Preventing smoking initiation or relapse following 8.5weeks of involuntary smoking abstinence in basic military training: Trial design, interventions, and baseline data

Thomas H. Brandon, Robert C. Klesges, Jon O. Ebbert, Gerald W. Talcott, Fridtjof Thomas, Karen Leroy, Phyllis A. Richey, Lauren Colvin

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Smoking cessation is a primary method of reducing excess mortality and morbidity. Unfortunately, the vast majority of cessation attempts end in eventual relapse. Relapse-prevention interventions have shown some success at improving the long-term maintenance of tobacco abstinence among individuals motivated to abstain. However, involuntary tobacco abstinence (e.g., military training, hospitalization, incarceration) presents another opportunity for intervention to prevent relapse. During basic military training (BMT), tobacco use is strictly forbidden in all service branches, but tobacco relapse (and initiation) following BMT is extremely high. This paper reports on the design, intervention development, and baseline characteristics of a randomized controlled trial testing minimal interventions designed to prevent tobacco relapse among United States Air Force (USAF) personnel following BMT. Participants are randomized by squadron to receive either a standard smoking-cessation booklet, a new motivation-based booklet designed specifically for USAF personal, or the latter booklet combined with a brief, face-to-face motivational session. Primary outcomes will be self-reported tobacco use at 12 and 24. month follow-up. Given that the Department of Defense is the world's largest employer, the potential of leveraging involuntary tobacco abstinence during BMT into extended abstinence has substantial public health significance.

Original languageEnglish (US)
Pages (from-to)28-36
Number of pages9
JournalContemporary Clinical Trials
Volume38
Issue number1
DOIs
StatePublished - May 2014

Keywords

  • Military
  • Randomized controlled trial
  • Relapse-prevention
  • Smoking
  • Smoking cessation intervention
  • Tobacco

ASJC Scopus subject areas

  • Pharmacology (medical)

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