Factors Influencing Implementation of a Workplace Tobacco Cessation Intervention in India: A Qualitative Exploration.
Factors Influencing Implementation of a Workplace Tobacco Cessation Intervention in India: A Qualitative Exploration.
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DOI：
10.1177/2165079920952761
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发表时间：
2021-03
影响因子：
2.6
通讯作者：
Viswanath K
中科院分区：
文献类型：
--
作者：
Gupte HA;D'Costa M;Ramanadhan S;Viswanath K
预计到2030年，烟草使用每年将导致全球800多万人死亡，目前印度每年有100万人死于烟草。在印度，很少有工作场所将戒烟作为职业健康的一部分。在这项研究中，我们检查了印度工作场所实施循证戒烟计划的促进者和障碍。对工作场所戒烟干预措施的所有协调人(两名项目协调员和四名顾问)进行了深入访谈，涵盖了五个组织的实施努力，包括三个制造单位和两个公司环境。为实施该计划确定的推动者是：1)为许多人提供途径的工作场所；2)烟草使用的高流行率使干预措施具有相关性；3)核心组成部分(宣传会议、面对面咨询和为期6个月的跟踪)具有适应性；4)管理人员参与干预措施的规划和执行；5)员工相互支持戒烟；6)培训工作场所内的医疗单位提供简短建议；以及vii)努力在环境中倡导无烟政策。障碍集中在1)缺乏来自工作场所管理层的所有权，2)咨询师的时间表与员工不匹配，3)员工因工作量而无法联系到，以及4)缺乏咨询隐私。这项研究为工作场所戒烟干预的计划、参与、执行和实施过程提供了实用的见解。它为类似环境中的职业卫生单位内的干预提供了指导。
Tobacco use is projected to cause over eight million deaths annually worldwide by 2030 and is currently linked to one 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. In-depth interviews were conducted with all facilitators (two program coordinators and four counselors) of a workplace tobacco cessation intervention covering implementation effort in five organizations, including three manufacturing units and two corporate settings. The identified promoters for implementation of the program were 1) workplaces that provided access to many individuals, 2) high prevalence of tobacco use made the intervention relevant, 3) core components (awareness sessions, face-to-face counselling and six-months follow-up) were adaptable, 4) engagement of the management in planning and execution of the intervention, 5) employees’ support to each other to quit tobacco, 6) training the medical unit within the workplace to provide brief advice, and vii) efforts to advocate tobacco-free policies within the setting. Barriers centered around 1) lack of ownership from the workplace management, 2) schedules of counselors not matching with employees, 3) non-availability of employees because of workload, and 4) lack of privacy for counselling. 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.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
1.7
作者：
Jain, M L;Chauhan, Mamta;Singh, Rajani
通讯作者：
Singh, Rajani
工作场所和诊所环境中烟草停止的结果：比较研究。
DOI：
10.4103/2231-0762.192946
发表时间：
2016-09
影响因子：
1.1
作者：
Ransing RS;Patil DB;Desai MB;Modak A
通讯作者：
Modak A
影响因子：
5.5
作者：
Seidel SE;Metzger K;Guerra A;Patton-Levine J;Singh S;Wilson WT;Huang P
通讯作者：
Huang P
DOI：
10.4103/0019-5278.58919
发表时间：
2009-12-01
影响因子：
0.9
作者：
Mishra, Gauravi A;Majmudar, Parishi V;Shastri, Surendra S
通讯作者：
Shastri, Surendra S