Date of Award


Degree Type

Evidence-Based Project Report

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Rebecca L. Peterson


The Centers for Disease Control and Prevention (CDC; 2023a) notes there are 28.3 million smokers in the United States. In Indiana alone, nearly 29% of adults currently use tobacco, with 19% of the total being cigarette smokers (Indiana Department of Health, 2022). The purpose of this evidence-based practice (EBP) project was to implement a multi-modal intervention to aid in smoking cessation in adults aged 18 and older who are cigarette smokers. The intervention included physician/nurse advise using the ask, advise, refer (AAR) model, the SmokefreeTXT program, and FDA approved smoking cessation medications. The project took place at a primary care office in Northwest Indiana where 15 cigarette smokers were recruited who were between the ages of 29-63. Participants were given the Fagerstrom Test for Nicotine Dependence (FTND) questionnaire pre and post intervention. The physician/nurse using the AAR model asked each cigarette smoker about tobacco product use, then advised the patient to quit along with referring patients that were interested in quitting to the SmokefreeTXT program and incorporating smoking cessation medication, if indicated. The primary outcome of this project was measuring overall cessation rates. The secondary outcome was noting any decrease in number of cigarettes smoked. Data was analyzed using the McNemar’s test for overall cessation rates and the Wilcoxon signed-rank test to analyze for the decrease in number of cigarettes smoked. Statistical evidence showed the intervention was effective for overall cessation (c 2 (1) = 4.167; p = 0.041). Also, there was statistical evidence of a decrease in the number of cigarettes smoked per day (V = 0; p = <0.001). Findings from this project support the use of a multi-modal intervention to aid adult cigarette smokers to cease or decrease smoking.

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Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License
This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.