FACTORS ASSOCIATED WITH PARTICIPATION, ATTRITION, AND OUTCOME IN A SMOKING CESSATION PROGRAM AT THE WORKPLACE
FACTORS ASSOCIATED WITH PARTICIPATION, ATTRITION, AND OUTCOME IN A SMOKING CESSATION PROGRAM AT THE WORKPLACE
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DOI：
10.1037/0278-6133.7.6.575
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发表时间：
1988-01-01
影响因子：
4.2
通讯作者：
CIGRANG, JA
中科院分区：
文献类型：
--
作者：
KLESGES, RC;BROWN, K;CIGRANG, JA
尽管越来越受欢迎，但工作场所健康促进计划的特点通常是参与率低，流失率高，效果不佳。本调查确定了工作场所戒烟计划的参与、减员和结果的预测因素。研究对象是从两个工作场所招募的经常吸烟的人。在两个工作场所的66名符合条件的吸烟者中，44名（67%）同意参加该计划。其中55%（44人中的24人）完成了这个项目。在那些完成项目的人中，29%的人在测试后戒烟，17%的人在6个月的随访中戒烟。结果表明，一组不同的变量预测了参与、减员和结果。参与调查的吸烟者的重要预测因素是戒烟的时间长短，吸烟的年数，以及对个人易患吸烟相关疾病的信念。测试前的一氧化碳水平以及对在工作场所采用吸烟限制的态度预测了损耗。测试后戒烟与测试前吸烟品牌的尼古丁水平和测试前关于戒烟后体重增加的信念有关。在6个月的随访中，通过吸烟的同事数量和戒烟后体重增加的预测担忧来预测戒烟情况。结果讨论了未来的评价和干预工作。
Despite their growing popularity, worksite health-promotion programs have generally been characterized as having low participation rates, high attrition rates, and modest outcomes. This investigation identified the predictors of participation, attrition, and outcome of worksite smoking-cessation program. Subjects were regular cigarette smokers recruited from two worksites. Of 66 eligible smokers in the two worksites, 44 (67%) agreed to participate in the program. Fifty-five percent (24 of 44) of these completed the program. Of those completing the program, 29% had quit smoking by posttest and 17% were abstinent at the 6-month follow-up. Results indicated that a different set of variables predicted participation, attrition, and outcome. The significant predictors of smokers who participated were the length of cessation in previous abstinence attempts, the number of years they smoked, and the belief regarding personal vulnerability in contracting a smoking-related disease. Levels of pretest carbon monoxide along with attitudes regarding the adoption of smoking restrictions in the worksite predicted attrition. Posttest cessation was related to nicotine levels of cigarette brand smoked at pretest and pretest beliefs regarding postcessation weight gain. Abstinence at the 6-month follow-up was predicted by the number of co-workers who smoked and pretest concerns related to postcessation weight gain. The results are discussed in terms of future evaluation and intervention efforts.