University of Tennessee Health Science Center, USA.
Contemp Clin Trials. 2012 Sep;33(5):959-68. doi: 10.1016/j.cct.2012.04.009. Epub 2012 Apr 25.
Thirty percent of all military personnel smoke cigarettes. Because of the negative health consequences and their impact on physical fitness, overall health, and military readiness, the Department of Defense has identified the reduction of tobacco use as a priority of US military forces. This study aims to evaluate the one-year efficacy of a proactive versus reactive smoking quit line in the US military with adjunctive nicotine replacement therapy (NRT) in both groups. This paper reports on the baseline variables of the first 1000 participants randomized, the design, and proposed analysis of the randomized two-arm clinical trial "Efficacy of a Tobacco Quit Line in the Military". Participants are adult smokers who are Armed Forces Active Duty personnel, retirees, Reservist, National Guard and family member healthcare beneficiaries. All participants are randomized to either the Counselor Initiated (proactive) group, receiving 6 counseling sessions in addition to an 8-week supply of NRT, or the Self-Paced (reactive) group, in which they may call the quit line themselves to receive the same counseling sessions, in addition to a 2-week supply of NRT. The primary outcome measure of the study is self-reported smoking abstinence at 1-year follow-up. Results from this study will be the first to provide evidence for the efficacy of an intensive Counselor Initiated quit line with provided NRT in military personnel and could lead to dissemination throughout the US Air Force, the armed forces population as a whole and ultimately to civilian personnel that do not have ready access to preventive health services.
30%的军人吸烟。由于吸烟对健康的负面影响及其对身体素质、整体健康和军事准备的影响，国防部已将减少烟草使用确定为美军的优先事项。本研究旨在评估在美军中使用尼古丁替代疗法（NRT）的主动与被动戒烟热线在一年时间内的效果。本研究报告了随机分配的前 1000 名参与者的基线变量、设计和拟议分析，该研究为名为“军队中戒烟热线的效果”的随机双臂临床试验。参与者为现役军人、退役军人、预备役人员、国民警卫队成员和家属医疗保健受益人中的成年吸烟者。所有参与者随机分为咨询师主动干预（主动）组或自我指导（被动）组。前者在接受 8 周 NRT 的同时还接受 6 次咨询，后者可自行拨打戒烟热线，获得相同的咨询次数和 2 周 NRT。该研究的主要结局指标是 1 年后自我报告的戒烟情况。本研究的结果将首次为军事人员提供密集型咨询师主动干预戒烟热线与提供 NRT 的有效性证据，并可能导致该方法在美国空军、整个武装部队以及最终无法获得预防性医疗服务的平民人员中得到推广。
