Smokeless tobacco cessation in military personnel

A randomized controlled trial

Herbert H. Severson, Alan L. Peterson, Judy A. Andrews, Judith S Gordon, Jeffrey A. Cigrang, Brian G. Danaher, Christine M. Hunter, Maureen Barckley

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Introduction: Military personnel are twice as likely as civilians to use smokeless tobacco (ST). This study evaluated the efficacy of a minimal-contact ST cessation program in military personnel. Methods: Participants were recruited from 24 military dental clinics across the United States during annual dental examinations. Participants were 785 active-duty military personnel who were randomly assigned to receive a minimal-contact behavioral treatment (n = 392) or usual care (n = 393). The behavioral treatment included an ST cessation manual, a videotape cessation guide tailored for military personnel, and three 15-min telephone counseling sessions using motivational interviewing methods. Usual care consisted of standard procedures that are part of the annual dental examination, including recommendations to quit using ST and referral to extant local tobacco cessation programs. Participants were assessed at 3 and 6 months after enrollment. Results: Participants in the ST cessation program were significantly more likely to be abstinent from all tobacco, as assessed by repeated point prevalence at both 3 and 6 months (25.0%), and were significantly more likely to be abstinent from ST use for 6 months, as assessed by prolonged abstinence (16.8%), compared with participants in usual care (7.6% and 6.4%, respectively). Discussion: These results indicate that a minimal-contact behavioral treatment can significantly reduce ST use in military personnel and has the potential for widespread dissemination. If ST users were identified in dental visits and routinely referred to telephone counseling, this could have a substantial benefit for the health and well-being of military personnel.

Original languageEnglish (US)
Pages (from-to)730-738
Number of pages9
JournalNicotine and Tobacco Research
Volume11
Issue number6
DOIs
StatePublished - 2009
Externally publishedYes

Fingerprint

Tobacco Use Cessation
Military Personnel
Smokeless Tobacco
Randomized Controlled Trials
Tooth
Tobacco Use
Telephone
Counseling
Motivational Interviewing
Dental Clinics
Videotape Recording
Insurance Benefits
Standard of Care
Tobacco
Therapeutics
Referral and Consultation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Severson, H. H., Peterson, A. L., Andrews, J. A., Gordon, J. S., Cigrang, J. A., Danaher, B. G., ... Barckley, M. (2009). Smokeless tobacco cessation in military personnel: A randomized controlled trial. Nicotine and Tobacco Research, 11(6), 730-738. https://doi.org/10.1093/ntr/ntp057

Smokeless tobacco cessation in military personnel : A randomized controlled trial. / Severson, Herbert H.; Peterson, Alan L.; Andrews, Judy A.; Gordon, Judith S; Cigrang, Jeffrey A.; Danaher, Brian G.; Hunter, Christine M.; Barckley, Maureen.

In: Nicotine and Tobacco Research, Vol. 11, No. 6, 2009, p. 730-738.

Research output: Contribution to journalArticle

Severson, HH, Peterson, AL, Andrews, JA, Gordon, JS, Cigrang, JA, Danaher, BG, Hunter, CM & Barckley, M 2009, 'Smokeless tobacco cessation in military personnel: A randomized controlled trial', Nicotine and Tobacco Research, vol. 11, no. 6, pp. 730-738. https://doi.org/10.1093/ntr/ntp057
Severson, Herbert H. ; Peterson, Alan L. ; Andrews, Judy A. ; Gordon, Judith S ; Cigrang, Jeffrey A. ; Danaher, Brian G. ; Hunter, Christine M. ; Barckley, Maureen. / Smokeless tobacco cessation in military personnel : A randomized controlled trial. In: Nicotine and Tobacco Research. 2009 ; Vol. 11, No. 6. pp. 730-738.
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