Effectiveness of the Tobacco Tactics Program in the Department of Veterans Affairs

Duffy, Sonia A.; Ronis, David L.; Karvonen‐Gutierrez, Carrie; Ewing, Lee A; Dalack, Gregory W.; Smith, Patricia M.; Carmody, Timothy P.; Hicks, Thomas; Hermann, Christopher; Reeves, Pamela; Flanagan, Petra

doi:10.1007/s12160-014-9605-z

Cited by 17 publications

(21 citation statements)

References 38 publications

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“…Similar to the larger study which included all inpatients (Duffy et al, 2014), after implementation of the intervention protocol into standard practice among patients admitted for psychiatric conditions, there was significant improvement in selfreported 6-month quit rates for the pre-versus post-intervention time periods compared to the control group. The results of this study support the idea that patients with mental illness respond to the same evidencebased approaches as the general population and that cessation services should be implemented into usual care for this population (Schroeder & Morris, 2010).…”

Section: Quit Ratesmentioning

confidence: 61%

“…Furthermore, the sample size was small resulting in limited analytic ability of cotinine-verified quit rates at the 6-month outcome point. It is unclear as to why smoking cessation rates decreased over time in the control site in both the larger Tobacco Tactics study (Duffy et al, 2014) and in this sub-study of psychiatric patients.…”

Section: Limitations Of the Studymentioning

confidence: 79%

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Effectiveness of the Tobacco Tactics Program for Psychiatric Inpatient Veterans: An Implementation Study

Duffy

Noonan

Karvonen‐Gutierrez

et al. 2015

Archives of Psychiatric Nursing

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Section: Quit Ratesmentioning

confidence: 61%

Section: Limitations Of the Studymentioning

confidence: 79%

Effectiveness of the Tobacco Tactics Program for Psychiatric Inpatient Veterans: An Implementation Study

Duffy

Noonan

Karvonen‐Gutierrez

et al. 2015

Archives of Psychiatric Nursing

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“…Trained volunteers at each hospital provided telephone cessation counseling to patients at 2, 7, 14, 21, and 30 days after discharge [20]. Volunteers did not collect research data but did provide documentation that was entered into the EMR.…”

Section: Methodsmentioning

confidence: 99%

“…Implementation : Nurses’ self-reported administration of cessation services increased from 57 % pre- to 86 % post-training ( p = 0.0002). The intervention was incorporated into new nurse training, and maintenance was high as the programs remain in place in Ann Arbor and Detroit 3 years after the study ended [20]. The intervention was exported to another VA via satellite broadcast where it has continued to be implemented 2 years after the study ended [21].…”

Section: Introductionmentioning

confidence: 99%

Implementation of the Tobacco Tactics intervention versus usual care in Trinity Health community hospitals

et al. 2016

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BackgroundGuided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) implementation framework, a National Institutes of Health-sponsored study compared the nurse-administered Tobacco Tactics intervention to usual care. A prior paper describes the effectiveness of the Tobacco Tactics intervention. This subsequent paper provides data describing the remaining constructs of the RE-AIM framework.MethodsThis pragmatic study used a mixed methods, quasi-experimental design in five Michigan community hospitals of which three received the nurse-administered Tobacco Tactics intervention and two received usual care. Nurses and patients were surveyed pre- and post-intervention.Measures included reach (patient participation rates, characteristics, and receipt of services), adoption (nurse participation rates and characteristics), implementation (pre-to post-training changes in nurses' attitudes, delivery of services, barriers to implementation, opinions about training, documentation of services, and numbers of volunteer follow-up phone calls), and maintenance (continuation of the intervention once the study ended).Results Reach: Patient participation rates were 71.5 %. Compared to no change in the control sites, there were significant pre- to post-intervention increases in self-reported receipt of print materials in the intervention hospitals (n = 1370, p < 0.001). Adoption: In the intervention hospitals, all targeted units and several non-targeted units participated; 76.0 % (n = 1028) of targeted nurses and 317 additional staff participated in the training, and 92.4 % were extremely or somewhat satisfied with the training. Implementation: Nurses in the intervention hospitals reported increases in providing advice to quit, counseling, medications, handouts, and DVD (all p < 0.05) and reported decreased barriers to implementing smoking cessation services (p < 0.001). Qualitative comments were very positive (“user friendly,” “streamlined,” or “saves time”), although problems with showing patients the DVD and charting in the electronic medical record were noted. Maintenance: Nurses continued to provide the intervention after the study ended.ConclusionsGiven that nurses represent the largest group of front-line providers, this intervention, which meets Joint Commission guidelines for treating inpatient smokers, has the potential to have a wide reach and to decrease smoking, morbidity, and mortality among inpatient smokers. As we move toward more population-based interventions, the RE-AIM framework is a valuable guide for implementation.Trial registrationClinicalTrials.gov, NCT01309217 Electronic supplementary materialThe online version of this article (doi:10.1186/s13012-016-0511-6) contains supplementary material, which is available to authorized users.

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“…Nurse introduction of technology during inpatient stays will allow for in-person assistance and education to patients who may be eligible but hesitant to sign up for the program. Interventions involving nurses for patient tobacco cessation in the inpatient setting have been shown to be effective [21][22], yet are not easily integrated into usual care. As insufficient time and a lack of administrative resources are known to be the largest barriers to nurse practice change in the clinical setting, and specifically to tobacco cessation counseling by nurses [23][24], ease of introduction and patient sign-up was valued in the creation of TIPS.…”

mentioning

confidence: 99%

Formative Evaluation to Determine Facilitators and Barriers to Nurse-driven Implementation: Designing an Inpatient mHealth Intervention to Support Smoking Cessation

Win

Oinas-Kukkonen

Iyengar

2017

Proceedings of the 50th Hawaii International Conference on System Sciences (2017)

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Effectiveness of the Tobacco Tactics Program in the Department of Veterans Affairs

Cited by 17 publications

References 38 publications

Effectiveness of the Tobacco Tactics Program for Psychiatric Inpatient Veterans: An Implementation Study

Effectiveness of the Tobacco Tactics Program for Psychiatric Inpatient Veterans: An Implementation Study

Implementation of the Tobacco Tactics intervention versus usual care in Trinity Health community hospitals

Formative Evaluation to Determine Facilitators and Barriers to Nurse-driven Implementation: Designing an Inpatient mHealth Intervention to Support Smoking Cessation

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