Nurses trying to quit smoking using the Internet.
ABSTRACT 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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ABSTRACT: The internet is gaining popularity as a means of delivering employee-based cardiovascular (CV) wellness interventions though little is known about the cardiovascular health outcomes of these programs. In this review, we examined the effectiveness of internet-based employee cardiovascular wellness and prevention programs. We conducted a systematic review by searching PubMed, Web of Science and Cochrane library for all published studies on internet-based programs aimed at improving CV health among employees up to November 2012. We grouped the outcomes according to the American Heart Association (AHA) indicators of cardiovascular wellbeing - weight, BP, lipids, smoking, physical activity, diet, and blood glucose. A total of 18 randomized trials and 11 follow-up studies met our inclusion/exclusion criteria. Follow-up duration ranged from 6 - 24 months. There were significant differences in intervention types and number of components in each intervention. Modest improvements were observed in more than half of the studies with weight related outcomes while no improvement was seen in virtually all the studies with physical activity outcome. In general, internet-based programs were more successful if the interventions also included some physical contact and environmental modification, and if they were targeted at specific disease entities such as hypertension. Only a few of the studies were conducted in persons at-risk for CVD, none in blue-collar workers or low-income earners. Internet based programs hold promise for improving the cardiovascular wellness among employees however much work is required to fully understand its utility and long term impact especially in special/at-risk populations.PLoS ONE 01/2014; 9(1):e83594. · 3.53 Impact Factor
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ABSTRACT: Tobacco consumption is a major public health threat. Healthcare workers can contribute to the reduction of tobacco use. The principles of intervention need to be provided already during vocational school. This research examines the smoking habits, the personal attitudes towards smoking and the professional beliefs of healthcare trainees. The aim of this study is to ascertain the necessity and the general conditions for multilevel interventions of prevention and health promotion. In 2010, a questionnaire survey was conducted in a Berlin vocational school for healthcare workers. Of 148 students (RR = 49.3%) 41.9% of the students are daily or occasional smokers. The nicotine dependency and the number of cigarettes per day are comparatively low. The majority of smoking students is willing to quit and has already undertaken several attempts. Non-smoking protection is evaluated to be very important and intervention rates in patient care range between 49% and 72%. In both questions, non-smokers and smokers differ significantly. The self-reported smoking prevalence in our population is considerably lower than in previous studies. However, the smoking rate among healthcare trainees is still higher than in the general population. The students' own smoking behaviours and its influences on the treatment of patients should be reflected during school. It is necessary to develop adequate recruitment strategies and attractive interventions for this target group.Nurse education in practice 01/2013;
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ABSTRACT: Introduction: Smoking remains the leading cause of preventable death in the United States. The purpose of this investigation was to systematically analyze smoking cessation interventions conducted in worksite settings. Methods: Three researchers conducted a search of CINAHL, MEDLINE, ERIC and Psychology and Behavioral Sciences Collection databases, independently. Eligibility of articles was evaluated by the following criteria: (1) primary research; (2) tobacco/smoking treatment interventions; (3) implemented in worksite settings; (4) conducted in the United States and abroad; (5) used a quantitative design; (6) published between March 2009 and January 2013 (based on articles published after a similar review). Results: A total of 12 articles satisfied the inclusion criteria. Nine programs reported a positive effect on tobacco/smoking treatment. Seven of the interventions were theory-based, with six of these applying the transtheoretical stages of change model. Four of the programs included pharmacotherapy and six incorporated incentives. Conclusions: Worksite smoking treatment intervention design can be improved by incorporation of more robust designs with extended follow-up measures, explicit operationalization of theoretical frameworks, inclusion of ecological theory-based frameworks and integration of fidelity process evaluation. Pharmacotherapy in conjunction with behavior modification appears efficacious; however, the ability of financial incentives to motivate behavior change is still unconfirmed.Journal of Substance Use 07/2013; · 0.48 Impact Factor