There is a heightened focus on maintaining good health and the many benefits that come as a result. Increasingly, more companies are opting to implement wellness programs to help support and facilitate their employees in achieving better health habits. Types of programs offered include smoking cessation, weight and stress management, and access to on-site resources like health fairs, seminars, and counseling with registered dietitians. Results of healthy employees also help the employer by reducing healthcare costs, improving work productivity, and boosting office morale (Mujtaba & Cavico, 2013). Different techniques can be used in wellness programs: carrots and sticks. While one offers positive reinforcement through incentives (carrots), …show more content…
A randomized controlled study will be conducted to test the effectiveness of implementing a penalty system as motivation in a smoking cessation wellness program initiative. This study will take place at Paramount Studios in Los Angeles, California. Participants (n=500) will be recruited through email solicitation using a non-probability sampling technique. Purposive sampling will allow for a specifically targeted group, in this case smokers, to be solicited. Qualifications to meet the needs of this study will require smokers to have been smoking one cigarette or more per day for at least one year or longer. Age 18 years and over are eligible to participate. While the sample size of this study is large, it is suggestive of only one company in California and may not be generalizable across the United States. Of the 500 participants, two groups will be created, and participants will be assigned by block randomization to reduce bias. One group will remain a control group while the other will receive a penalty at the end of the year if they failed to quit smoking. The independent variables (IV) are penalty or no penalty for smoking cessation. The penalty used to encourage behavior change will be an increase to their health insurance, which will take effect the subsequent year. The dependent categorical variables (DV) measured will be continued smoking and smoking cessation. The study will run for one year, at which time participants will be asked to
In the United States, smoking cigarettes is the number one preventable cause of morbidity and death (Bergen, 1999), and accounts for $300 Billion in health care costs and economic productivity loss (Jamal, 2015). While the national smoking rate is 16.8% (CDC, 2016), specific demographics are more susceptible to developing smoking habits: people who live below the poverty line (10.9% higher), disabled or with a limitation (6.2% higher), and males (4.7% higher) (Agaku, 2014).
Based on assessment results, the intervention phase consisted of a reinforcement schedule that provided rewards for changing criterion levels for smoking behaviour. The initial criterion was determined by calculating the mean number of cigarettes smoked per day during the baseline period. Each criterion level (or short term objective) lasted for a two week period before changing the criterion level again. The timeline for baseline, intervention, maintenance phases are outlined in table 1.
Quitting rates of participants who are unwilling to stop smoking at all using electronic cigarettes shows how much of an effective cessation method they are. For nicotine replacement therapy to work, smokers would have to volunteer to quit and seek help, while with electronic cigarettes cessation just happens.
In the study, 787 smokers in Massachusetts were tracked after they quit smoking for five years. During that time, they answered three surveys about their smoking use. With each survey, an
The leading cause of death in the county is heart disease followed by cancer, and both of these can be linked to smoking or second-hand smoke exposure. Methods to move toward HP2020’s goal will involve encouraging and assisting smokers to quit. The Community Guide is a free resource to help guide communities to choose programs and policies for cessation. These programs are evidenced based, research-tested and include suggestions such as increasing the unit based price on tobacco products and how this would help to decrease use, increase the number of those who quit, decrease the number of those who try cigarettes the first time and decrease the tobacco related morbidity and mortality. The research suggest the improved health effects are proportional to the size of the price increase, also noted to be effective in prevention is mass reach communication or advertising regarding the dangers of smoking and also techniques for quitting (The Community guide, n.d.). Counseling is noted to be effective alone and with the use of medications and is available through programs like the toll-free quitline in South Carolina. Healthcare professional are urged to screen patients for use of tobacco and provide cessation information to all patients and also treatment strategies such as
Smoking is still a pressing issue for Americans, despite efforts to regulate and lessen tobacco use. One in every five Americans still regularly smokes a cigarette, and those who attempt to quit aren’t utilizing all the assistance resources available to them. With these treatments being more prominent now than ever before, there is evidence that supports the effects of a quitter using aid compared to one who does not. Providing brief interventions about tobacco cessation may encourage more quit attempts and use of appropriate treatments, such as a quit-lines or medication. Despite many efforts, healthcare providers are still failing to provide brief interventions to patients, which therefore exposes flaws in a healthcare-based strategy to drive
Smoking cessation: The status is uncontrolled and patient is willing to try to quit smoking.
Cigarette smoking is the principal form of tobacco use worldwide and has many adverse effects on the health of smokers. In 2000, there were about 5 million tobacco related deaths globally and smoking currently causes almost 1 in 5 deaths in the United States. Aside from causing around 90% of all lung cancer deaths, cigarette smoking harms almost every organ in the body and adversely affects the health of those around the smoker through second-hand smoke. While the rate at which people quit smoking is limited due to the development of nicotine addiction, rates of smoking initiation can be rapidly be changed through intervention. Such interventions include smoke-free policies like that advertised by the “Tobacco-Free Campus” sign pictured
This study also showed that other factors like socioeconomic status and level of nicotine addiction affect quitting success.[59] In a similar basis, Brose et al. (2015), examined the impact of e-cigarette use while smoking on smoking cessation, reduction and attempts to quit. They concluded that the participants who used e-cigarettes daily at baseline reported more attempts to quit and daily use at follow-up was connected to reduced conventional cigarette use, while no daily use had no effects. However, daily use was not associated with smoking cessation.[60] Biener and Hargraves (2014), used data from a longitudinal study in two metropolitan areas in US and they tested e-cigarette use association with motivation to quit and smoking cessation. They also concluded that only intensive users (daily e-cigarette use for at least 1 month) were more likely to quit compared with intermittent or no users.[61]
Significant number of people has been addicted to the habit of smoking despite of knowing the fact that it is injurious to health. In the past, it was considered as the taboos and only adult group was habituated but currently, it is common among both adolescent and adult population. Cigarette smoking is habit of inhaling smoke of cigarette and releasing it. A study by Gong (2011, pp.48) reveals that the prevalence of cigarette smoking among adult of age group 45-65years is higher than adolescent age group 15-24 years with 63% and 33.6% respectively.
Smoking is the leading cause of preventable death in the United States and worldwide (Centers for Disease Control, 2013, World Health Organization, 2008). Tobacco cessation counseling is a vital component of any public health strategy seeking to decrease mortality, disease and costs associated with smoking. To that end, the Healthy People 2020 Tobacco Use Objectives cover three main areas: reducing tobacco use, instituting health system changes, and creating social and environmental changes (U.S. Department of Health and Human Services, 2013). Objective TU-10 falls under the category of health system changes as it seeks to open doors for patients to make quit attempts and to pursue tobacco cessation methods by increasing
This 2013 study by Bullen, Williman, Howe, Laugesen, McRobbie, Parag, and Walker compares electronic cigarettes versus nicotine patches for smoking cessation. On the negative side, the methods for recruitment included newspaper ads and television program. These approaches may create a sampling bias because sampling only people with access to newspapers and television may not proportionately represent the population. Another concern is the limitation to only one brand of electronic cigarette and one level of nicotine in the patches. If the group included a wider variety of brands and nicotine levels the outcomes may vary. Another key point is all of the participants were offered behavioral support, but the use of the support was not included
Informed consent will be obtained by the participants and by the parents of the underage participants and a financial incentive that will be given sporadically to the participants will be provided. With completion of the program participants will be evaluates for their progress in reducing or quitting tobacco use and those that will be unsuccessful upon communication and mutual agreement will be assisted in obtaining a physician to receive medicinal Nicotine Replacement Therapy (NRT).
Information that can be used in public policy planning for cigarette smoking is the value in the health assessment process known as the Precede-Proceed model, which is an understandable thorough structure for assessing and joining health needs for implementing, designing, and evaluating health promotion and other public health programs (Rural Health, 2016). A public policy is needed for cigarette smoking to be prevented and stopped by individuals who smoke. There has been an increase with male cigarette smoking in the community of Los Angeles, and a lot of young adults reported that they smoke. However, the percentage of smoking in the community is at large overall, and needs a public policy to be enforced for the community’s health rate with
What is wellness? “Wellness is an active process of becoming aware of and making choices toward a healthy life. Wellness is also a process for change and growth” (Health Topic – What is wellness?). To have acceptable wellness you should have an equal amount of social, emotional/mental, and physical health. I, myself, believe that I have an okay wellness, I mean not like full wellness but just enough to pass I'll say. But how am I living in wellness?