Workplace interventions for smoking cessation

Moher, M; Hey, K; Lancaster, Tim

doi:10.1002/14651858.cd003440

Cited by 39 publications

(32 citation statements)

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“…Bans or restrictions were associated with reduced cigarette consumption at work or school [24-26,28,29], but evidence of a reduction in overall consumption was less clear. Two primary studies indicated more comprehensive policies were associated with lower consumption by students both in and outside school and college [28].…”

Section: Resultsmentioning

confidence: 99%

“…Two primary studies indicated more comprehensive policies were associated with lower consumption by students both in and outside school and college [28]. Four reviews examined the effects of bans or restrictions on exposure to environmental tobacco smoke [24,26,33,34] and found significant improvements in nicotine vapour levels, smoke exposure and air quality in both workplaces and public places [24,26,34]. Two reviews aimed to produce stratified estimates of effects [29,33].…”

Section: Resultsmentioning

confidence: 99%

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Population tobacco control interventions and their effects on social inequalities in smoking: placing an equity lens on existing systematic reviews

et al. 2008

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Background: With smoking increasingly confined to lower socio-economic groups, the tobacco control community has been urged to identify which population-level tobacco control interventions work in order to help tackle smoking-related health inequalities. Systematic reviews have a crucial role to play in this task. This overview was therefore carried out in order to (i) summarise the evidence from existing systematic reviews of population-level tobacco control interventions, and (ii) assess the need for a new systematic review of primary studies, with the aim of assessing the differential effects of such interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Population tobacco control interventions and their effects on social inequalities in smoking: placing an equity lens on existing systematic reviews

et al. 2008

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“…Finally, the convenience of cessation opportunities and programmes onsite is a decided advantage to the employee. 1 Reviews and evaluations of worksite health promotion and smoking control interventions in the 1990s abound, 1-9 but more than a decade has passed since the most recent meta-analytic review of worksite smoking cessation was published. 10 In that study, a weighted mean effect size of 0.21 from 34 comparisons (from 20 controlled studies) was found, which translated to an average quit rate (QR) in the intervention groups of 13% for long term (average of 12 months) cessation.…”

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confidence: 99%

The effectiveness of workplace smoking cessation programmes: a meta-analysis of recent studies

Smedslund

2004

Tob Control

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Objective: Using meta-analytic procedures, we compare the effectiveness of recent controlled trials of worksite smoking cessation during the 1990s with a previous meta-analysis of programmes conducted in the 1980s. Data sources: ABI/Inform, BRS, CHID, Dissertation Abstracts International, ERIC, Medline, Occupational Health and Safety Database, PsycInfo, Smoking and Health Database, SSCI, and Sociological Abstracts. Study selection: Controlled smoking cessation interventions at the workplace with at least six months follow up published from 1989 to 2001 and reporting quit rates (QRs). Data extraction: Two reviewers independently scanned titles/abstracts of relevant reports, and we reached consensus regarding inclusion/exclusion of the full text reports by negotiation. A third reviewer resolved disagreements. Two reviewers extracted data according to a coding manual. Consensus was again reached through negotiation and the use of a third reviewer. Data synthesis: 19 journal articles were found reporting studies conforming to the study's inclusion criteria. Interventions included self help manuals, physician advice, health education, cessation groups, incentives, and competitions. A total of 4960 control subjects were compared with 4618 intervention subjects. The adjusted random effects odds ratio was 2.03 (95% confidence interval 1.42 to 2.90) at six months follow up, 1.56 (95% CI 1.17 to 2.07) at 12 months, and 1.33 (95% CI 0.95 to 1.87) at more than 12 months follow up. Funnel plots were consistent with strong publication bias at the first two follow ups but not the third. In Fisher et al's 1990 study, the corresponding ORs were 1.18, 1.66, and 1.18. Conclusions: Smoking cessation interventions at the worksite showed initial effectiveness, but the effect seemed to decrease over time and was not present beyond 12 months. Compared to the Fisher (1990) analysis, the effectiveness was higher for the six month follow up. Disappointingly, we found methodological inadequacies and insufficient reporting of key variables that were similar to those found in the earlier meta-analysis. This prevented us from determining much about the most effective components of interventions. It is advisable for researchers conducting studies in the future to report data on attrition and retention rates of participants who quit, because these variables can affect QRs.

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“…Prospective studies have documented higher mortality risk with 1–4 cigarettes a day (7–28 per week) in men and women,40 as well as a dose-response risk for smoking-related, all-cause mortality 41. Successful workplace interventions on smoking cessation have included specific tobacco control components, for example, nicotine replacement options, group therapy or individual counselling,42 or have been making comprehensive efforts to reduce adverse occupational exposures that interact with smoking 43. Without specific tobacco control targets, organisational interventions might not produce changes on smoking cessation in the near term.…”

Section: Discussionmentioning

confidence: 99%

Effects on cigarette consumption of a work–family supportive organisational intervention: 6-month results from the work, family and health network study

Hurtado

Okechukwu

Buxton

et al. 2016

J Epidemiol Community Health

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Workplace interventions for smoking cessation

Cited by 39 publications

References 0 publications

Population tobacco control interventions and their effects on social inequalities in smoking: placing an equity lens on existing systematic reviews

Population tobacco control interventions and their effects on social inequalities in smoking: placing an equity lens on existing systematic reviews

The effectiveness of workplace smoking cessation programmes: a meta-analysis of recent studies

Effects on cigarette consumption of a work–family supportive organisational intervention: 6-month results from the work, family and health network study

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