scholarly journals Factors Influencing Implementation of a Workplace Tobacco Cessation Intervention in India: A Qualitative Exploration

2020 ◽  
pp. 216507992095276
Author(s):  
Himanshu A. Gupte ◽  
Marina D’Costa ◽  
Shoba Ramanadhan ◽  
Kasisomayajula Viswanath
Keyword(s):  
Occupational Health ◽  
Tobacco Use ◽  
Tobacco Cessation ◽  
Face To Face ◽  
Program Coordinators ◽  
Cessation Intervention ◽  
High Prevalence ◽  
Core Components ◽  
Workplace Setting ◽  
Qualitative Exploration

Background: Tobacco use is projected to cause more than 8 million deaths annually worldwide by 2030 and is currently linked to 1 million annual deaths in India. Very few workplaces provide tobacco cessation as a part of occupational health in India. In this study, we examined promoters and barriers to implementing an evidence-based tobacco cessation program in a workplace setting in India. Methods: In-depth interviews were conducted with all facilitators (two program coordinators and four counselors) of a workplace tobacco cessation intervention covering implementation efforts in five organizations, including three manufacturing units and two corporate settings. Findings: The identified promoters for implementation of the program were as follows: (a) workplaces that provided access to many individuals, (b) high prevalence of tobacco use that made the intervention relevant, (c) core components (awareness sessions, face-to-face counseling and 6-months follow-up) that were adaptable, (d) engagement of the management in planning and execution of the intervention, (e) employees’ support to each other to quit tobacco, (f) training the medical unit within the workplace to provide limited advice, and (g) efforts to advocate tobacco-free policies within the setting. Barriers centered around (a) lack of ownership from the workplace management, (b) schedules of counselors not matching with employees, (c) nonavailability of employees because of workload, and (d) lack of privacy for counseling. Conclusion/Implications for Practice: This study provided practical insights into the aspects of planning, engaging, executing and the process of implementation of a tobacco cessation intervention in a workplace setting. It provided guidance for an intervention within occupational health units in similar settings.

Affective Determinants of Smoking

2018 ◽  
Author(s):  
Danielle E. McCarthy ◽  
Jessica W. Cook ◽  
Teresa M. Leyro ◽  
Haruka Minami ◽  
Krysten W. Bold
Keyword(s):  
Individual Differences ◽  
Cigarette Smoking ◽  
Tobacco Use ◽  
Emotion Dysregulation ◽  
Tobacco Cessation ◽  
Theoretical Models ◽  
Affective Processing ◽  
Distress Intolerance ◽  
Affective Processes ◽  
Core Components

Cigarette smoking remains a leading preventable cause of death and disease. Prominent drug motivation models posit that affective processes are important drivers of continued and renewed tobacco use. Negative affect and anhedonia are core components of nicotine withdrawal that are thought to motivate smoking and prompt smoking relapse. Individual differences in affective processing, such as anhedonia, anxiety sensitivity, distress intolerance, and emotion dysregulation enhance risk for tobacco use and moderate affect–smoking relations. The strength of affect–smoking relations seems to depend on methodological and contextual factors in important ways. Extant and developing treatments targeting affective processes show promise as tobacco cessation interventions. Theoretical models and empirical evidence support the importance of affective processes in smoking and suggest potential affect-focused interventions.

scholarly journals What are psychosocial risk factors for entrepreneurs to become unfit for work? A qualitative exploration

Work ◽  
2020 ◽  
Vol 67 (2) ◽  
pp. 499-506
Author(s):  
J. Lek ◽  
A.A. Vendrig ◽  
F.G. Schaafsma
Keyword(s):  
Risk Factors ◽  
Occupational Health ◽  
Personality Traits ◽  
Work Disability ◽  
Working Hours ◽  
Psychosocial Risk Factors ◽  
Psychosocial Risk ◽  
Health Practice ◽  
Face To Face ◽  
Qualitative Exploration

BACKGROUND: Entrepreneurs may have to deal with different psychosocial risk factors than employees. Understanding relevant psychosocial risk factors for entrepreneurs is important for occupational health practice to develop effective measures to prevent work disability. This knowledge will be used to adjust the Work and Wellbeing Inventory an existing screening tool for employees. OBJECTIVE: The aim was to explore psychosocial risk factors and relevant personality traits to adjust and further develop the Work and Wellbeing Inventory to predict work disability for entrepreneurs. METHODS: In a qualitative explorative study, we interviewed 17 entrepreneurs varying in type of business and demographic background. By semi-structured face-to-face interviews, we explored their experiences with psychosocial risk factors related to entrepreneurship. Transcripts were analyzed by qualitatively coding procedures and constant comparative methods. RESULTS: According to these entrepreneurs financial insecurity, conflict of interest, large responsibility, high number of working hours, managing tasks, and administrative burden were the major themes they had to deal with. Relevant personality traits for successful entrepreneurship were stress resistance, being all round, flexible, a good communicator, good leadership, and being able to set limits. CONCLUSIONS: The results of this study are relevant for occupational health practice focusing on the wellbeing of entrepreneurs, and will be used to adjust items in the Work and Wellbeing Inventory.

