Nurses trying to quit smoking using the Internet

University of California, School of Nursing, 700 Tiverton Ave, Box 956918, Los Angeles, CA 90095, USA.
Nursing outlook (Impact Factor: 1.59). 09/2009; 57(5):246-56. DOI: 10.1016/j.outlook.2009.03.002
Source: PubMed


Nurses QuitNet, an Internet-based smoking cessation program, was created to support nurses' quit attempts. The purposes of this study were to evaluate quit attempts at 3, 6, and 12 months after the use of the program and to determine differences in demographic, professional, and smoking characteristics by smoking status. Differences in the use of quit methods, barriers, and facilitators to quitting also were assessed. Data among 246 smokers who responded to at least 1 follow-up email at 3, 6, or 12 months after registration were analyzed. Quit rates among respondents were 43% (3 months), 45% (6 months), and 53% (12 months). Total time on the website was significantly higher for those who quit. Barriers to quitting included lack of support from colleagues, stress, lack of cessation services, and fear of not getting a work-break. Facilitators included working in a smoke-free facility, support from colleagues, and workplace cessation services. The use of Nurses QuitNet demonstrated promise in supporting quit attempts. Quitting was influenced by workplace factors.

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    • "The categories of number of cigarettes smoked per day also were significantly different with a higher proportion of nurses in the low category (fewer than 10 cigarettes per day) and in the mid-range (11 - 20 cigarettes per day) and fewer smoking more than 20 cigarettes per day. This is similar to the 67% of nurse smokers participating in a web-based smoking cessation program who smoked less than 20 cigarettes per day [19,32]. A trend toward fewer cigarettes also was noted in 1986 in the Nurse's Health Study, with highest number of cigarettes smoked among the cohort born in 1940-44 [6]. "
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    ABSTRACT: Smoking is a significant women's health issue. Examining smoking behaviors among occupational groups with a high prevalence of women may reveal the culture of smoking behavior and quit efforts of female smokers. The purpose of this study was to examine how smoking and quitting characteristics (i.e., ever and recent quit attempts) among females in the occupation of nursing are similar or different to those of women in the general population. Cross-sectional data from the Tobacco Use Supplement of the Current Population Survey 2006/2007 were used to compare smoking behaviors of nurses (n = 2, 566) to those of non-healthcare professional women (n = 93, 717). Smoking characteristics included years of smoking, number of cigarettes, and time to first cigarette with smoking within the first 30 minutes as an indicator of nicotine dependence. Logistic regression models using replicate weights were used to determine correlates of ever and previous 12 months quit attempts. Nurses had a lower smoking prevalence than other women (12.1% vs 16.6%, p < 0.0001); were more likely to have ever made a quit attempt (77% vs 68%, p = 0.0002); but not in the previous 12 months (42% vs 43%, p = 0.77). Among those who ever made a quit attempt, nurses who smoked within 30 minutes of waking, were more likely to have made a quit attempt compared to other women (OR = 3.1, 95% CI: 1.9, 5.1). When considering quit attempts within the last 12 months, nurses whose first cigarette was after 30 minutes of waking were less likely to have made a quit attempt compared to other females (OR = 0.69, 95% CI: 0.49, 0.98). There were no other significant differences in ever/recent quitting. Smoking prevalence among female nurses was lower than among women who were not in healthcare occupations, as expected. The lack of difference in recent quit efforts among female nurses as compared to other female smokers has not been previously reported. The link between lower level of nicotine dependence, as reflected by the longer time to first cigarette, and lower quit attempts among nurses needs further exploration.
    BMC Women's Health 03/2012; 12(1):4. DOI:10.1186/1472-6874-12-4 · 1.50 Impact Factor
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    • "Furthermore, hospital staff on call or working at night were decreasing the time interval of the first cigarette after waking up (<30 min: 58.5% and 31–60 min: 32.1%) in comparison to those who were not working at night (<30 min: 54.7% and 31–60 min: 30.7%), although there was no statistical significance (p = 0.67) [38]. Sarna et al. found that there was a statistically significant difference between smokers and non-smokers in reporting stress as a barrier for quitting smoking at the 6 month time interval (67% vs. 46%, p = 0.02), whereas there was no significant difference at 3 and 12 months (78% vs. 80%, p = 0.73 and 80% vs. 69%, p = 0.19 respectively) [42]. "
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    ABSTRACT: The aim of this study was to provide a summary of the existing published knowledge on the possible relationship between the workplace as a stressor factor and nurses' tobacco use. A systematic review of the literature from 1995 to 2009, using the MEDLINE database took place. Studies, that referred to nurses' smoking habit exclusively or as a part of the study, were included in the review. 491 studies were retrieved and their titles/abstracts were examined systematically. Twenty one studies were retrieved for further consideration by a comprehensive literature review. Ten studies fulfilled the eligibility criteria and they were examined further. There is a conflict on the possible relationship between workplace as a stressor factor and nurses' smoking habits, because there is no evidence on if the nurses' work environment causes smoking initiation.
    International Journal of Environmental Research and Public Health 05/2010; 7(5):2362-75. DOI:10.3390/ijerph7052362 · 2.06 Impact Factor
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    ABSTRACT: Smoking is quite prevalent among Korean Americans (KAs). Quitting is Winning was developed using community-based participatory research principles as an online self-help smoking cessation program for KAs in response to feedback from our community partner who felt that most KAs prefer to quit "on their own." A randomized controlled trial was used to evaluate this cognitive-behavioral program. The main outcome was the proportion of participants who had quit for at least 30 days, 50 weeks after enrollment, among those randomized into the Internet intervention compared with those receiving a similar program via booklet. The study had 11 online surveys administered every 5 weeks. The study took place between September 2005 and April 2009 and had a final enrollment of 1,112. Based on the outcome assessed at 50 weeks, there was no significant difference in 30-day smoking cessation between the Internet (11%) and booklet (13%) groups (intent-to-treat [ITT] difference = -2%, 95% CI = -6% to 2%). In post-hoc analysis, quitting was higher among participants in the Internet intervention (n = 562) who completed the online program: 26% quit compared with 10% who did not complete the program (ITT difference = 16%, 95% CI = 3%-29%). The Internet self-help smoking cessation program appears to help KA smokers quit, although not more than a similar program delivered via booklet. If we can get people engaged, online cessation programs have potential to reach smokers who would not or cannot participate in more traditional interventions.
    Nicotine & Tobacco Research 02/2011; 13(5):336-43. DOI:10.1093/ntr/ntq260 · 3.30 Impact Factor
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