) times (7-day point prevalence) and 1.23 (95% CI = 1.07, 1.41) times (continuous abstinence) more likely to be abstinent than controls from smoking cigarettes at the 1-year follow-up (p <. 01); the cessation rate difference was 1.60% (31.09% vs. 29.49%) and 1.73% (15.47% vs. 13.74%) for point prevalence and continuous abstinence, respectively. Additionally, smokeless tobacco users were 1.33 (95% CI = 1.08, 1.63) times more likely than controls (p <. 01) continuously abstinent at follow-up, an overall cessation rate difference of 5.44% (33.72% vs. 28.28%). The smoking prevention program had no impact on smoking initiation. These results suggest potential for large-scale tobacco control efforts.

Original languageEnglish (US)
Pages (from-to)295-306
Number of pages12
JournalJournal of consulting and clinical psychology
Volume74
Issue number2
DOIs
StatePublished - Apr 2006

Keywords

  • Military
  • Smokeless tobacco
  • Smoking cessation
  • Smoking prevention

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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