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SHP 08-197
 
 
Tobacco Tactics Website for Veteran Smokers
Sonia A. Duffy PhD MS RN
VA Ann Arbor Healthcare System
Ann Arbor, MI
Funding Period: April 2008 - September 2008

BACKGROUND/RATIONALE:
Despite the detrimental effects of smoking, approximately 33% of veterans continue to smoke compared to approximately 21% of the general population. While efficacious cessation interventions are available, implementation of cessation interventions remains a challenge and new intervention strategies are needed to reach veterans. VA cessation providers recently met in Atlanta and one recommendation was to develop a cessation website for veterans.

OBJECTIVE(S):
The objective of this proposal is to develop an evidence-based Tobacco Tactics website tailored to veterans based on an intervention tested in the VA. Once developed, the website will be pilot tested with 9 veteran smokers.

METHODS:
This is a Phase 1 behavioral clinical trial designed to develop and pilot test a web-based Tobacco Tactics intervention tailored to veteran smokers. First, we will outline the specific content areas to be addressed. Second, we will develop the Tobacco Tactics intervention with our web designer in accordance with VA Web Operations. Third, a member of the research team will go through the website with the 5 veteran smokers obtaining feedback and noting any problems that occur. Fourth, with human studies approval, we will pilot test the impact of the intervention with 9 veteran smokers recruited to quit smoking using the Tobacco Tactics website. A research nurse will: 1) be available by phone to answer any questions; 2) collect qualitative data on veterans use of the Tobacco Tactics website; and 3) note the 30 day quit rate.

Formative evaluation during pre-testing will include qualitative feedback on the: 1) ability to accomplish tasks; 2) ability to accomplish goals with skill and speed; 3) ability to operate the system; and 4) satisfaction. For the 9 veteran smokers that actually try to use the Tobacco Tactics website to quit smoking, we will be able to determine: 1) the number of times they signed onto the website; 2) the time spent on the website; and 3) the number of times each module was accessed. Impact evaluation will be the 30 day quit rates of the 9 veteran smokers that agree to use the website.

FINDINGS/RESULTS:
The website is almost complete except for the tailoring algorithms. Veterans gave feedback on the artwork and illustrations on the website. On the homepage, General McCaffrey has given a podcast encouraging veterans to quit smoking.

IMPACT:
An evidence-based Tobacco Tactics website has the potential to reach a large number of veterans especially returning OIF/OEF veterans who are younger and potentially more internet savvy. The website has potential for use on My HealtheVet.

PUBLICATIONS:
None at this time.


DRA: Chronic Diseases, Substance Abuse, Addictive Disorders
DRE: Prevention, Technology Development and Assessment, Treatment
Keywords: Patient preferences, Smoking, Informatics
MeSH Terms: none