Tobacco Use Cessation Intervention in Military Personnel


Name: Frances Bushnell


Organization: Vanderbilt University

Performance Site: Blanchfield Army Community Hospital, Fort Campbell, KY; Vanderbilt University Medical Center, Nashville, TN

Year Published: 1994

Abstract Status: Final


OverviewTobacco use is the single most important preventable cause of disease, death, and disability in the United States as a whole, and in the military (Wright, Knapik, Bielenda & Zoltick, 1994). In the U.S. population at large, smoking accounts for one in every six deaths each year, or more than 1,000 deaths per day. Currently, 35% of military personnel smoke; this rate has declined from 51% in 1980, but it remains higher than the general population average of 26% (Bray & Marsden, 1994). This higher incidence could be related to peer pressure, stress, boredom, inexpensive cigarettes, and lack of other forms of recreation (Haire-Joshu, Morgan, & Fisher, 1991). Cigarette smoking is now understood to be an addiction influenced by a wide range of physiological and psychosocial factors, including the pharmacologic effects of nicotine.Specific AimsThe most successful clinical intervention programs for smoking cessation have offered multicomponenttreatment regimes, including nicotine replacement and maintenance procedures to prevent relapse (Laitinen, Sahi, & Vertio, 1983). The objective of this study was to investigate ways to increase smoking cessation rates among active and retired military personnel, their family members, and civilian employees. The specific aims of this randomized clinical trial were to evaluate the following measures:

    1. The relative effectiveness of two tobacco use cessation interventions (the American Cancer Society FreshStart program and the Vanderbilt University Medical Center Structured Behavior Counseling Program) in reducing tobacco use among military personnel and dependents.
    1. The relative contribution of planned moderate physical activity as an alternative to tobacco use.

Final Report is available on NTRL: