Financial incentives for successful smoking cessation: an implementation study to increase reach and adoption among companies and their employees with a low socioeconomic status
Projectomschrijving
Vraagstuk
Uit eerder onderzoek blijkt dat een stoppen-met-rokentraining op de werkplek in combinatie met financiële beloningen voor stopsucces effectief is om rokers met een lage sociaaleconomische status (SES) te helpen stoppen met roken. Een vervolgstap is om een implementatiestudie uit te voeren naar hoe de stoppen-met-rokentraining met financiële beloningen verspreid kan worden binnen Nederlandse bedrijven.
Onderzoek
In dit project wordt onderzocht hoe het management van bedrijven en hun werknemers overtuigd kunnen worden om deze interventie te initiëren. Eerst worden werkgevers en werknemers geïnterviewd. Ook zal de interventie met behulp van de strategie die samen met de doelgroep wordt ontwikkeld geïmplementeerd en geëvalueerd worden. Het onderzoek wordt uitgevoerd door onderzoeksinstituut IVO en de Universiteit Maastricht. De training en implementatie wordt uitgevoerd door SineFuma. Er wordt samengewerkt met een groot aantal andere partners.
Uitkomst
Het doel is dat er bij afronding van het onderzoek een volledige implementatiestrategie klaarligt waarmee bedrijven, rookstopaanbieders en andere belanghebbenden de interventie gemakkelijk en succesvol kunnen implementeren, zodat de stoppen-met-rokeninterventie op grote schaal gerealiseerd kan worden.
Het onderzoek wordt uitgevoerd door een consortium van de volgende partijen:
Onderzoeksinstituut IVO, Universiteit Maastricht, IQ Healthcare, Leids Universitair Medisch Centrum (LUMC), SineFuma, Heartbeat Ventures, Inguide, Longalliantie, Trimbos-instituut, SBCM, HumanCapitalCare (HCC), Centre for Motivation & Change (CMC), Universiteit Rotterdam, de Brandweer en MTB.
Voor meer informatie over dit project kunt u contact opnemen met Dr. Gera Nagelhout - E: nagelhout@ivo.nl T: 070 302 84 56
Producten van ZonMw
Lees ook het interview Stoppen-met-roken training (met beloning) voor op het werk uit onze artikelenreeks Effect- en implementatieonderzoek naar interventies rond stoppen met roken.
Producten
Auteur: Van den Brand, FA
Auteur: Nagelhout, G. E., Barendregt, C., Van den Brand, F. A., Magnée, T., Van Schayck, O.
Auteur: Van den Brand, F., Nagelhout, G. E., Magnée, T., Bouma, L., Schoenmakers, R., Barendregt, C., Chavannes, N. H., & Van Schayck, O. C. P.
Auteur: Van den Brand, F. A.
Auteur: Van den Brand, FA
Auteur: Van den Brand, F., Nagelhout, G. E., Magnée, T., Bouma, L., Barendregt, C., Chavannes, N. H., & Van Schayck, O. C. P.
Auteur: Nagelhout, G. E., Van den Brand, F. A., Magnée, T., Bouma, L., Barendregt, C., & Van Schayck, O. C. P.
Auteur: Nagelhout, G.E.
Auteur: Nagelhout, G. E.
Auteur: Van den Brand, F. A., Van Schayck, C.P., & Nagelhout, G. E.
Auteur: Van Schayck, C.P.
Auteur: Van den Brand, F. A.
Auteur: Van den Brand FA, De Haan-Bouma CI, Van Schayck CP, Nagelhout GE
Auteur: Van den Brand FA, Poole N, De Haan-Bouma LCI, Van Schayck CP, Nagelhout GE
Auteur: Van den Brand FA, Poole N, Van Schayck CP, Nagelhout GE
Auteur: Poole NL, Nagelhout GE, Magnée T, de Haan-Bouma LCI, Barendregt C, van Schayck OCP, van den Brand FA
Auteur: Nagelhout, G. E., Van den Brand, F. A., Vennegoor, G., Magnée, T., Barendregt, C., & Van Schayck, O.
Auteur: Van den Brand, F. A.
Auteur: Van den Brand, F.
Auteur: Van den Brand FA, Poole, N De Haan-Bouma LCI, Van Schayck CP, Nagelhout GE
Auteur: Nagelhout, G. E.
Auteur: Magnée, T.
Auteur: Van den Brand, F., Bouma, L., & Nagelhout, G. E.
Auteur: Van den Brand, F. A., Bouma, L., & Nagelhout, G. E.
Link: https://ivo.nl/publicaties
Auteur: Nederlandse Vereniging van Arbeids- en Bedrijfsgeneeskunde
Link: https://nvab-online.nl/sites/default/files/RVO_MicroMagazine_defmei2021.pdf
Auteur: Poole NL, Nagelhout GE, Magnée T, de Haan-Bouma LCI, Barendregt C, van Schayck OCP, Van den Brand FA
Magazine: Tobacco Prevention & Cessation
Auteur: van den Brand, Floor A., Magnée, Tessa, de Haan-Bouma, Lotte, Barendregt, Cas, Chavannes, Niels H., van Schayck, Onno C. P., Nagelhout, Gera E.
Magazine: International Journal of Environmental Research and Public Health
Link: https://www.mdpi.com/1660-4601/16/24/5135
Auteur: Van den Brand, F.A., Bouma, L., Van Schayck, C.P., & Nagelhout, G. E.
Auteur: Van den Brand, F.A., Bouma, L., Van Schayck, C.P., & Nagelhout, G. E.
Verslagen
Samenvatting van de aanvraag
Background In a cluster randomized controlled trial (RCT) that we recently performed in 61 companies, we found that financial incentives for successful smoking cessation are highly effective in increasing smoking abstinence among employees who follow a smoking cessation group training. We found a 6-month quit rate of 44% in the incentive group, compared to a 25% quit rate in the control group [1]. This difference was highly significant (OR=2.56, p<0.001), and even larger among low educated (OR=3.59) and low income employees (OR=3.91).The results of our study are in line with international studies showing the potential of incentives to increase smoking cessation rates [2]. Very promising is that our intervention was more effective among employees with a low income and education, which is a group with a high smoking rate that has shown to be difficult to reach with existing smoking cessation interventions. Because of its promising results and its potential to engage smokers with a lower socioeconomic status (SES), it is important to investigate how the smoking cessation group training programme combined with incentives can be diffused and implemented in companies throughout the Netherlands. However, previous research has shown that successful research trials do not automatically lead to implementation in the field [3]. Although the trial was designed to closely resemble a real-world situation, the researchers actively recruited interested companies, which is a task that should be conveyed to other parties and information platforms to be sustainable. Because of the innovative nature of the intervention, it is possible that mostly companies open to new ideas were the first responders to the call for the recruitment of the trial. There is need for an implementation strategy that could convince different types of companies to offer the smoking cessation programme with incentives. Furthermore, the incentives were paid for by the funder of the trial and more research is required on how companies could implement these incentives. Also, a practical guide should be developed for companies, including a step-by-step action plan on how to implement the smoking cessation intervention on the worksite and how to break through potential barriers. This would help companies with the organization of the programme. Finally, in the trial only a small group of employees within each company participated. It was not investigated how the majority of the employees who smoke could be reached and made enthusiastic to participate in the smoking cessation training programme, but this knowledge is crucial to maximize the reach and impact of the intervention, especially for lower SES employees. Objective This study aims to increase the dissemination and adoption of a successful smoking cessation intervention among Dutch companies by developing an implementation strategy which will be constructed and tested after (1) investigating how companies can be convinced to organize a smoking cessation group training programme with financial incentives for their employees, (2) assessing how tobacco smoking employees with a low SES can be stimulated to participate in the smoking cessation group training, (3) identifying which barriers at the employer and employee level could influence adoption of the programme and how these barriers can be overcome, (4) investigating how the implementation of the programme can be maintained. Methods We want to focus our efforts on companies with relatively many low SES employees. The proposed study will develop an implementation strategy at the company level and at the employee level to promote a workplace smoking cessation group training with incentives, and will evaluate the implementation process within the companies who will actually carry out the smoking cessation programme. The proposed implementation study will start with monitoring the effect of the currently used implementation strategies as a baseline measure. Employers and employees will be interviewed about which motivators and barriers influence their decision to organize or enroll in a smoking cessation programme. This information, together with the input from the consortium partners consisting of end users, health consultancy organizations, smoking cessation counsellors, health promotion platforms and communication specialists will be used to develop an implementation strategy aimed at the employer and the employee, which will be tested, evaluated and adapted multiple times. We will develop the implementation strategy by applying Intervention Mapping, and we will use the RE-AIM Framework to form our implementation study and evaluate the reach, effectiveness, adoption, implementation, and maintenance of the intervention.