Tobacco. Make Everyone Proud” program. Such programs may need to be tailored for each of the armed services and specific military users, including retirees, dependents (children or spouses), and members of the reserve and National Guard. A series of demonstration programs may be an effective way to determine the audience for, and content of, such programs.


Recommendation: DoD computer-based interventions should be evaluated for efficacy and effectiveness, as well as content and audience.

Provider Education

All of the armed services call for the education of military health-care providers regarding tobacco-use prevention and cessation. This education component has two aspects: informing health providers themselves about tobacco-prevention and -cessation treatments, and ensuring that health-promotion programs for all military personnel, retirees, and their dependents include information on tobacco-use prevention and cessation.

Educating health-care providers about the health effects of tobacco and the psychologic and pharmacologic treatments for tobacco cessation and giving them access to public-education materials are important for ensuring that the most effective approaches for reaching tobacco users are available. Air Force Instruction 40-101 (1998) requires that health-promotion staff be trained to provide oversight and training on health-promotion topics to other base agencies, and recommends that Air Force tobacco-cessation facilitators have behavior-modification training. The Army MEDCOM Quality Management Office maintains a Web page on the management of tobacco use. The page has links to online resources for provider education, including courses on treating tobacco use and dependence with continuing-medical-education (CME) credits for physicians, and courses on smoking-cessation approaches for primary-care providers. Other links on the site promote resources for hospital and clinic staff to obtain tobacco-cessation information and patient- and provider-education materials (available at https://www.qmo.amedd.army.mil/smoke/smoke.htm). CHPPM offers a Tobacco Cessation Provider Competency Course on its Web site to train providers in prescribing NRTs. The course covers the effects of tobacco, the mechanism of nicotine’s effects, tobacco-cessation assessment tools, discussion of FDA-approved medications for tobacco cessation, alternative tobacco-cessation modalities, patient management, and the



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