Smoking Cessation Clinical Trial
Official title:
Efficacy of a Smoking Quit Line in the Military
Rates of cigarette smoking in the military are high. Tobacco telephone quit lines are telephone-based services that provide information and guidance to people who want to quit smoking. This study will evaluate the effectiveness of a tobacco quit line program, in addition to nicotine replacement patches, at helping people in the military quit smoking cigarettes.
Active duty military personnel are at high risk of cigarette smoking. Despite strong efforts
by the Department of Defense to reduce tobacco use, rates of smoking among people in the
military remain high. The military lifestyle presents unique challenges to implementing
smoking cessation programs, including the high mobility of troops, remote locations, and
limited access to healthcare services. Because of these challenges, many smoking cessation
programs that are effective in the non-military population are often ineffective in the
military population. Tobacco telephone quit lines are telephone-based tobacco cessation
services that provide easy access to educational materials, referrals to local programs, and
individualized telephone counseling. Because tobacco quit lines are remotely based and can
fit into varying schedules at convenient times, they may be effective among people in the
military. Nicotine replacement patches are another effective smoking cessation tool and can
be used in addition to telephone quit lines. The purpose of this study is to evaluate the
effectiveness of tobacco quit lines, in addition to nicotine replacement patches, at
improving smoking cessation rates among members of the Air Force.
This study will enroll military healthcare beneficiaries who have smoked at least five
cigarettes a day in the year before study entry. Participants will be randomly assigned to
either a proactive group, in which study researchers will initiate contact with the
participants, or a reactive group, in which participants will initiate contact with the
researchers. In this six-session program, phone calls will occur at 1- to 2-week intervals
over an 8-week period. The phone sessions will focus on cutting down on cigarette smoking,
setting a quit date, and relapse prevention. All participants will receive nicotine
replacement patches after the second session is completed. The reactive group will receive
two weeks of nicotine replacement patches and the proactive group will receive 8 weeks of
nicotine replacement patches. At the end of session four and 1 year later, study staff will
call participants to collect information on tobacco abstinence, nicotine replacement patch
use adherence, and other smoking cessation medication use.
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