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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
4001.0: Tuesday, December 13, 2005 - 9:24 AM

Abstract #103759

Evidence-based design: A more effective smoking cessation model for women veterans

Judith Katzburg, PhD, MPH, RN1, Melissa M. Farmer, PhD1, Scott Sherman, MD, MPH2, and Ines Poza, PhD3. (1) Center for the Study of Healthcare Provider Behavior, VA Sepulveda, 16111 Plummer St., Building 25, room 144, Sepulveda, CA 91343-2036, 818-891-7711 ext. 5443, judith.katzburg@med.va.gov, (2) Associate Professor 0f Medicine, UCLA School of Medicine/VA Greater Los Angeles Health System, 16111 Plummer Street, North Hills, CA 91343, (3) Poza Consulting Services, 1739 Berkeley St., Santa Monica, CA 90404

Research Objective: Among women using the Veterans Health Administration (VA), the prevalence of smoking (30%) is higher than in the non-veteran population. VA tobacco control efforts have focused on increasing use of evidence-based treatments, but current programs are less effective for women than for men. We conducted focus groups with female veterans who smoke with the goal of creating a new smoking cessation model for women.

Study Design: Twenty-three female veteran smokers participated in one of four focus groups led by a professional moderator. Domains were created a priori and included: 1) the positive and negative aspects of the VA and other smoking cessation programs and 2) components of an ideal smoking cessation model. Transcripts were evaluated by two researchers.

Principal findings: Deficiencies of the current VA smoking cessation program were identified. Themes regarding an ideal model included the importance of psycho-social support; preferences regarding group composition (gender); qualities/roles of moderator; and relapse prevention. The importance of giving women choices and control in creating an individualized program was an overarching theme.

Conclusions: Ideally, female veteran smokers prefer individualized tools and a choice of programs.

Implications for Policy, Delivery, or Practice: The input of female veterans was integral to the creation of a comprehensive menu-driven model designed by a Smoking Cessation Expert Panel. This model includes individualized tools and a choice of programs and will be implemented and evaluated in 2005; if effective, it will increase the range of evidence-based models available to help women veterans quit smoking.

Learning Objectives:

Keywords: Women's Health, Smoking Cessation

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Military and Tobacco Promotional and Cessation Efforts

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA