Worksite Smoking Cessation Program: Creating Healthy and Nicotine-free Griffin Employees (CHANGE)

Title:Worksite Smoking Cessation Program: Creating Healthy and Nicotine-free Griffin Employees (CHANGE)
Status:Completed
Topic:Program or Product Development;Smoking Cessation;Worksite Wellness
Funding Source:Centers for Disease Control and Prevention and Griffin Hospital
Funding Period:2/02-2/03
Study Design:Intervention Study
Purpose:To create a work-site smoking cessation program utilizing the impediment profile approach developed and tested in prior studies conducted by the PRC.
Further Study Details:This program was based on a successful smoking cessation pilot study (TISC; see below) developed by the PRC in 1999. As in the TISC study, participants completed an impediment profile questionnaire, were provided with their individual results, and were offered as many as 7 different “interventions” or programs to assist in their attempt to quit smoking. The CHANGE program used a personalized approach for its participants – tailoring the treatment to each person based on their needs. All therapies were offered at the worksite, during regular work hours, at no cost to employees and included medications and nicotine replacement, group counseling, dietary counseling, acupuncture, stress management and others.
Findings:At the end of the one-year program, 45% of participants were smoke free; those who were still smoking reported having cut down considerably on the number of cigarettes smoked daily. The success of the CHANGE program has led to incorporation of the program as a permanent benefit to hospital employees and family members.
Eligibility:Employees of Griffin Hospital, Derby, CT

Changed at:3/1/2017 11:04 AMChanged by:Lisa Seaberg
Created at:8/31/2010 12:03 PMCreated by:Griffin Hospital

Tailored Interventions for Smoking Cessation (TISC)

Title:Tailored Interventions for Smoking Cessation (TISC)
Status:Completed
Topic:Smoking Cessation
Funding Source:Centers for Disease Control and Prevention
Funding Period:10/98 – 10/00
Study Design:Intervention
Purpose:The TISC study was developed to test the effectiveness of a smoking cessation program based on “impediment profiling” which identifies an individual’s own perceived barriers to quit smoking and provides tailored interventions accordingly.
Further Study Details:There are at least seven potential barriers that people face when trying to quit smoking, some face more than others. Among these things that make smoking cessation more difficult are nicotine dependence, addiction to other chemical substances, depression, anxiety, stress, concern about weight gain, and having family and friends who smoke. During the initial phase of this project, a questionnaire was developed to identify an individual’s personal barriers. This questionnaire was then used with the 20 participants enrolled in this study. Participants completed the questionnaire, after which time their results were shared with them individually and they were assigned to as many of the seven “interventions” or programs as their results indicated would be helpful to them in their quit attempt. The study lasted for 12 months and included a follow-up after 12 and 24 months.
Findings:8 weeks into the program 73.7% of the study population was smoke-free. At the end of the year-long intervention 63.2% of the study population was smoke free. There was a negative association between subjects’ quit status and the following impediments: stress, anxiety, and depression. No single impediment was predictive of quit status. The majority of the participants (64%) reported that the variety of the program offerings was their primary reason for enrollment. The group counseling was the intervention with the greatest use (100%) and was considered helpful by 86% of the study participants. This pilot study suggests that impediment profiling as a basis for tailored intervention in smoking cessation shows promise. The high quit rate at the end of the intervention and at one year follow-up reinforces the potential of impediment profiling use in smoking cessation programs.
Eligibility:Adult men and women with a history of smoking for at least one year and an average of 15 or more cigarettes per day.

Changed at:1/17/2011 11:12 AMChanged by:Judy Treu
Created at:8/31/2010 12:08 PMCreated by:Griffin Hospital

Impediment Profiling for Smoking Cessation: Evaluation Using a Retrospective Cohort Design

Title:Impediment Profiling for Smoking Cessation: Evaluation Using a Retrospective Cohort Design
Status:Completed
Topic:Smoking Cessation
Funding Source:Centers for Disease Control and Prevention
Funding Period:2001-2002
Study Design:Prospective Pilot Study with a Retrospective Match Cohort Control
Purpose:The purpose of this study was to compare the results from our previous smoking cessation study (Tailored Interventions for Smoking Cessation (TISC): see below) against a similar group of adults who did not participate in the original study, but were also motivated to quit smoking.
Further Study Details:A total of 86 adults completed the impediment profile questionnaire used in the TISC study and responded to questions regarding smoking status. Carbon monoxide (CO) readings were also taken to compare to self-reported information. These findings were then compared to the results of the TISC study to determine whether there was a difference in smoking status between adults, motivated to quit smoking, who participated in the TISC study and those who did not.
Findings:This study showed that the TISC program was more effective at helping women quit smoking as compared to quitting without assistance; however, evidence of this difference was not found among the men who participated in the study.
Eligibility:Adult men and women with a history of smoking for at least one year and an average of 15 or more cigarettes per day.

Changed at:1/17/2011 11:13 AMChanged by:Judy Treu
Created at:8/31/2010 12:06 PMCreated by:Griffin Hospital

Adolescent Smoking Cessation Program: Amity High School

Title:Adolescent Smoking Cessation Program: Amity High School
Status:Completed
Topic:Program or Product Development;School-based;Smoking Cessation
Funding Source:Centers for Disease Control and Prevention; Connecticut Southwest Area Educational Council; Orange Drug and Alcohol Action Council (in Orange, CT)
Funding Period:2000-2001 school year
Study Design:Intervention Study
Purpose:This adolescent smoking cessation program was developed in collaboration with the Amity Regional Senior High School to address the worsening problem of regular tobacco use by high school students. The program was evaluated to determine feasibility and impact of a smoking cessation program tailored specifically to the needs of high school students.
Further Study Details:A total of 22 students participated in the first program. Feedback from focus groups conducted with students was used to develop a tailored smoking cessation program. The therapies offered as part of the program included stress management, educational sessions lead by a physician, weekly group meetings, and a smoking cessation program for parents; students also had the option of taking a medication (bupropion) to reduce the urge to smoke. Parental counseling was offered to help parents understand how household smoke affects their child’s ability to quit and to increase awareness of ways they could support their teenager’s efforts to quit.
Findings:At the end of the 8-week program, 27% of the participants reported being smoke-free, while the average number of cigarettes smoked per day among students who were not able to quit decreased from 22 (per day) prior to the program to 9. Because of the initial program’s successes and the effective partnership with the Yale-Griffin PRC, Amity Regional Senior High School continued to offer this program to students on a yearly basis.
Eligibility:High school students enrolled at Amity Regional Senior High School (Woodbridge,CT) with a desire to quit smoking.

Changed at:3/1/2017 11:02 AMChanged by:Lisa Seaberg
Created at:8/31/2010 12:05 PMCreated by:Griffin Hospital