Bushnell F K, Forbes B, Goffaux J, Dietrich M, Wells N
Vanderbilt University School of Nursing, Nashville, TN 37240-1104, USA.
Mil Med. 1997 Nov;162(11):715-9.
Tobacco use is the single most important preventable cause of death in military personnel. The purpose of this randomized clinical trial was to evaluate the effectiveness of two behavioral interventions when added to nicotine-replacement therapy on smoking cessation. The sample of 512 included 52% active duty military, 29% family, 11% retirees, and 8% Department of Defense civilians. There was a main effect of compliance at the end of the program (EOP); 69% of those who attended 75% of the classes were abstinent from tobacco; regression analysis found the more intensive program to be twice as effective at EOP and at 3 months, an outcome not continued at 6 months. The longer, more intensive Vanderbilt University Medical Center program was significantly more effective at helping the civilian portion of the population (85% versus 60% in the American Cancer Society program) but not the active duty participants.
吸烟是军事人员可预防的单一最重要死因。这项随机临床试验的目的是评估两种行为干预措施在添加到尼古丁替代疗法中用于戒烟时的有效性。512名参与者中，52%为现役军人，29%为军人家属，11%为退休人员，8%为国防部文职人员。在项目结束时（EOP）存在依从性的主要影响；参加75%课程的人中有69%戒烟；回归分析发现，更密集的项目在EOP和3个月时的效果是另一项目的两倍，但在6个月时这一结果未持续。更长、更密集的范德比尔特大学医学中心项目在帮助平民人群方面显著更有效（85%对美国癌症协会项目中的60%），但对现役参与者无效。
