Effectiveness of the tobacco tactics program for psychiatric inpatient veterans: an implementation study.

Journal Article (Multicenter Study;Journal Article)


The objective of this study was to evaluate the effectiveness of the inpatient, nurse-administered Tobacco Tactics program for patients admitted for psychiatric conditions in two Veterans Affairs (VA) hospitals compared to a control hospital.


This is a subgroup analysis of data from the inpatient tobacco tactics effectiveness trial, which was a longitudinal, pre- post-nonrandomized comparison design with 6-month follow-up in the three large Veterans Integrated Service Networks (VISN) 11 hospitals.


Six-month self-reported quit rates for patients admitted for psychiatric conditions increased from 3.5% pre-intervention to 10.2% post-intervention compared to a decrease in self-reported quit rates in the control hospital (12% pre-intervention to 1.6% post-intervention). There was significant improvement in self-reported quit rates for the pre- versus post-intervention time periods in the Detroit and Ann Arbor intervention sites compared to the Indianapolis control site (P=0.01) and cotinine results were in the same direction.


The implementation of the Tobacco Tactics intervention has the potential to significantly decrease smoking and smoking-related morbidity and mortality among smokers admitted to VA hospitals for psychiatric disorders.

Full Text

Duke Authors

Cited Authors

  • Duffy, SA; Noonan, D; Karvonen-Gutierrez, CA; Ronis, DL; Ewing, LA; Waltje, AH; Dalack, GW; Smith, PM; Carmody, TP; Hicks, T; Hermann, C

Published Date

  • April 2015

Published In

Volume / Issue

  • 29 / 2

Start / End Page

  • 120 - 126

PubMed ID

  • 25858205

Electronic International Standard Serial Number (EISSN)

  • 1532-8228

International Standard Serial Number (ISSN)

  • 0883-9417

Digital Object Identifier (DOI)

  • 10.1016/j.apnu.2014.12.002


  • eng