255910 Systematic analysis of smoking cessation interventions implemented in worksite settings

Monday, October 29, 2012

Adam Knowlden, CHES, MBA, MS , Health Promotion & Education Program, University of Cincinnati, Cincinnati, OH
Melinda Ickes, PhD , Department of Kinesiology and Health Promotion, University of Kentucky, Lexington, KY
Manoj Sharma, MBBS, MCHES, PhD , Health Promotion & Education, University of Cincinnati, Cincinnati, OH
Issues: Smoking remains the leading cause of preventable death in the United States. Worksites provide the greatest access to the smoking population. The purpose of this investigation was to systematically analyze smoking cessation interventions conducted in worksite settings. Description: A search of CINAHL, MEDLINE, ERIC, and CENTRAL databases was conducted independently by three researchers. Eligibility of articles was evaluated by the following criteria: (1) studies in US and abroad, (2) primary research articles, (3) evaluating smoking cessation interventions, (4) conducted in worksite settings, (5) between 2009 and January 2012, (6) employing quantitative design. Time frame for inclusion was based on articles published after a similar review. Lessons Learned: Total of 13 articles satisfied the inclusion criteria. The majority of the interventions applied randomized control trial (n=6) and pretest-posttest (n=5) designs. Of the interventions employing smoking cessation as the primary outcome variable (n=11), eight demonstrated significant changes. Seven of the interventions were theory-based with five of these applying the Transtheoretical Model. Five of the programs included pharmacotherapy and five incorporated incentives. Biochemical verification of smoking cessation was applied in four programs. Recommendations: Most of the successful interventions focused on smoking behaviors alone as opposed to including it as a component of a wellness program. The most effective interventions combined pharmacotherapy with behavior modification. The efficacy of financial incentives to motivate behavior change is still unconfirmed; however, programs that measured long-term outcomes demonstrated cost savings for worksites. Targeting of specific occupations and worksite environments has confounded the generalizability of this intervention type.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Social and behavioral sciences

Learning Objectives:
Upon completion of this presentation the participants will be able to: 1.Discuss the importance of smoking cessation interventions implemented in worksite settings. 2.Describe the process of developing an intervention that focuses solely on smoking cessation, includes pharmacotherapy, and behavior modification. 3.Design a measurable, theory-based intervention based on Transtheoretical Model for addressing smoking cessation in the workplace.

Keywords: Smoking, Smoking Cessation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conceptualized the study, developed the inclusion criteria, collected the data, and analyzed the data along with my coauthors.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.