Effects of a Workplace Multiple Cardiovascular Disease Risks Reduction Program

Huang, Jing; Lin, Huey Shyan; Yen, Miaofen; Kan, Wai Ming; Lee, Bih‐O; Chen, Ching Huey

doi:10.1016/j.anr.2013.04.001

“…Our study is the first to apply a realist review methodology to explore how, [40,59,61,62,65,66,68,73,81,82,84] 8 (73%) [40,65,66,68,73,81,82,84] Opportunity -Social Support 15 [60,[64][65][66][67][68]…”

Section: Resultsmentioning

confidence: 99%

Factors in multiple behaviour change interventions affecting smoking cessation success: a rapid realist review.

Minian¹,

Corrin²,

Lingam³

et al. 2020

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Background Smoking continues to be a leading cause of preventable chronic disease-related morbidity and mortality, excess healthcare expenditure, and lost work productivity. Tobacco users are disproportionately more likely to be engaging in other modifiable risk behaviours such as excess alcohol consumption, physical inactivity, and poor diet. While hundreds of interventions addressing the clustering of smoking and other modifiable risk behaviours have been conducted worldwide, there is insufficient information available about what components of these interventions help to promote successful smoking cessation . The aim of this rapid realist review was to identify possible mechanisms used in multiple health behaviour change interventions (targeting tobacco and two or more additional risk behaviours) that are associated with effectively changing tobacco use. Methods This realist review method incorporated the following steps: (1) clarifying the scope, (2) searching for relevant evidence, (3) relevance confirmation, data extraction, and quality assessment, (4) data analysis and synthesis. Results Of the 20,423 articles screened, 138 articles were included in this realist review. Following Michie et al.’s behavior change model (the COM-B model), capability, opportunity, and motivation were used to identify the mechanisms of behaviour change. Universally, increasing opportunities (i.e. factors that lie outside the individual that prompt the behaviour or make it possible) for participants to engage in healthy behaviours was associated with smoking cessation success. However, increasing participant’s capability or motivation to make a behaviour change was only successful within certain contexts. Conclusion In order to address multiple health behaviours and assist individuals in quitting smoking, public health promotion interventions need to shift away from ‘individualistic epidemiology’ and invest resources into modifying factors that exist outside of the individual (i.e. creating a supportive environment). Study registration PROSPERO registration number: CRD42017064430

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“…However, there were certain contexts in which interventions based on this mechanism observed more success. Specifically, four [67,71,84,103,104] out of eight interventions [59,63,67,71,80,84,103,104] in Asia reported that participants were more likely to quit smoking. Interventions that utilized capability in community based settings or in schools also had positive results with 71% (5/7) [40, 70,77,81,104] and 80% (4/5) [40, 73,82,84], respectively reporting long-term smoking cessation.…”

Section: Demi-regularity -Capabilitymentioning

confidence: 99%

Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: A rapid realist review

Minian

¹

,

Corrin

²

,

Lingam

³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Smoking continues to be a leading cause of preventable chronic disease-related morbidity and mortality, excess healthcare expenditure, and lost work productivity. Tobacco users are disproportionately more likely to be engaging in other modifiable risk behaviours such as excess alcohol consumption, physical inactivity, and poor diet. While hundreds of interventions addressing the clustering of smoking and other modifiable risk behaviours have been conducted worldwide, there is insufficient information available about the context and mechanisms in these interventions that promote successful smoking cessation. The aim of this rapid realist review was to identify possible contexts and mechanisms used in multiple health behaviour change interventions (targeting tobacco and two or more additional risk behaviours) that are associated with improving smoking cessation outcome.Methods: This realist review method incorporated the following steps: (1) clarifying the scope, (2) searching for relevant evidence, (3) relevance confirmation, data extraction, and quality assessment, (4) data analysis and synthesis.Results: Of the 20,423 articles screened, 138 articles were included in this realist review. Following Michie et al.’s behavior change model (the COM-B model), capability, opportunity, and motivation were used to identify the mechanisms of behaviour change. Universally, increasing opportunities (i.e. factors that lie outside the individual that prompt the behaviour or make it possible) for participants to engage in healthy behaviours was associated with smoking cessation success. However, increasing participant’s capability or motivation to make a behaviour change was only successful within certain contexts. Conclusion: In order to address multiple health behaviours and assist individuals in quitting smoking, public health promotion interventions need to shift away from ‘individualistic epidemiology’ and invest resources into modifying factors that are external from the individual (i.e. creating a supportive environment).Study registration: PROSPERO registration number: CRD42017064430

show abstract

“…However, there were certain contexts in which interventions based on this mechanism observed more success. Speci cally, four [67,71,84,103,104] out of eight interventions [59,63,67,71,80,84,103,104] in Asia reported that participants were more likely to quit smoking. Interventions that utilized capability in community based settings or in schools also had positive results with 71% (5/7) [40,70,77,81,104] and 80% (4/5) [40,73,82,84], respectively reporting long-term smoking cessation.…”

Section: Demi-regularity -Capabilitymentioning

confidence: 99%

Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: A rapid realist review

Minian

¹

,

Corrin

²

,

Lingam

³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: Smoking continues to be a leading cause of preventable chronic disease-related morbidity and mortality, excess healthcare expenditure, and lost work productivity. Tobacco users are disproportionately more likely to be engaging in other modifiable risk behaviours such as excess alcohol consumption, physical inactivity, and poor diet. While hundreds of interventions addressing the clustering of smoking and other modifiable risk behaviours have been conducted worldwide, there is insufficient information available about the context and mechanisms in these interventions that promote successful smoking cessation. The aim of this rapid realist review was to identify possible contexts and mechanisms used in multiple health behaviour change interventions (targeting tobacco and two or more additional risk behaviours) that are associated with improving smoking cessation outcome.Methods: This realist review method incorporated the following steps: (1) clarifying the scope, (2) searching for relevant evidence, (3) relevance confirmation, data extraction, and quality assessment, (4) data analysis and synthesis.Results: Of the 20,423 articles screened, 138 articles were included in this realist review. Following Michie et al.’s behavior change model (the COM-B model), capability, opportunity, and motivation were used to identify the mechanisms of behaviour change. Universally, increasing opportunities (i.e. factors that lie outside the individual that prompt the behaviour or make it possible) for participants to engage in healthy behaviours was associated with smoking cessation success. However, increasing participant’s capability or motivation to make a behaviour change was only successful within certain contexts. Conclusion: In order to address multiple health behaviours and assist individuals in quitting smoking, public health promotion interventions need to shift away from ‘individualistic epidemiology’ and invest resources into modifying factors that are external from the individual (i.e. creating a supportive environment).Study registration: PROSPERO registration number: CRD42017064430

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Effects of a Workplace Multiple Cardiovascular Disease Risks Reduction Program

Abstract: Dual collaboration between the industry and nursing schools could establish a cost-effective program to improve health behaviors and health status of participants.

Cited by 9 publications

References 34 publications

Factors in multiple behaviour change interventions affecting smoking cessation success: a rapid realist review.

Factors in multiple behaviour change interventions affecting smoking cessation success: a rapid realist review.

Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: A rapid realist review

Identifying contexts and mechanisms in multiple behavior change interventions affecting smoking cessation success: A rapid realist review

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