Abstract
A 2×2 randomized, factorial pretest/posttest group design was used to evaluate the effectiveness of self-help smoking cessation methods at the worksite. The study investigated the effect of a multicomponent health education and skill intervention versus the effect of a monetary incentive to the employee for quitting. All employees received, in addition, a standardized self-help smoking cessation manual and maintenance manual. Following agreement to participate and a baseline smoking history, all participants were followed for 6 weeks, 6 months, and 12 months. Saliva was obtained for thiocyanate (SCN) analysis of smoking status. Of the estimated 2000 smokers at the site, 387 smokers were recruited. Employees were randomly assigned to one of four groups. Results of this random trial indicate that those employees receiving a multicomponent program were most successful in quitting and remaining abstinent. The monetary incentive appears to have no effect on quit rate.
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References
American Lung Association (1980a).Freedom from Smoking in 20 Days, ALA, New York.
American Lung Association (1980b).A Lifetime of Freedom from Smoking, ALA, New York.
Amit, A.,et al. (1976).Stop Smoking for Good, Walker, New York.
Bartlett, E. E., Windsor, R. W., Lowe, J. B., and Nelson, G. (1986). Guidelines for conducting smoking cessation programs.Health Educ. 17(1): 31–37.
Bernstein, D., and Glasgow, R. (1979). The modification of smoking behavior. In Pomerleau, O., and Brady, J. (eds.),Behavioral Medicine: Theory and Practice, Williams & Wilkins, Baltimore.
Caldwell, E. (1959).How You Can Stop Smoking⋯.Premanently, Wilshire Book, North Hollywood, Calif.
Casewit, C. (1980).The Stop Smoking Book for Teens, Julian Messner, New York.
Coppotelli, C. H., and Orleans, C. T. (1985). Partner support and other determinants of smoking cessation maintenance among women.J. Consult. Clin. Psychol. 53: 455–460.
Davis, A.,et al. (1984). Self-help smoking cessation and maintenance programs: A comparative study with 12-month follow-up by the American Lung Association.Am. J. Public Health 74(11): 1212–1217.
Department of Health, Education and Welfare (1979).Smoking and Health: A Report of the Surgeon General, DHEW Publ. No. (PHS) 79-50066, Washington, D.C.
Glasgow, R., and Berstein, D. (1981). Behavioral treatment of smoking behavior. In Prokop, C., and Bradley, L. (eds.),Medical Psychology: Contributions to Behavioral Medicine, Academic Press, New York.
Kanfer, F. (1975). Self-management methods. In Kanfer, F., and Goldstein, A. (eds.),Helping People Change, Pergamon Press, New York.
Kassaye, W. (1984). Assessment of the impact of monetary incentives upon smoking behavior.J. Drug Educ. 14(2): 109–118.
Lichtenstein, E. (1978). Future needs and directions in smoking cessation. In Schwartz, J. (ed.),Progress in Smoking Cessation, American Cancer Society, New York.
Mahoney, M. (1974).Cognition and Behavior Modification, Ballinger, Cambridge.
Mahoney, M., and Arnkoff (1978). Cognitive and self-control therapies. In Garfield, S., and Bergin, A. (eds.),Handbook of Psychotherapy and Behavior Change: An Empirical Analysis, Wiley, New York.
McAlister, A. (1975). Helping people quit smoking: Current progress. In Enelow, A., and Henderson, J. (eds.),Applying Behavioral Science to Cardiovascular Risk, American Heart Association, Dallas.
National Center for Health Statistics (1979). Use habits among adults of cigarette smoking, coffee, aspirin and sleeping pills, United States, 1976.Vital and Health Statistics, Series 10, No. 131, DHEW Publ. No. (PHS) 80-1559, Oct.
Pechacek, T. (1979). Modification of smoking behavior. InSmoking and Health: A Report of the Surgeon General, DHEW Publ. No. (PHS) 79-50066, Washington, D.C.
Prue, D. M., Davis, C. J., Martin J. E., and Moss, R. A. (1983). An investigation of a minimal contact brand fading program for smoking treatment.Addict. Behav. 8(3): 307–310.
Rosen, G., and Lichtenstein, E. (1977). An employee incentive program to reduce cigarette smoking.J. Consult. Clin. Psychol. 45: 957.
Stitzer, M., and Begelow, G. (1984). Contingent reinforcement for carbon monoxide reduction: Within-subject effects of pay amount.J. Appl. Behav. Anal. 17: 477–483.
Stuart, R. (ed.) (1977).Behavioral Self-Management. Brunner/Mazel, New York.
Windsor, R. A., and Bartlett, E. E. (1984). Employee self-help smoking cessation programs: A review of the literature.Health Educ. Q. 11(4): 349–359.
Windsor, R., and Morris, J. (1982). Survey of Personal Health Practices and Beliefs of Adults: Davis Avenue Community, Mobile, Alabama, 1982. Prepared for the Franklin Memorial Primary Health Center, University of Alabama at Birmingham Printing Office, Birmingham, July.
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This work was funded by National Heart, Lung and Blood Institute, Lung Division, Research Grant 1R18HL30630.
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Windsor, R.A., Lowe, J.B. & Bartlett, E.E. The effectiveness of a worksite self-help smoking cessation program: A randomized trail. J Behav Med 11, 407–421 (1988). https://doi.org/10.1007/BF00844939
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DOI: https://doi.org/10.1007/BF00844939