Baay Courtney, Jessiman-Perreault Geneviève, Toohey Ann M, Allen Scott Lisa K
Alberta Health Services.
Workplace Health Saf. 2025 Jan;73(1):4-20. doi: 10.1177/21650799241282757.
Tobacco is the leading modifiable risk factor for cancer and other chronic diseases. The workplace provides an opportunity to advance tobacco cessation efforts. Combining tobacco cessation with complementary components addressing mental health, physical activity, and healthy eating has demonstrated effectiveness in non-workplace settings. This scoping review examines the literature on multicomponent workplace tobacco cessation interventions to identify core components and implementation facilitators and barriers to support uptake in the workplace setting.
A scoping review was conducted following PRISMA guidelines for Scoping Reviews and Arksey and O'Malley's five-step process. Peer-reviewed literature published in the past 20 years was searched across 9 databases. A search for relevant gray literature (i.e., conference papers/proceedings) was also completed. Articles were screened by two independent researchers for inclusion. Included studies evaluated workplace interventions recruiting individuals to participate in a tobacco cessation program alongside a complementary component (i.e., physical activity, mental health, healthy eating).
Most of the 12 included studies paired tobacco cessation with mental health or stress reduction interventions. Most complementary components targeted the individual versus organizational or policy levels. The synthesized facilitators indicated that multicomponent interventions should be incentivized and tailored to adequately meet the needs of different workplaces and employees.
This scoping review synthesizes studies integrating multiple complementary program components into workplace tobacco cessation efforts. Future interventions should implement tobacco cessation interventions at multiple levels, combining complementary components to maximize effectiveness and overcome barriers (e.g., weight gain and stress) to successful outcomes.
烟草是导致癌症和其他慢性病的首要可改变风险因素。工作场所为推进戒烟工作提供了契机。在非工作场所环境中，将戒烟与针对心理健康、体育活动和健康饮食的补充要素相结合已证明具有成效。本范围综述考察了关于多成分工作场所戒烟干预措施的文献，以确定核心要素以及支持在工作场所环境中采用这些措施的实施促进因素和障碍。
按照《系统综述与Meta分析扩展版报告规范》（PRISMA）指南以及阿克西和奥马利的五步流程进行了范围综述。在9个数据库中检索了过去20年发表的同行评议文献。还完成了对相关灰色文献（即会议论文/会议记录）的检索。由两名独立研究人员筛选文章以确定纳入与否。纳入的研究评估了工作场所干预措施，这些措施招募个体参与戒烟计划，并搭配一个补充要素（即体育活动、心理健康、健康饮食）。
12项纳入研究中的大多数将戒烟与心理健康或减压干预措施相结合。大多数补充要素针对的是个体层面，而非组织或政策层面。综合得出的促进因素表明，应激励多成分干预措施并进行量身定制，以充分满足不同工作场所和员工的需求。
本范围综述综合了将多个补充计划要素整合到工作场所戒烟工作中的研究。未来的干预措施应在多个层面实施戒烟干预，结合补充要素以实现效果最大化，并克服取得成功结果的障碍（如体重增加和压力）。
