Yeo Chang Dong, Lee Hea Yeon, Ha Jick Hwan, Kang Hyeon Hui, Kang Ji Young, Kim Sung Kyoung, Kim Myung Sook, Moon Hwa Sik, Lee Sang Haak
Division of Pulmonary, Critical Care and Sleep Medicine, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Yonsei Med J. 2015 Jan;56(1):295-9. doi: 10.3349/ymj.2015.56.1.295.
Worksite smoking cessation programs offer accessibility of the target population, availability of occupational health support, and the potential for peer pressure and peer support. The purpose of this study was to identify the efficacy of the financial incentives given to various teams in the workplace. St. Paul's Hospital's employees were enrolled. Each team of employees consisted of smoking participants and non-smoking fellow workers from the same department. The financial incentive of 50000 won (about $45) was rewarded to the team for each successful participant-not to individual members-after the first week and then after one month. If the smokers in the team remained abstinent for a longer time period, the team was given an incentive of 100000 won for each successful participant after 3 and 6 months. A total 28 smoking participants and 6 teams were enrolled. Self-reported abstinence rates validated by urinary cotinine test at 3, 6, and 12 months after the initial cessation were 61%, 54%, and 50%, respectively. Smokers with high nicotine dependence scores or those who began participation 1 month after enrollment initiation had a lower abstinence rate at 3 months, but not at 6 and 12 months. Participants who succeeded at smoking cessation at 12 months were more likely to be older and have a longer smoking duration history. The financial incentives given to teams could be promising and effective to improve long-term rates of smoking cessation. This approach could use peer pressure and peer support in the workplace over a longer period.
工作场所戒烟计划具有目标人群可及性、职业健康支持可得性以及同伴压力和同伴支持的潜力。本研究的目的是确定给予工作场所各团队经济激励的效果。圣保罗医院的员工参与了研究。每个员工团队由来自同一部门的吸烟参与者和不吸烟的同事组成。在第一周后以及一个月后，每有一名成功戒烟的参与者，就给团队奖励50000韩元（约合45美元），而不是奖励给个人成员。如果团队中的吸烟者在更长时间内保持戒烟状态，在3个月和6个月后，每有一名成功戒烟的参与者，团队将获得100000韩元的奖励。总共招募了28名吸烟参与者和6个团队。在最初戒烟后3个月、6个月和12个月通过尿可替宁测试验证的自我报告戒烟率分别为61%、54%和50%。尼古丁依赖评分高的吸烟者或在招募开始1个月后才开始参与的吸烟者在3个月时戒烟率较低，但在6个月和12个月时并非如此。在12个月时成功戒烟的参与者更有可能年龄较大且吸烟时间更长。给予团队的经济激励可能有望有效提高长期戒烟率。这种方法可以在更长时间内利用工作场所的同伴压力和同伴支持。
