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Workplace interventions for smoking cessation.

M Moher1, K Hey, T Lancaster

  • 1Depts of Primary Health Care and Public Health, University of Oxford, Institute of Health Sciences, Old Road, Headington, OXFORD, UK, OX3 7LF. michael.moher@dphpc.ox.ac.uk

The Cochrane Database of Systematic Reviews
|June 14, 2003
PubMed
Summary
This summary is machine-generated.

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Workplace smoking cessation programs show strong evidence for individual interventions like counseling and nicotine replacement therapy. Workplace policies and bans reduce smoking during work hours, but evidence on overall consumption and prevalence reduction is mixed.

Area of Science:

  • Public Health
  • Occupational Health
  • Behavioral Science

Background:

  • Workplaces offer a unique setting to reach large populations for smoking cessation initiatives.
  • Identifying effective workplace smoking cessation strategies is crucial for public health.

Purpose of the Study:

  • To categorize workplace smoking cessation interventions tested in controlled studies.
  • To assess the effectiveness of these interventions in helping workers quit smoking or reduce tobacco consumption.

Main Methods:

  • Systematic review of controlled studies including randomized controlled trials, controlled trials with baseline/post-intervention outcomes, and interrupted time series studies.
  • Interventions were categorized into those targeting individuals and those targeting the workplace as a whole.

Related Experiment Videos

  • Qualitative narrative synthesis was used due to heterogeneity in study designs.

    • Main Results:

    • Individual-focused interventions (group therapy, counseling, nicotine replacement therapy) effectively increased smoking cessation rates.
    • Workplace-wide tobacco bans reduced smoking during work hours, but impact on total consumption was uncertain.
    • Incentives and competitions increased attempts to quit, but evidence for actual quitting was less clear. Comprehensive programs showed a lack of evidence for reducing smoking prevalence.

    Conclusions:

    • Individual interventions, including counseling and pharmacotherapy, are effective for smoking cessation in the workplace.
    • Workplace tobacco policies and bans effectively reduce smoking during work hours and secondhand smoke exposure.
    • Further research is needed on the cost-effectiveness and long-term impact of comprehensive workplace smoking cessation programs.