Evaluating the Effects of a Brief Tobacco Intervention in the US Air Force
| Autor: | Timothy L. McMurry, Melissa A. Little, Margaret C. Fahey, Gerald W. Talcott, Robert C. Klesges |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Teachable moment Adolescent media_common.quotation_subject Psychological intervention Original Investigations law.invention Tobacco Use Young Adult Randomized controlled trial Behavior Therapy law Intervention (counseling) Environmental health Humans Medicine Tobacco Use Epidemiology Generalized estimating equation media_common Tobacco Use Cessation business.industry Public Health Environmental and Occupational Health Abstinence United States Military personnel Military Personnel Female business |
| Zdroj: | Nicotine Tob Res |
| ISSN: | 1469-994X |
| Popis: | Introduction Military personnel have among the highest rates of tobacco use in the United States. Unfortunately, there are few interventions aimed at reducing tobacco use among this vulnerable population. The current study addresses this need by evaluating the short-term effectiveness of a Brief Tobacco Intervention (BTI), a 40-min group-based intervention designed to reduce contemporary patterns of tobacco use among a sample of US military enlistees during an 11-week period of involuntary tobacco abstinence. Aims and Methods Participants were 2999 US Air Force Technical Trainees at Joint Base San Antonio-Lackland Air Force Base in San Antonio, Texas from April 2017 through January 2018. Participants were cluster randomized to three conditions: (1) BTI + Airman’s Guide to Remaining Tobacco Free (AG), (2) AG intervention, or (3) standard smoking cessation intervention. The primary analysis was a comparison of the interventions’ efficacies in preventing tobacco use during Technical Training, conducted using a generalized estimating equations logistic regression model controlling for covariates. Multiple imputation was used to account for loss to follow-up. Results There was not a significant difference by condition in the use of tobacco products at follow-up (p = .454). The BTI + AG condition did produce short-term changes in perceived harm, intentions to use tobacco, knowledge about tobacco products, and normative beliefs. Conclusions These findings suggest that while the intervention was effective in the short term, it was not potent enough over a 12-week period to prevent Airmen from initiating tobacco use. Future studies should examine whether adding a booster session or media campaign enhances the effectiveness of the intervention. Implications Despite the fact that most Airmen believe they will remain tobacco free following the ban in Technical Training, a large percentage of these Airmen resume and initiate tobacco use during this high-risk period. As a result, there is a need for interventions targeting the range of tobacco available to military trainees during a teachable moment when they report intentions to remain tobacco free. The current study shows that a BTI has promise in reducing long-term tobacco use, when coupled with additional interventions, such as a booster session or a media campaign. |
| Databáze: | OpenAIRE |
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