Presentation on theme: "Yale-Griffin Prevention Research Center"— Presentation transcript:
1 Yale-Griffin Prevention Research Center Tailored Interventions for Smoking Cessation: Experience in the worksiteMeghan O’Connell, MPHYale-Griffin Prevention Research Center
2 Presentation Outline Purpose Background Overview of Methods Results Conclusions
3 Purpose To replicate the promising results of a pilot study using an approach tosmoking cessation termed “impedimentprofiling” in the worksite setting
4 BackgroundCigarette smoking is the leading cause of preventable death in the U.S.1The CDC’s Community Guide to Preventive Services recommends smoking cessation interventions be made available2Worksites as an important venue3Potential benefits to both employees and employers3Novel “Impediment Profiling” methods applied in a community hospital setting
5 MethodsPLANNINGCommunity hospital/PRC partnership for planning and implementation-administration, human resources, outpatient psychiatry, dietary, volunteer services depts.Promotion of program for manager/supervisor buy-inHospital/PRC resource sharing
6 Methods (cont’d) RECRUITMENT All smoking employees were invited to participate via internal , flyers, informational sessions for each department, information provided with employee benefits package, letters sent to all employees
7 Methods (cont’d.) IMPLEMENTATION Use of Impediment Profiling (IP) instrument (previously validated) for barrier identificationAssignment to interventions as indicated by measurement scales:NRT; treatment for anxiety/depression; dietarycounseling and PA for weight gain prevention;stress reduction; family support groups;referral to treatment of chemical co-dependencies
8 Methods (cont’d.) Specific intervention components were… Self-reported quit status was verified with measurement of carbon monoxide (CO) concentration in expired airSmoking cessation was defined as CO reading of < 10ppm.
9 Results55 enrolled4 dropped out prior to study commencement, resulting in sample of 51 employees88% of participants had previously attempted to quitStages of Change survey indicated subjects were in the following stages at baseline: 8% precontemplative69% contemplative23% action
15 ConclusionsThis study achieved a 39% one-year quit rate, replicating pilot findings indicating that IP and tailoring of interventions results in a dramatic improvement over quit rates reported in the literatureSeventy-seven percent of participants were in either the precontemplative or contemplative “stage of change” at enrollment, suggesting that providing individualized assistance may be highly effective at increasing/maintaining motivation to quit
16 Conclusions (cont’d)Independent of quit rate, profiling impediments to smoking cessation served to identify otherwise ignored health problems meriting treatment in their own rightFurther study of impediment profiling as a smoking cessation adjunct in larger, longer, and randomized trials is warranted
17 Conclusions (cont’d)The study demonstrated the feasibility of applying IP methods in a worksite settingHospitals in particular are ideal settings for smoking cessation interventions. By capitalizing on existing resources and involving stakeholders, creative programs can be implemented to benefit the entire workforce
18 Yale-Griffin Prevention Research Center David L. Katz, MD, MPH, FACPM Project PIBeth Comerford, MS Co-investigatorMeghan O’Connell, MPH Research AssociateHilary Alonso Data AnalystMichelle LaRovera Research AssistantFor more information:
19 ReferencesCenters for Disease Control and Prevention. Best Practices for Comprehensive Tobacco Control Programs-August Atlanta GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, August 1999.Wasserman, M.P Guide to Community Preventive Services: State and local opportunities for tobacco use reduction. American Journal of Preventive Medicine: 20 (S2) pp 8-9.3. Centers for Disease Control and Prevention. Making Your workplace Smoke-free: A decision makers guide. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Wellness Councils of America and American Cancer Society.