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Related Experiment Videos

Efficacy of an incentive-based community smoking cessation program.

R C Lefebvre1, G D Cobb, A J Goreczny

  • 1Division of Health Education, Memorial Hospital, Pawtucket, RI 02860.

Addictive Behaviors
|January 1, 1990
PubMed
Summary

This study evaluated a community smoking cessation program, finding success rates of up to 30.1% at one month and 24.5% at one year. Successful quitters were more likely to engage with workplace promotion and self-help materials.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Epidemiology

Background:

  • Declining smoking rates but persistent resistance to traditional cessation methods necessitate innovative approaches.
  • Community-wide interventions offer a scalable strategy for smoking cessation.
  • Previous minimal-contact interventions show variable success.

Purpose of the Study:

  • To assess the application and effectiveness of a community-wide smoking cessation program over three years.
  • To identify characteristics of successful quitters and long-term cessation maintainers.
  • To compare the program's outcomes with other intervention strategies.

Main Methods:

  • A three-year community-wide smoking cessation program was implemented.
  • Smoking cessation was verified via carbon monoxide (CO) measurements and self-report at 1 month and 1 year.

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  • Participant data were analyzed to identify predictors of successful quitting and long-term maintenance, categorizing individuals into maintainers, new quitters, relapsers, and nonquitters.

    • Main Results:

    • One-month cessation rates were 10.6% (CO verified) to 30.1% (self-report); 1-year rates were 17.3% to 24.5%.
    • Successful quitters were more likely to learn about the program at work, use self-help kits, be married, and have higher incomes.
    • Maintainers were more likely to hear about the program at work and less likely to participate in specific community events.

    Conclusions:

    • Community-wide smoking cessation programs can reach diverse populations effectively.
    • The program demonstrated favorable results compared to minimal contact and physician-mediated interventions.
    • Workplace promotion and accessible self-help materials appear crucial for program success and long-term cessation.