Integration of an evidence-based tobacco cessation program into a substance use disorders program to enhance equity of treatment access for northern, rural, and remote communities

2020 ◽  
Vol 10 (3) ◽  
pp. 555-564
Author(s):  
Patricia M Smith ◽  
Lisa D Seamark ◽  
Katie Beck
Keyword(s):  
Substance Use ◽  
Behavior Change ◽  
Tobacco Use ◽  
Tobacco Cessation ◽  
Access Point ◽  
Indigenous Communities ◽  
Well Being ◽  
Evidence Based ◽  
Treatment Access ◽  
Cessation Intervention

Abstract Integrating tobacco cessation interventions into substance use disorder (SUD) programs is recommended, yet few are implemented into practice. This translational research implementation study was designed to integrate an evidence-based tobacco cessation intervention into a 2-week hospital outpatient SUD program that served a rural municipality and 33 remote Indigenous communities. Objectives included determining tobacco use prevalence, intervention uptake, and staffing resources required for intervention delivery. A series of 1-hr tobacco and health/well-being interactive education and behavior-change groups were developed for the SUD program to create a central access point to offer an evidence-based, intensive tobacco cessation intervention that included an initial counseling/planning session and nine post-SUD treatment follow-ups (weekly month 1; biweekly month 2; and 3, 6, and 12 months). Group sign-in data included age, gender, community, tobacco use, and interest in receiving tobacco cessation help. Thirty-two groups (April 2018 to February 2019) were attended by 105 people from 22 communities—56% were female, mean age = 30.9 (±7.3; 93% <45 years), 86% smoked, and 38% enrolled in the intensive tobacco cessation intervention. The age-standardized tobacco use ratio was two times higher than would be expected in the general rural population in the region. Average staff time to provide the intervention was 1.5–2.5 hr/week. Results showed that a Healthy Living group integrated into SUD programming provided a forum for tobacco education, behavior-change skills development, and access to an intensive tobacco cessation intervention for which enrollment was high yet the intervention could be delivered with only a few staff hours a week.

scholarly journals Assessing the outcome and influencing factors of a behavioral tobacco cessation intervention within a workplace setting: A mixed methods study

2021 ◽  
Vol 3 (June) ◽  
pp. 1-10
Author(s):  
Gauri Mandal ◽  
Srinath Satyanarayana ◽  
Amol Dongre ◽  
Thulasingam Mahalakshmy ◽  
Himanshu Gupte
Keyword(s):  
Mixed Methods ◽  
Influencing Factors ◽  
Tobacco Cessation ◽  
Mixed Methods Study ◽  
Cessation Intervention ◽  
Workplace Setting

scholarly journals Use of the Phase-Based Model of Smoking Treatment to Guide Intervention Development for Persons Living with HIV Who Self-Identify as African American Tobacco Smokers

2019 ◽  
Vol 16 (10) ◽  
pp. 1703 ◽  
Author(s):  
Rebecca Schnall ◽  
Jasmine Carcamo ◽  
Tiffany Porras ◽  
Ming-Chun Huang ◽  
Monica Webb Hooper
Keyword(s):  
Substance Use ◽  
African American ◽  
Focus Group ◽  
Tobacco Use ◽  
Support System ◽  
Tobacco Cessation ◽  
Cessation Intervention ◽  
Persons Living With Hiv ◽  
Group Sessions ◽  
Living With Hiv

Cigarette smoking is highly prevalent among persons living with the human immunodeficiency virus (HIV) (PLWH), with rates as high 50% as compared to 14% in the general U.S. population. Tobacco use causes morbidity and mortality in PLWH, and tobacco-related harm is substantially higher in PLWH than smokers in the general population, providing the scientific premise for developing effective tobacco cessation interventions in this population. To better address this issue, we conducted six focus group sessions with 45 African American smokers who are living with HIV to understand the barriers to smoking cessation and the strategies that would be helpful to overcome these barriers. We organized our findings by the Phase-Based Model of Smoking Treatment to understand the intervention components that are needed at each phase to help PLWH successfully quit smoking. Participants in our focus group sessions articulated key components for incorporation into tobacco cessation intervention for PLWH: a personalized plan for quitting, reminders about that plan, and a support system. Participants thought that their HIV and tobacco use were disassociated. Participants described barriers to the use of pharmacotherapy, including adverse side effects of the gum and patch and concerns about the negative health effects of some oral medications. Substance use was identified as a commonly co-occurring condition as well as a barrier to successfully ceasing to smoke tobacco products. In summary, these findings offer information on the components of a tobacco cessation intervention for PLWH, namely reminders, a support system, substance use treatment, and monitoring to prevent relapse.

