Tailored Tobacco Quitline for Rural Veterans
| Status: | Completed |
|---|---|
| Conditions: | Smoking Cessation |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - 99 |
| Updated: | 12/10/2016 |
| Start Date: | June 2012 |
| End Date: | June 2013 |
Tailored Tobacco Cessation Program for Rural Veterans With Comorbid Depression, Alcoholism or Obesity
The proposed work is designed to help increase access to tobacco cessation services among
rural veterans and to develop more effective treatment services that better address comorbid
issues commonly experienced by rural smokers. The objectives are:
1. Study the feasibility of an individually-tailored telephone intervention for rural
smokers.
2. Examine the impact of the intervention on tobacco use outcomes.
3. Evaluate the effect of the intervention on issues commonly experienced by rural smokers
including depressive symptoms, alcohol use, and weight gain.
rural veterans and to develop more effective treatment services that better address comorbid
issues commonly experienced by rural smokers. The objectives are:
1. Study the feasibility of an individually-tailored telephone intervention for rural
smokers.
2. Examine the impact of the intervention on tobacco use outcomes.
3. Evaluate the effect of the intervention on issues commonly experienced by rural smokers
including depressive symptoms, alcohol use, and weight gain.
Tobacco use remains the leading preventable cause of morbidity and mortality in our society.
Results from epidemiologic studies indicate that tobacco use is especially elevated among
those living in rural areas. Although interventions exist that are both effective and
cost-effective, few rural smokers utilize them during any given quit attempt. A lack of
local treatment resources, the travel distance required to obtain treatment, and a reduced
tendency to visit primary care on a regular basis all appear to contribute to the lower
levels of treatment for nicotine dependence in rural smokers.
Smokers frequently experience conditions and concerns that adversely impact their ability to
quit smoking. Depression and risky alcohol use, both of which are prevalent among smokers,
reduce the likelihood of successfully quitting smoking. Concern about gaining weight, a
common consequence of quitting smoking, is also frequently cited by smokers as an important
barrier to quitting. Therefore, in order to be most effective, tobacco cessation
interventions will need to address these important issues. Presently, treatment for nicotine
dependence, risky alcohol use, depression, and weight management is typically delivered
separately and without optimal integration among providers, an approach which only serves to
fragment care and increase the number of required visits, further reduce rural smokers'
access to care.
In an effort to address these barriers, the current study will evaluate a telephone
intervention for tobacco use that also addresses issues related to risky alcohol use,
depressed mood, and postcessation weight gain based on each individual smoker's needs.
Results will provide valuable information regarding the potential to more widely implement
an individually-tailored telephone intervention for rural smokers.
Results from epidemiologic studies indicate that tobacco use is especially elevated among
those living in rural areas. Although interventions exist that are both effective and
cost-effective, few rural smokers utilize them during any given quit attempt. A lack of
local treatment resources, the travel distance required to obtain treatment, and a reduced
tendency to visit primary care on a regular basis all appear to contribute to the lower
levels of treatment for nicotine dependence in rural smokers.
Smokers frequently experience conditions and concerns that adversely impact their ability to
quit smoking. Depression and risky alcohol use, both of which are prevalent among smokers,
reduce the likelihood of successfully quitting smoking. Concern about gaining weight, a
common consequence of quitting smoking, is also frequently cited by smokers as an important
barrier to quitting. Therefore, in order to be most effective, tobacco cessation
interventions will need to address these important issues. Presently, treatment for nicotine
dependence, risky alcohol use, depression, and weight management is typically delivered
separately and without optimal integration among providers, an approach which only serves to
fragment care and increase the number of required visits, further reduce rural smokers'
access to care.
In an effort to address these barriers, the current study will evaluate a telephone
intervention for tobacco use that also addresses issues related to risky alcohol use,
depressed mood, and postcessation weight gain based on each individual smoker's needs.
Results will provide valuable information regarding the potential to more widely implement
an individually-tailored telephone intervention for rural smokers.
Inclusion Criteria:
- Being a veteran
- 18 + years of age
- Smoke cigarettes on at least a daily basis
- Receive primary care from the Iowa City VAMC or Coralville Clinic
- Live in a non-metropolitan area (based on RUCA codes)
- Be willing to make a quit attempt in the next 30 days
- Be capable of providing informed consent
- Have access to a telephone (land line or cell phone)
- Have a stable residence
Exclusion Criteria:
- Planning to move within the next 12 months
- Presence of a terminal illness
- Pregnancy
- Unstable psychiatric disorder (e.g., acute psychosis)
- Currently pregnant
- Incarcerated
- Institutionalized
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