The comparative effectiveness of two brief tobacco interventions in the U.S. Air Force: Perceived harm and intentions-to-use of tobacco products
Introduction Brief health prevention programs have been shown efficacious in prevention of tobacco use initiation and re-initiation in the US Air Force. In this manuscript we apply a comparative effectiveness assessment of two published studies, based on testing the equality of effect sizes for perc...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2018-06-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/The-comparative-effectiveness-of-two-brief-tobacco-interventions-in-the-U-S-Air-Force,87142,0,2.html |
| _version_ | 1818354566568083456 |
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| author | Zoran Bursac Robert C. Klesges Melissa A. Little Brittany D. Linde Lucy Popova Cameron M. Kaplan Gerald W. Talcott |
| author_facet | Zoran Bursac Robert C. Klesges Melissa A. Little Brittany D. Linde Lucy Popova Cameron M. Kaplan Gerald W. Talcott |
| author_sort | Zoran Bursac |
| collection | DOAJ |
| description | Introduction
Brief health prevention programs have been shown efficacious in
prevention of tobacco use initiation and re-initiation in the US Air Force. In this
manuscript we apply a comparative effectiveness assessment of two published
studies, based on testing the equality of effect sizes for perceived harm and
intentions-to-use for five tobacco products.
Methods
We calculate and compare the effect sizes from the brief tobacco
intervention (BTI) study (N=1055) with those of the anti-tobacco media
campaign (MEDIA) study (N=665), for perceived harm and intentions-to-use of
cigarettes, smokeless tobacco, cigarillos, e-cigarettes and hookah, among Airmen
in the US Air Force Technical Training. Univariate and multivariate parametric
and non-parametric methods and models were applied to compare the outcomes
between the interventions. In addition, we calculate and report the cost of each
intervention per Airman.
Results
Effect sizes for perceived harm were 0.24–0.99 for BTI and 0.17–0.33 for
MEDIA, while intentions-to-use effect sizes were 0.14–0.34 for BTI and 0.01–
0.07 for MEDIA, depending on the product. BTI intervention effects sizes were
significantly greater than MEDIA intervention for all products, mainly among
past users, and for both perceived harm (all p<0.0001) and intentions-to-use (all
p<0.01). Cost per Airmen was comparable between the two interventions, $14.90
for BTI and $16.52 for MEDIA.
Conclusions
Direct comparison suggests that BTI produced effect sizes of
significantly higher magnitude in the desired direction for perceived harm and
intentions-to-use, for five tobacco products most commonly used by the Airmen,
and mainly among past users. |
| first_indexed | 2024-12-13T19:27:28Z |
| format | Article |
| id | doaj.art-d5f6d105afd44871890eae789d1254e7 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-13T19:27:28Z |
| publishDate | 2018-06-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-d5f6d105afd44871890eae789d1254e72022-12-21T23:34:00ZengEuropean PublishingTobacco Induced Diseases1617-96252018-06-0116June10.18332/tid/8714287142The comparative effectiveness of two brief tobacco interventions in the U.S. Air Force: Perceived harm and intentions-to-use of tobacco productsZoran Bursac0Robert C. Klesges1Melissa A. Little2Brittany D. Linde3Lucy Popova4Cameron M. Kaplan5Gerald W. Talcott6Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis, United StatesCenter for Addiction and Prevention Research, Department of Public Health Sciences, University of Virginia, Charlottesville, United StatesCenter for Addiction and Prevention Research, Department of Public Health Sciences, University of Virginia, Charlottesville, United StatesOrganizational Wellness and Learning Systems, Fort Worth, United StatesSchool of Public Health, Georgia State University, Atlanta, United StatesDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, United StatesCenter for Addiction and Prevention Research, Department of Public Health Sciences, University of Virginia, Charlottesville, United StatesIntroduction Brief health prevention programs have been shown efficacious in prevention of tobacco use initiation and re-initiation in the US Air Force. In this manuscript we apply a comparative effectiveness assessment of two published studies, based on testing the equality of effect sizes for perceived harm and intentions-to-use for five tobacco products. Methods We calculate and compare the effect sizes from the brief tobacco intervention (BTI) study (N=1055) with those of the anti-tobacco media campaign (MEDIA) study (N=665), for perceived harm and intentions-to-use of cigarettes, smokeless tobacco, cigarillos, e-cigarettes and hookah, among Airmen in the US Air Force Technical Training. Univariate and multivariate parametric and non-parametric methods and models were applied to compare the outcomes between the interventions. In addition, we calculate and report the cost of each intervention per Airman. Results Effect sizes for perceived harm were 0.24–0.99 for BTI and 0.17–0.33 for MEDIA, while intentions-to-use effect sizes were 0.14–0.34 for BTI and 0.01– 0.07 for MEDIA, depending on the product. BTI intervention effects sizes were significantly greater than MEDIA intervention for all products, mainly among past users, and for both perceived harm (all p<0.0001) and intentions-to-use (all p<0.01). Cost per Airmen was comparable between the two interventions, $14.90 for BTI and $16.52 for MEDIA. Conclusions Direct comparison suggests that BTI produced effect sizes of significantly higher magnitude in the desired direction for perceived harm and intentions-to-use, for five tobacco products most commonly used by the Airmen, and mainly among past users.http://www.journalssystem.com/tid/The-comparative-effectiveness-of-two-brief-tobacco-interventions-in-the-U-S-Air-Force,87142,0,2.htmltobaccoperceived harmintentions-to-usecomparative effectivenesseffect size |
| spellingShingle | Zoran Bursac Robert C. Klesges Melissa A. Little Brittany D. Linde Lucy Popova Cameron M. Kaplan Gerald W. Talcott The comparative effectiveness of two brief tobacco interventions in the U.S. Air Force: Perceived harm and intentions-to-use of tobacco products Tobacco Induced Diseases tobacco perceived harm intentions-to-use comparative effectiveness effect size |
| title | The comparative effectiveness of two brief tobacco
interventions in the U.S. Air Force: Perceived harm and
intentions-to-use of tobacco products |
| title_full | The comparative effectiveness of two brief tobacco
interventions in the U.S. Air Force: Perceived harm and
intentions-to-use of tobacco products |
| title_fullStr | The comparative effectiveness of two brief tobacco
interventions in the U.S. Air Force: Perceived harm and
intentions-to-use of tobacco products |
| title_full_unstemmed | The comparative effectiveness of two brief tobacco
interventions in the U.S. Air Force: Perceived harm and
intentions-to-use of tobacco products |
| title_short | The comparative effectiveness of two brief tobacco
interventions in the U.S. Air Force: Perceived harm and
intentions-to-use of tobacco products |
| title_sort | comparative effectiveness of two brief tobacco interventions in the u s air force perceived harm and intentions to use of tobacco products |
| topic | tobacco perceived harm intentions-to-use comparative effectiveness effect size |
| url | http://www.journalssystem.com/tid/The-comparative-effectiveness-of-two-brief-tobacco-interventions-in-the-U-S-Air-Force,87142,0,2.html |
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