Tobacco Cessation Intervention: How to Communicate with Tobacco Using Patients

1999 ◽  
Vol 1 (4) ◽  
pp. 1-11
Author(s):  
Eric E. Stafne ◽  
Bashar Bakdash
Keyword(s):  
Tobacco Use ◽  
Tobacco Cessation ◽  
Periodontal Diseases ◽  
Medical Problem ◽  
Tobacco Use Cessation ◽  
Team Members ◽  
Cessation Intervention ◽  
Dental Office ◽  
The Right ◽  
Oral Conditions

Abstract Tobacco use is a dental as well as a medical problem. When dental team members assist their patients in becoming tobacco free, they are eliminating a causative/contributing factor for a number of oral conditions including cancer and periodontal diseases. Studies have shown that brief tobacco use cessation interventions in the dental office can be effective in helping many patients to stop using tobacco. Interventions can be optimized through understanding the stage of change the tobacco user is in when an intervention is attempted. Only then can we use the appropriate intervention at the right time. This article discusses and demonstrates a protocol for tobacco cessation interventions that can be used in the dental office.

Post creation strategies in a smoking cessation intervention based on motivational interviewing using Facebook: a mixed-methods content analysis (Preprint)

2019 ◽  
Author(s):  
David Pócs ◽  
Tímea Óvári ◽  
Csaba Hamvai ◽  
Oguz Kelemen
Keyword(s):  
Smoking Cessation ◽  
Motivational Interviewing ◽  
Tobacco Use ◽  
Negative Feedback ◽  
Smoking Cessation Intervention ◽  
Control Group ◽  
Tobacco Use Cessation ◽  
Web Based ◽  
Cessation Intervention ◽  
Significant Difference

BACKGROUND Smoking cessation support on Facebook (FB) is a cost-effective and extensible way to reduce tobacco use among young people. Motivational interviewing (MI) is a practical counselling style in face-to-face smoking cessation support and can be useful in web-based interventions as well. OBJECTIVE This study aimed at identifying which post creation strategies based on MI could achieve positive changes in FB post characteristics and FB users’ comments. METHODS We included MI-adherent posts (N=701) which were not boosted and were targeted at tobacco users. These FB posts have been categorized into five different groups according to specific MI strategies. The control group comprised entertaining and informative posts. Primary outcomes seem to highlight how the content has stimulated interactions (engagement rate), inhibited interactions (negative feedback) or appealed to the audience of the FB page (fan-total reach ratio). The first comments received on the FB posts were evaluated and used as secondary outcomes. We applied the classification of MI approach: change talk (CT), sustain talk (ST), desire, ability, reason, need (DARN), and commitment, activation, taking steps (CAT). RESULTS FB posts which used MI strategies were associated with significantly higher engagement rate (p=.010), higher fan-total reach ratio (p<.001), and more CT (p<.001), DARN (p=.005), or CAT comments (p=.003) compared to the control group. ‘Elaborating CT’ strategies elicited considerably more CT (p<.001) and DARN comments (p=.020). ‘Affirming CT’ strategies obtained higher fan-total reach ratio (p=.011) and generated significantly more CT (p=.006) and CAT comments (p<.001). ‘Reflecting CT’ strategies received significantly higher fan-total reach ratio (p<.001). Finally, ‘relational MI’ strategies achieved significantly higher engagement rate (p<.001) compared to the control group. It should be noted that we did not find significant difference in negative feedback and the number of ST comments. CONCLUSIONS Post creation strategies based on MI stimulated interactions with FB users and generated conversation about tobacco use cessation without relevant negative feedback. Our findings suggest that MI strategies may play a remarkable role in post creation within a web-based smoking cessation intervention. In the future, these strategies could be applicable to other online platforms, such as public health websites, health blogs, mobile applications or social networking groups.

scholarly journals A multicentre tobacco cessation intervention study in the dental setting in Japan

2021 ◽  
Author(s):  
Toru Nagao ◽  
Jinichi Fukuta ◽  
Takashi Hanioka ◽  
Yohei Nakayama ◽  
Saman Warnakulasuriya ◽  
...  
Keyword(s):  
Tobacco Cessation ◽  
Intervention Study ◽  
Cessation Intervention ◽  
Dental Setting
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